Nemours is seeking a Lead Clinical Pharmacist - Ambulatory & Support Services (Full-Time), to join our team in Orlando, Florida.

The Lead Clinical Pharmacist - Ambulatory & Support Services is responsible for coordinating, monitoring, and maintaining Ambulatory and Support Services. This pharmacist is responsible for assuring patient safety through providing clinical, pharmaceutical, operational, and regulatory knowledge.

This pharmacist will provide oversight of related pharmacy processes including but not limited to ambulatory clinics within the confines of the Hospital and off-site locations, while maintaining accuracy, safety, and the reduction of waste through the implementation of Standardized Operating Procedures. This includes oversight for ensuring appropriate medication utilization while strongly considering the financial implications of drug therapy & formulary maintenance; quality assurance of ambulatory pharmacy programs to improve quality care, improve customer satisfaction and promote education & research.

This pharmacist is responsible for the coordination of all aspects relating to purchasing and inventory control, patient billing, and ensures compliance with hospital policies and regulatory requirements. This includes partnering with Materials Management, Receiving, Accounts Payable, and Accounts Receivable to ensure efficient and absolute financial accountability. This includes overseeing pharmaceutical procurement, warehousing, distribution, and financial forecasting activities to limit costs and improve accuracy, customer service, and safety.

The Lead Clinical Pharmacist will partner with the Business Manager, and the Director of Pharmacy on the integration of pharmaceutical care throughout the organization, in particular, the Ambulatory Network by assisting in the provision of safe, appropriate, and cost-effective drug therapy for patients.

Ambulatory Services:

• Coordinate the activities of the Pharmacy Staff completing inpatient and ambulatory pharmacy processes to provide optimal pharmaceutical support to patients that is safe, cost effective, and appropriate.
• Coordinate and organize the Ambulatory Pharmacy processes by establishing workload requirements and delegating assignments to maintain an appropriate staffing level and ensure that the services & responsibilities of the department are provided in a timely and quality manner.
• Identify and resolve ambulatory pharmacy line service problems.
• Coordinate production schedules based on projected staffing patterns, workload, and utilization in such a way that minimizes stock outs (<1%) and expiration date wastage.
• Monitor and ensure Outpatient Practice conforms to the Pharmacy Standard Operating Procedures and Reliable Methods for the appropriate and efficient preparation and utilization of pharmaceutical products within Nemours Children's Hospital - FL including:
  • Monitor to ensure that medications are prepared accurately in appropriate containers, labeled in an appropriate manner, and stored in the recommended environment (temperature, humidity, lighting, etc.) in a manner that minimizes cost due to wastage.
  • Monitor and ensure the physical appearance, functions, safety, and staff behavior performance in the Pharmacy Department processes conforms to Nemours Children's Hospital - FL standards.
  • Develop, review, and update Standard Operating Procedures for departmental processes to ensure that the procedures reflect changes in operational procedures and/or current standard of practice.
  • Perform other related duties as assigned by authorized personnel to provide departmental flexibility to patient care needs including those for emergency situations, including:
    • • Act as a Staff Pharmacist when necessary
      • Provide drug information and functioning as an information resource.
      • Ensure appropriate and competent technicians are staffed appropriately for the efficient and effective operation of the Department of Pharmacy
      • Monitor and ensure orientation, training, and teaching of all new pharmacists, clinical pharmacists, technicians, and students is 100% completed for their specific staffing responsibilities.
      • Monitor and evaluate work performance of the staff including providing and documenting formal feedback to personnel when necessary, recommending and initiating personnel action, and related employee appraisal processes.
  • Develop procedures that ensure the pharmacy department meets all legal, accreditation, and certification requirements posted by the FDA, Board of Pharmacy, Board of Health, DEA, CMS, USP 795, USP 797, USP 800 and Joint Commission
• Lead and ensure ongoing measurement and improvement of Pharmacy Operations
• Implement and administrate processes that identifies potential system vulnerabilities, establishes medication safety best practices, and facilitates medication safety improvement projects.
• Implement and administer audits and tracers' programs and responding to the results to ensure quality of ambulatory pharmacy services using PDCA methodology.
• Promote and use lean management principles as the department's "primary tool for ensuring a mindful, high reliability culture" (5S, elimination of waste, JIT, standard work, quality), promote and comply with standardized procedures/work, identify "waste" in ambulatory processes and recommend solutions for implementation and correct abnormal conditions.
• Act as a liaison with nursing and medical staff concerning ambulatory issues.
• Investigate and analyze incident reports related to Ambulatory Pharmacy and medication related events in ambulatory areas.
• Able to maintain punctual attendance consistent with Nemours policies, regulatory, and federal, state, and local standards.

Support Services:

• Coordinate the activities of pharmacy purchasing and is responsible for pharmaceutical procurement of all medications and supplies for NCHFL and Central Florida Nemours Children's Health sites.
  • Coordinate with all external practice sites in relation to pharmaceutical ordering, distribution, and inventory management.
• Maintain, coordinate, and implement procedures to optimize the purchasing, storage, and inventory of medications and supplies.
• Monitor, coordinate, and ensure appropriate purchasing contract compliance, adequate inventories to support the patient care needs of the institution, appropriate handling of drug shortages and drug recalls and documentation.
• In consultation with pharmacy management, communicate to end users regarding shortages, backorders, and changes in vendors when there is a significant change in appearance or concentration.
• Organize the loan/borrow policy of the department, the return of outdated supplies and ensure an annual inventory is completed.
• Monitor processes to ensure maximum utilization of the 340(b) program and is fully compliant with all federal regulations and related interpretation for the program.
• Ensure the finances of the department with proper billing and timely invoice payment is completed.
• Ensure the proper storage, dispensing and record keeping of controlled substances.
• With the Director of Pharmacy and Pharmacy Business Manager, partner Nemours with hospitals in the area, drug representatives, and current business contacts
• With the Director of Pharmacy and Pharmacy Business Manager, responsible for the development, implementation, and maintenance of Pharmacy Purchasing and Inventory Control services.
• Work in conjunction with the Director of Pharmacy in order to properly manage the drug budget.
• Identifies opportunities for cost savings and revenue generation.
• Other duties as assigned.

Job Requirements

• Bachelor's Degree required. PharmD preferred.
• Minimum (3) three years of experience required.
• Florida Pharmacy License/Eligible.
• Consultant Pharmacist License or willingness to obtain.
• Licensed/License Eligible with State Board of Pharmacy for FL. Must be licensed with FL within first 90 days of hire date & must obtain consultant pharmacist license within 180 days of hire date.
• EPIC experience preferred.