Pharmacy Practice Specialist - River Crossing Pharmacist in Charge

The Ambulatory Care Pharmacy Practice Specialist at River Crossing Pharmacy will serve as the Pharmacist-in-Charge and provide daily oversight of pharmacy operations in coordination with the pharmacy manager. This position will provide comprehensive pharmaceutical care to UI Health Care patients, including prescription clinical review, verification, and dispensing, patient counseling in person, by phone, and at the drive-up, and support for medication synchronization, adherence packaging, and point-of-sale processes.

• Pharmacist-in Charge
  • Ensures the legal operation of the pharmacy, including meeting inspection and other requirements of state and federal laws, rules, and regulations governing the practice of pharmacy.
  • Maintains adherence to all departmental policies and procedures.
  • Ensures all documentation is complete and maintained for the required amount of time.
  • Oversees daily operations to ensure adherence to policies, procedures, and billing practices.
  • Provides daily support to the River Crossing Pharmacy staff.
  • Review errors and provides staff coaching consistent with a Just Culture environment.
  • Engages staff in meeting ambulatory care and department goals.
  • Creates an environment that encourages high performance, accountability, and teamwork.
• Controlled Substance Management
  • Maintains accountability for controlled substances in accordance with federal and state laws, Iowa Board of Pharmacy regulations, and departmental policies.
  • Ensures accurate, timely, and complete documentation of all controlled-substance activities, including receipt, storage, dispensing, returns, waste, and inventory adjustments.
  • Oversees the perpetual inventory system and conducts required reconciliations; promptly investigates and resolves discrepancies, documenting findings and corrective actions.
  • Ensures secure storage, restricted access, and proper chain-of-custody workflows for all controlled substances within the pharmacy.
  • Serves as the designated DEA Registrant responsibilities for the site, including management of CSOS certificates, power-of-attorney assignments, and record retention requirements.
  • Provides oversight and coaching to staff to ensure compliant controlled-substance handling and facilitates training for technicians, pharmacists, and new employees.
  • Ensures readiness for regulatory inspections by maintaining audit‑ready controlled-substance documentation and responding to inspection findings with timely corrective action.
• Therapeutic Drug Monitoring (TDM)
  • Completes a comprehensive patient assessment which includes evaluation of the patient’s medications, and an evaluation of the patient’s medical history.
  • Evaluates all prescription orders to ensure the appropriateness of the following:
    • Indication for use
    • Dose
    • Route of administration
    • Drug interactions
    • Dose adjustments for organ dysfunction
    • Physical and therapeutic incompatibilities
    • Drug‑induced side effects and adverse reactions
    • Potential drug misuse or abuse
    • Use of the most cost‑effective therapy
    • Duplicate therapy
  • Ensures pharmacokinetic assessment of drug dosing on targeted patients through:
    • Clinical assessment of patients and desired therapeutic endpoints
    • Preparation of formal dosing recommendations
  • Communicates with prescribers about patient medication needs.
  • Conducts review of patient profiles and updates as needed based upon findings at time of patient visit.
  • Provides appropriate drug information to other healthcare professionals.
  • Confirms/clarifies (assesses) all patient drug allergies noted in the medical record.
  • Participates in collecting and documenting medication histories on patients.
  • Evaluates patient compliance with prescribed medication therapy and identifies problems that may lead to partial or noncompliance.
  • Utilizes appropriate resources and coordinates the resolution of financial concerns/burdens with department financial counselors.
  • Participates in the facilitation of continuity of care for patients when transitioning from one setting to another.
• Documentation of Patient Care Activities Performed
  • The pharmacist provides pharmacy‑related services through sharing of information with other members of the healthcare team via documentation within the…