Transitions of Care Pharmacist

1. Obtain the best possible medication history for highrisk patients on admission to ensure an accurate and complete medication profile. Perform admission medication reconciliation to identify discrepancies and communicate clinically significant findings to the admitting team in a timely manner.

2. Perform discharge medication reconciliation for high risk patients by reviewing the discharge medication list for accuracy, appropriateness, duplications, omissions, and potential interactions.

3. Participate in quality improvement initiatives to enhance medication reconciliation accuracy and workflow efficiency while monitoring key performance metrics and ensuring compliance with regulatory.

4. Contribute to the development of workflows, guidelines, and best practices for TOC services, and support training and education for pharmacists, nurses, and other stakeholders involved in medication reconciliation and transitions of care.

5. Be at work and be on time

6. Follow company policies, procedures and directives

7. Interact in a positive and constructive manner

8. Prioritize and multitask

Essential Job Outcomes

Specific job related responsibilities and duties.

1. Highrisk patients have complete and accurate medication histories on admission, reducing medicationrelated errors and supporting safe initiation of inpatient therapy.
2. Highrisk patients are discharged with medication lists that are accurate, clinically appropriate, and free of discrepancies, duplications, omissions, or unsafe interactions.
3. Standardized workflows and best practices improve the efficiency and consistency of medication reconciliation across care settings.
4. Improvement in key performance metrics such as overall medication reconciliation completion rate, admission medication reconciliation rate within 24 hours and 48 hours.
5. "Other duties as assigned"