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
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Professional Experience
St. Joseph HealthFebruary 2012 to August 2012Clinical Prior Authorization Pharmacist
Rohnert Park , CA
Rohnert Park , CA
- 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.
Bi-Mart CorporationMay 2011 to November 2011Clinical Pharmacist
Albany , OR
Albany , OR
- 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.
Bi-Mart CorporationAugust 2010 to April 2011Staff Pharmacist
Lebanon , OR
Lebanon , OR
- 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.
Bi-Mart CorporationFebruary 2010 to August 2010Staff Pharmacist
Sweet Home , OR
Sweet Home , OR
- 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 PharmacyJuly 2005 to December 2009Staff Pharmacist/ Pharmacy manager
City , STATE
City , STATE
- 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 CenterJanuary 2007 to March 2008Staff Pharmacist
City , STATE
City , STATE
- 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 Sci2004PharmD: PharmacyCity, State
Roxbury Community College1999Associate of Arts: Biology concentrationCity, State
Community Service
Volunteer as a Pharmacist, Cayesse Haiti Missionary Clinic 2013
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Resume Overview
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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