Ambulatory Clinical Pharmacist

This Rural Health Transformation Program is supported by the Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $.80 with 100 percent funded by CMS/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CMS/HHS, or the U.S. Government."

Provides direct patient-centered clinical pharmacy services in Marion Health ambulatory settings. Collaborates with providers, nursing, care management, and pharmacy staff to optimize medication therapy, improve access and adherence, patient education, support transitions of care, and measure clinical outcomes.

• Provides comprehensive medication assessment and management, evaluating indication, effectiveness, safety, dosing, interactions, monitoring, adherence, and affordability.
• Collaborates with prescribers and the care team to develop, implement, and monitor individualized medication treatment plans.
• Supports chronic disease management services, including but not limited to: diabetes, hypertension, dyslipidemia, heart failure, anticoagulation, chronic kidney disease, respiratory disease, obesity and weight management.
• Initiates, adjusts, or discontinues medication therapy and orders or evaluates laboratory monitoring only when authorized by applicable law, approved protocols, collaborative practice agreements, or prescriber orders.
• Performs medication reconciliation during ambulatory encounters and transitions from inpatient, emergency, and post-acute settings; resolves discrepancies with the care team.
• Identifies patients at increased risk for medication-related harm, treatment failure, or readmission and coordinates intervention and follow-up.
• Provides individualized patient counseling on medication use, adverse effects, adherence, monitoring, and devices; confirms patient understanding.
• Addresses medication access barriers with pharmacy staff, providers, and care management, including coverage, formulary restrictions, prior authorizations, affordability, and assistance resources.
• Supports Meds-to-Beds and other transitions-of-care programs through clinical medication review, discharge education, and coordination of medication access.
• Coordinates with Marion Health employees, outpatient retail, and specialty pharmacy services when available and clinically appropriate.
• Serves as a pharmacotherapy resource for ambulatory providers and participates in interdisciplinary planning, case conferences, and staff education.
• Documents patient assessments, interventions, recommendations, education, and follow-up promptly and accurately in the electronic health record.
• Participates in medication safety, quality improvement, population health, and care-gap initiatives and monitors relevant clinical and service outcomes.
• Assists in development of ambulatory clinical pharmacy workflows, policies, protocols, and sustainable service models, including documentation and reimbursement processes when applicable.
• Maintains professional competency and complies with applicable federal and Indiana law, professional standards, privacy requirements, and Marion Health policies.
• Graduate of an accredited school or college of pharmacy with a Doctor of Pharmacy degree.
• Current Indiana pharmacist license in good standing, or eligibility for licensure to be obtained prior to start date.
• Completion of a PGY1 Pharmacy Residency or equivalent ambulatory care experience.
• BLS certification or must obtain withing 6 months of employment.

• PGY2 Ambulatory Care Residency .
• Board Certified Ambulatory Care Pharmacist (BCACP) or other applicable board certification.
• Experience practicing in a primary care or ambulatory care setting.
• Experience operating under collaborative agreements.

• Knowledge of evidence-based pharmacotherapy, clinical monitoring, medication safety, and chronic disease management.
• Excellent verbal and written communication with patients, families, providers, and interdisciplinary colleagues.
• Ability to establish collaborative relationships and explain medication plans to people with varying health literacy.
• Strong time management and ability to prioritize competing patient care needs.
• Clinical assessment and critical thinking to identify and resolve medication-related problems.
• Proficiency with electronic health records, clinical documentation, and relevant pharmacy technology.
• Commitment to patient-centered…