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Clinical Prior Authorization Pharmacist Resume Example

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CLINICAL PRIOR AUTHORIZATION PHARMACIST
Professional Summary

Enthusiastic and patient service-oriented Pharmacist with Doctor of Pharmacy degree and advanced certification in Pharmacist Immunization Delivery. Strong background in clinical pharmacology and patient medication therapy management. Currently licensed in Massachusetts.

Skill Highlights
  • Strong decision-making ability
  • Efficient and accurate
  • Skilled in clinical interventions
  • Strong clinical background
  • Drug utilization review
  • Hospital and retail pharmacy professional
  • Patient counseling expert
  • Inventory management
  • Expert understanding of Medicare and Medicaid processes.
  • Strong background in FDA drug safety guidelines
  • Exceptional patient care and interaction
  • HIPAA trained
  • Patient counseling expert
Professional Experience
Aerotek/ CVS Caremark February 2012 to August 2012 Clinical Prior Authorization Pharmacist
Lincoln, RI
  • Performed coverage determination for prescription drugs against established criteria on any prior authorization requests.
  • Conducted occasional clinical literature searches to support the coverage determination function for cases, as needed.
  • Communicated with doctors' offices via telephone, fax and email.
  • Participated and collaborated with the clinical pharmacist team discussions on CMS regulatory issues, company policies and other projects as needed.
  • CAS,People Soft,RXClaim, MedHOK system experience.
Hebrew Rehabilitation Center May 2011 to November 2011 Clinical Pharmacist
Boston, MA
  • Interpreted, clarified and evaluated all medication orders including IV and TPN for completeness and appropriateness.
  • Collaborated closely with healthcare professionals to monitor and assess the quality amd effectiveness of drugs or drug regimens.
  • Interacted with physicians and nurses regarding patients' medication order.
  • Followed state and federal record keeping guidelines for legend drugs and controlled substances.
  • Identified, resolved and documented orders discrepancies and possible drug interactions.
  • Interpreted and implemented all departmental policies and procedures on the assigned shift.
  • Experienced with MEDITECH 6.0 and CPOE platform.
  • Performed quality checks and dispensed patient medications to patients throughout the hospital.
  • Routinely operated the computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
Soliant Health/PharMerica August 2010 to April 2011 Staff Pharmacist
Boston, Ma
  • Interpreted and evaluated the validity and safety of medication orders and prescriptions.
  • Performed quality checks on all filled prescriptions including intravenous medications and coordinated the deliveries of pharmaceuticals.
  • Oversaw the pharmacy technicians' drug preparation and distribution activities to provide safe, efficient care for patients.
  • Consistently upheld proper pharmacy and general safety procedures and standards.
  • Facilitated drug utilization reviews (DUR) on a consistent basis.
  • QS/1 Pharmacy software experience.
Pharmaceutical Strategies February 2010 to August 2010 Staff Pharmacist
Boston, Ma
  • Entered new patient profiles and prescriptions into medication input software system.Verified, filled and dispensed prescriptions in accordance with the State and Federal regulations.
  • Communicated directly with doctors' offices via telephone, fax and email.
  • Followed state and federal record keeping guidelines for legend drugs and controlled substances.
  • Conducted drug utilization reviews, drug interventions and therapy management.
  • QS/1 Pharmacy software experience.
Rite Aid Pharmacy July 2005 to December 2009 Staff Pharmacist/ Pharmacy manager
Quincy, Ma
  • Managed pharmacy inventory through proper medication ordering, returns and inter-store transfers.
  • Maintained proper pharmacy and general safety procedures and standards, including department cleanliness.Maintained proper inventory levels, rotated stock and immediately complied with prescription drug recalls.
  • Supervised, trained and evaluated pharmacy technicians and interns.
  • Directed operations to increase efficiency and minimize patient wait times.
  • Followed state and federal record keeping guidelines for legend drugs and controlled substances.
  • Conducted drug utilization reviews, drug interventions and therapy management.
  • Appropriately resolved customer issues, complaints and questions.
  • Extended patient engagement with extra counseling and follow-up adherence calls.
  • Collaborated closely with healthcare professionals to monitor and assess the quality and effectiveness of drugs or drug regimens.
  • Advised customers on the selection of medication brands, medical equipment or healthcare supplies.
  • Successfully assisted customers with medical issues and provided valuable healthcare counseling.
Harvard Street Neighborhood Health Center January 2007 to March 2008 Staff Pharmacist
Boston, MA

  • Entered new patient profiles and prescriptions into medication input software system.
  • Communicated directly with doctors' offices via telephone, fax and email.
  • Provided critical information and advice to customers regarding possible drug interactions, side effects, dosage and proper medication storage.
  • Consistently upheld proper pharmacy and general safety procedures and standards.
  • Followed state and federal record keeping guidelines for legend drugs and controlled substances.
Education and Training
Massachusetts College of Pharmacy and Health Sci 2004 PharmD: Pharmacy Boston, MA
Roxbury Community College 1999 Associate of Arts: Biology concentration Boston, MA
Community Service

Volunteer as a Pharmacist, Cayesse Haiti Missionary Clinic 2013

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Resume Overview

Companies Worked For:

  • Aerotek/ CVS Caremark
  • Hebrew Rehabilitation Center
  • Soliant Health/PharMerica
  • Pharmaceutical Strategies
  • Rite Aid Pharmacy
  • Harvard Street Neighborhood Health Center

School Attended

  • Massachusetts College of Pharmacy and Health Sci
  • Roxbury Community College

Job Titles Held:

  • Clinical Prior Authorization Pharmacist
  • Clinical Pharmacist
  • Staff Pharmacist
  • Staff Pharmacist/ Pharmacy manager

Degrees

  • PharmD : Pharmacy
    Associate of Arts : Biology concentration

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