Position Description: Clinical pharmacy specialists provide comprehensive transitions of care (TOC) pharmacy specialist services for patients at high risk of readmission and/or patients that receive outpatient care in the BJH primary care medicine clinic that are admitted to medicine or cardiology services at BJH. Evaluates and recommends appropriate drug therapy to achieve optimal cost-effective patient outcomes, by working directly with physicians, other health professionals, and patients. Participates in the development, provision and evaluation of comprehensive pharmaceutical care and quality assurance programs through scholarly activities. Serves as a resource to the pharmacy staff and other hospital departments. Comprehensive TOC pharmacy services include,