Provides ambulatory pharmaceutical care services using approved protocols in collaboration with other health professional, including managing patient drug therapy, providing patient education, and preparing and/or overseeing the preparation and dispensing of medications. Promotes high quality, evidence-based, cost-effective pharmaceutical care. Performs these duties in the clinical areas assigned.

• Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws.
• Conducts patient medication history inquiries upon referral from physicians and other medical personnel.
• Given a diagnosis, synthesize a treatment plan, which may include drug therapy and lifestyle modifications, and transition within the continuum of care settings.
• Identifies, resolves, and prevents potential and actual medication-related problems including: untreated indications, improper drug selection, subtherapeutic dosage, overdose, failure to receive medication, adverse drug reactions, drug interactions, and medication without indication.
• Under protocol, initiates, adjusts, monitors, and recommends changes in drug therapy based on information obtained through patient interviews, objective monitoring parameters, review of drug profiles and the patient medical record.
• Coordinates and interprets laboratory monitoring of drug therapy, including serum drug levels, electrolytes, and other approved drug-related laboratory testing.
• Provides patient monitoring for the purpose of evaluating and optimizing patient outcomes, drug utilization and patient compliance, detecting and/or minimizing ADRs, eliminating unnecessary drug use and duplication.
• Provides patient education related to the individuals disease state, including predictable actions, side effects, reasons for proper compliance, and any special instruction.
• Assure ongoing performance improvement of the pharmaceutical care services provided.
• Provides education to providers and staff via presentations, newsletters, formal utilization reviews, and one-on-one interactions.
• Performs drug utilization review, comprehensive medication review, and/or medication reconciliation.
• Operate pharmacy computer system(s) and other equipment and software.
• Documents information appropriately in the patients medical record and other computer systems according to policies and procedures and regulatory requirements
• Supports a collaborative Labor-Management Partnership environment.
• Oversee ancillary/support staff (technicians, assistants, support coordinators, pharmacy interns)
• Performs other duties as required
• Ambulatory Care - Specialty Qualifications: Additional requirements for Ambulatory Care Pharmacists working in the specialty area.
• If Oncology Specialty, should have at least ONE of the following credentials or experience: Board Certified Oncology Pharmacy (BCOP) OR, Have completed PGY2 in oncology practice OR, a candidate that has completed 1000 hours over last three (3) years in area of sterile compounding oncology pharmacy with direct clinical protocol management; on condition of achieving BCOP within three (3) years of employment OR, a candidate that has successfully completed an ASHP accredited PGY1 Residency (within three (3) years), with an oncology pharmacy rotation during the residency year and condition of achieving BCOP within three (3) years of employment
• If HIV Specialty, should have at least ONE of the following credentials or experience: Board Certified Infectious Disease Pharmacist (BCIDP) OR, have completed PGY2 in Infectious Disease residency with HIV experience OR, a candidate that has worked 120 hours in HIV patient care under Collaborative Drug Therapy Management protocol within last three (3) years, where HIV activity includes initiating, adjusting, modifying or discontinuing drug therapy of HIV patients; on condition of achieving either BCIDP or AAHIVP certification within three years of employment OR, a candidate who has successfully completed an ASHP accredited PGY1 Residency (within the last three (3) years), with HIV pharmacy rotation during residency year; on condition of achieving BCIDP or AAHIVP within three (3) years of employment
• If Psychiatry Specialty, should have at least ONE of the following credentials or experience: Board Certified Psychiatric Pharmacist (BCPP) OR, a Graduate of PGY2 in psychiatry specialty in the last three (3) years on condition of achieving BCPP (within three (3) years) OR, a candidate who has successfully completed an ASHP accredited PGY1 Residency, with 1000 hours experience in collaborative drug therapy management in patient with Psychiatric disorders (within the past three (3) years) on condition of achieving BCCP (within three (3) years)
• If Pharmacogenomics Specialty, should have at least One of the following credentials or experience: will have an accredited PGY2 or Fellowship in Clinical Pharmacogenetics within the last 3 years OR a Pharmacogenomics Certificate from an ACPE-accredited program AND 1000 hours of experience in clinical pharmacogenetics and/or implementation of pharmacogenetics in a clinical setting within the last 3 years