- Provide medication management for individuals, including medication reconciliation, dose modification and/or optimization, ordering laboratory tests and medication adherence counseling within the stated parameters of the approved protocol/CPA/CDTM.
- Collaborate with the interdisciplinary care team to develop individualized care plans that align with evidence-based guidelines and best practices for therapy management.
- Monitor and evaluate medication regimens to ensure clinical criteria are met, including therapeutic goals, adverse effects, and drug interactions.
- Identify opportunities for drug therapy optimization and provide recommendations for medication cost savings initiatives when applicable.
- Participate in quality improvement initiatives by actively participating in clinical outcome studies, REMs compliance/reporting, and ACP-related process improvement projects.
- Optimize resources and workflows with supporting roles handling complex prior authorizations/appeals by providing clinical justification for medication approval, including supporting literature and rationale.
- Collaborate with healthcare providers, including assigned clinic physicians, specialists, and onsite clinic pharmacists, to ensure seamless medication management and coordination of care.
- Perform clinical assessments/educational counseling at drug-level for all patients within high priority clinics on qualified on a targeted medication(s).
- Ensure all clinical criteria is in clinical compliance with guidance from FDA, clinical guidelines, and appropriate evidence-based literature.
- Assist with workflow optimization initiatives, including identifying areas for improvement and implementing strategies to enhance efficiency, productivity, and quality of care.