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Clinical Pharmacy Practitioner – Nutrition Support

Job ID: 161507
Location: Durham, NC
Facility/Division: UNC Medical Center
Status: Full Time
Shift: Day Job

Job Description

Description

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.

Summary:
The University of North Carolina (UNC) Healthcare system is a not-for-profit, integrated health care system, owned by the State of North Carolina and based in Chapel Hill. This health system exists to further the teaching mission of the University of North Carolina and to provide state-of-the-art patient care to residents of North Carolina. 

The UNC Medical Center, the cornerstone of UNC Healthcare, is a public, academic medical center focused on providing high quality patient care, educating health care professionals, advancing research and providing community service. The medical center includes North Carolina Cancer Hospital, North Carolina Children's Hospital, North Carolina Memorial Hospital, North Carolina Neurosciences Hospital, and the North Carolina Women's Hospital. 

UNC’s Department of Pharmacy is an organization of more than 300 dedicated employees with focused attention on caring for patients of the UNC Health Care system. The department is culturally diverse and has a variety of backgrounds, interests, capabilities, and experience. Additionally, the UNC Department of Pharmacy is nationally recognized for excellence in pharmacy practice and has received numerous ASHP Best Practices Awards in Health-System Pharmacy.

The focus of this position will be providing pharmaceutical care including comprehensive pharmaceutical care, disease management, and transitions of care in the ambulatory care setting to adult patients requiring parenteral nutrition therapy. This individual will collaborate with members of the multidisciplinary nutrition support team. Precepting pharmacy students and residents is also a requirement.


Nutrition Support Pharmacist Responsibilities (80%), in collaboration with the interdisciplinary outpatient nutrition support team 

  • Clinical Responsibilities: Builds a clinical practice that collaborates with physicians and providers to care for clinic patients. Works closely with clinic physicians and providers to determine appropriate treatment plans. Provides longitudinal dosing and monitoring of appropriate regimens. Aligns daily practice with medication management goals set forth by the institution or pharmacy director, including medication use evaluations and medication reconciliation. Educates patients and families about their treatment plans and subsequent medication management including lab monitoring. Educates staff on guideline updates and practice advancements associated with this patient population. Manages toxicities and adverse effects caused by medication regimens for patients seen in the clinic. Manages transitions of care for patients from the acute to ambulatory care setting and vice versa.
  •  Optimize nutrition support therapy outcomes through the development of a comprehensive nutrition care plan
  •  Select, modify, and monitor nutrition support therapy 
  • Prevent and/or identify drug-drug, drug-nutrient, nutrient-nutrient, and drug-laboratory interactions and/or compatibilities 
  • Recommend pharmacologic adjuncts to nutrition support therapy and adjust regimens based on patient response 
  • Develop, implement, and adhere to institutional policies and procedures related to nutrition support therapies including parenteral nutrition order transmission and documentation 
  • Collaborate with prescribers to optimize orders 
  • Assist with transitions of care
    •  Admission medication reconciliation
    •  Discharge medication reconciliation 
    • Coordination of prescriptions with outpatient home infusion pharmacy
    •  Provide discharge counseling when needed and complete appropriate documentation 
  •  Assist in development and implementation of innovative disease management and medication use programs 

Service Responsibilities (10%) 

  • Identifies and enrolls eligible patients in specialty pharmacy services including UNC SSC Pharmacy, and serves as a contact for the clinic. Aligns daily responsibilities to support retail distributional operations. Conducts patient onboarding and follow-up phone calls to support Pharmacy Adherence Centered Therapy (PACT). Coordinates with the UNC SSC Pharmacy and the UNC Medication Assistance Program (MAP). 
  • Serve as a standing committee member on a select group of committees within UNC Medical Center 

Educational Responsibilities (10%

  • Educates UNC Eshelman School of Pharmacy students and UNC Medical Center pharmacy residents on experiential rotations. Educates clinic staff on guideline updates and practice advancements. Serves as a standing committee member on select groups of committees within UNC Medical Center and/or Eshelman School of Pharmacy. Designs and implements projects. Conducts research; prepares and submits manuscripts for publication. 
  • Provides instruction to physicians, nurses, ancillaries, residents and/or students including but not limited to precepting, shadowing, lectures, in-services and CE. Develops programs/lectures and participates in community outreach programs. Leads quality improvement initiatives.
  •  Engages in continuous quality improvement by identifying and implementing processes for improvement. Consults with management in assessment, problem-solving, decision-making, and evaluating clinical/system issues and models of care. Develops new clinical programs or services within the clinic/department to improve patient care. 

Other Information

Other information:
Education Requirements:
● Bachelor's degree in Pharmacy.
Licensure/Certification Requirements:
● CPP must by a registered Pharmacist and licensed CPP in the state of NC. Credentialing and Privileging must be completed through the appropriate UNC HCS accrediting body as an APP prior to start date.
Professional Experience Requirements:
● North Carolina registered Pharmacist:. BS Pharmacy or Pharm D. BPS Certification or Geriatric Certification or ASHP residency program + 2 years of experience
● North Carolina Registered Pharmacist:. Pharm D. 3 years experience. 1 certificate program
● North Carolina Registered Pharmacist:. BS Pharmacy. 5 years experience. 2 certificate programs
Knowledge/Skills/and Abilities Requirements:

  • Strong clinical skills and pharmacotherapy knowledge base in the ambulatory care setting 
  • Strong oral and written communication, organizational and prioritization skills 
  • Ability to work in a team environment 

Job Details

Legal Employer: STATE

Entity: UNC Medical Center

Organization Unit: UNCH Retail Contract Pharmacie

Work Type: Full Time

Standard Hours Per Week: 40.00

Salary Range: $54.81 - $78.79 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type: Onsite

Work Schedule: Day Job

Location of Job: US:NC:Durham

Exempt From Overtime: Exempt: Yes


This is a State position employed by UNC Health Care System with UNC Health benefits. If, however, you are presently an employee of another North Carolina agency and currently participate in TSERS or the ORP, you will be eligible to continue participating in those plans at UNC Health.


Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email [email protected] if you need a reasonable accommodation to search and/or to apply for a career opportunity.

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