Clinical Pharmacist
CurrentClinical pharmacist in an inpatient hospital setting.Perform daily clinical review of patients' charts, monitoring for appropriate therapy, appropriate dosing, drug-drug interactions, and potential adverse effects.Provide inpatient patient education, focusing Medicare ACO targeted disease states and new anticoagulant starts.Complete pharmacy consults for inpatients, including pharmacokinetic monitoring, renal dose adjustments, and warfarin dosing.Facilitate medication reconciliation process to ensure accurate outpatient medication lists through patient interviews, calls to pharmacies, review of pharmacy technician lists, and calls to physicians when necessary.Perform order verification and dispensing.