Clinical Pharmacist, Oncology
Steward Health Care System LLC ("Steward") is a fully integrated, physician-led national health care services organization committed to providing the highest quality of care in the most cost-efficient manner in the communities where our patients live. Steward - the largest privately held health care company in the U.S. - owns and operates 35 community hospitals across nine states, serves over 1,000 distinct communities and employs approximately 40,000 health care professionals. In addition to our hospitals, the Steward provider network includes 4,800 providers, 25 urgent care centers, 87 preferred skilled nursing facilities, substantial behavioral health offerings, over 7,300 hospital beds under management, and approximately 1.5 million full risk covered lives through the company's managed care and health insurance services.
Steward Medical Group (SMG), Inc. is Steward's multi-specialty group practice with over 4,500 employees including over 1,800 physicians and advanced practitioners. SMG operates approximately 450 practice locations throughout Massachusetts, Southern New Hampshire, Rhode Island, Pennsylvania, Ohio, Florida, Utah, Arizona, Texas, Louisiana and Arkansas, and provides more than 4 million patient encounters per year.
The Oncology Pharmacist will work within the HHCI free standing oncology infusion center; overseeing the daily operations of the Compounded Sterile Products (CSP) area; assists in meeting regulatory compliance; and monitors training and competency assessment and quality assurance/control.
This Outpatient Specialty Pharmacist is responsible for optimizing medication management for patients being treated in the oncology infusion clinic, with a focus on patients utilizing specialty pharmacy medications. Interact with patients to gather medication histories, assess adherence, and provide medication education. The pharmacist works closely with the multidisciplinary care team and patient to facilitate access to and/or modify medication therapy to overcome barriers. Knowledge of chemotherapy regimens and confidence in interacting with physicians to discuss treatment plans is necessary. Understanding of specialty pharmacy and prior authorization processes is desired. The pharmacist will also serve as a drug information resource for nurses and providers to meet the operational and clinical needs of the infusion clinic. Additionally, this position will collaborate with the Pharmacy Leadership Team to assist with the continued development and promotion of clinical pharmacy services, as well as support the safe and effective use of medication through multidisciplinary committee involvement.
• Prepares, compounds and dispenses medications and ensures accuracy and integrity prior to issuance by the pharmacy. Manages required record-keeping activities; serves as a resource to other medical professionals; identifies and employs appropriate pharmaceutical care.
• Follows policies regarding non-formulary requests and effectively utilizes the non-formulary algorithm.
• Recommends appropriate cost-effective formulary alternatives to prescriber. Utilizes correct method of order entry for nonformulary medications.
• May oversee the work performed by pharmacy students, interns, and/or technicians to ensure that performance standards are maintained, and that work is accurate and precise in accordance with state, federal and organizational regulations.
• Recognizes system and process failures and makes suggestions to management of ways to improve clinical and distributive services.
• Reads, interprets, and processes physician orders accurately and efficiently. Clarifies orders with prescribers as appropriate.
• Accurately enters orders in the pharmacy computer system (correct drug, dose and route).
• Documents allergy and other clinical information as required.
• Handles post-op and transfer orders in accordance with departmental policy and procedure.
• Verifies accuracy and appropriateness of all completed/filled medication orders (correct medication, dose, route and quantity).
• Assures accurate preparation of sterile products by pharmacy technicians following proper aseptic and cytotoxic technique.
• Checks sterile products prepared by technicians for the correct medication, diluent and volume prior to dispensing.
• Ensures that dispensed medications are in date, labeled and packaged appropriately.
• Prepares sterile products following proper aseptic and cytotoxic technique, if required.
• Utilizes nomograms and other departmental guidelines when providing medication-related recommendations.
• Provide clinical, formulary and pharmacotherapy expertise and act as a resource to students, staff and interdisciplinary members of the care team
• Act as resource for pharmaceutical care to patients This includes partnering with interdisciplinary care team members to ensure appropriateness of medication order and therapy, drug selection, formulary correctness and compliance any other formulary or departmental initiatives
• Provide clinical pharmacy services to all patients in assigned area including completing review for all patients daily, monitoring, adjusting patient therapies and documenting changes according to department policies
• Accountable for the distribution and/or preparation of medications, sterile products, compound IV mixtures and other extemporaneous orders as appropriate
• Effectively consult and educate patients, staff
• Assures compliance to all state, federal and regulatory Guidelines including USP 797 and USP 800.
• May recommend appropriate dosing for designated kinetics patients.
• Participates in patient education by instructing them on the appropriate use of medications; provides counsel regarding adverse reactions, drug interactions, and signs of toxicity (i.e., warfarin).
• Responds to questions from patients regarding their medications.
• Identifies drug-related problems during review of medication orders; verifies appropriateness of dose, route and frequency.
• Utilizes computer alert screens for drug allergies, interactions, duplicates, dosages and other warnings.
• Prevents and/or resolves drug-related problems through consultations with the ordering prescriber and appropriately documents interventions.
• Conducts Quality assurance as assigned
• Conducts and oversees pharmaceutical purchasing
• Monitors inventory levels to meet patient care needs in financial; responsible manner
• Assures all pharmaceuticals are billed appropriately
• Work with leadership to Assure revenue integrity
• Responsible for completion of service/care and customer satisfaction.
• Maintains records to meet legal requirements for pharmacy operations.
• Ensures the accuracy of records pertaining to controlled substances, medication compounding, prepackaging, and sterile product preparation.
• Documents medication orders in the patient's medical record.
• Documents adverse drug reactions and medication variances per policy.
• Performs other related duties as required.
• Bachelor’s degree of Pharmacy from accredited college of Pharmacy, Pharm D preferred.
• Licensed in the state of Massachusetts as a Pharmacist in good standing
• Experience with chemotherapy or experience as a pharmacist in an oncology pharmacy setting
• Sterile compounding experience
• Patient education experience
• BCOP certification, 3 or more years’ experience in Oncology Pharmacy strongly preferred
• Pharmacy residency preferred
• Minimum one-year applicable experience
• Basic Life Support (BLS) or must be obtained within 3 months of employment
Steward Health Care is an Equal Employment Opportunity (EEO) employer, Steward Health Care does not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, and or expression or any other non-job-related characteristic.
Steward Medical Group is taking additional necessary preparations to ensure patients can receive compassionate care in safe, carefully managed environment – with confidence and without fear.
Our Safe and Ready program consists of a rigorous [three-point] standard ensuring patient safety, confidence and convenience.
- Any COVID-19 related care takes place in designated areas away from other patients and their families.
- A stringent cleaning policy has been implemented throughout our facilities.
- A strictly controlled visitor and mask policy is required for patient and colleague safety.