Medical Pharmacy
Resume:
Nevine Abdallah, PhD, RPh, DSA
Security Clearance
*******@*****.***
*********@*****.***
SUMMARY OF QUALIFICATIONS
More than 10 years’ experience as licensed pharmacist in Maryland the fields of Retail Pharmacy (chain, independent and LTC), Hospital (outpatient and inpatient).
More than 6 years in Government (State Medicaid/Medicare and Federal) settings, as well as Drug Safety Associate.
Clinical Review Pharmacist at Supply Chain management Services DHHS.
EXPERIENCE
Clinical Review Pharmacist PRN January 2019- present
Security Clearance
InGenesis FOH
Review medical cases for DOL approve or deny coverage for pharmaceuticals based on medical necessity criteria.
Consult with Medical team for cases discrepancies with drugs related to medical diagnoses.
Clinical Review Pharmacist August 2018-February 2019
Security Clearance
Supply Chain Management Services
Program Support Center
U.S. Department of Health and Human Services
Perry Point, Maryland USA
Report to Clinical Supply Operations (CSO), Drug Supply Management.
Provide streamlined warehouse planning for clinical supply chain activities.
Review and update the FOH formulary Drug list.
Provide consultation to FOH clinics, US Department of State and others.
Supplies must be time for patient treatment for assigned studies in the R&D Portfolio.
Develop study planning documents, as well as study level projections.
Continuously monitor and re-forecast projections based on actual study progress through study completion.
Training course: 8/22/2018
New Employee Quality Assurance Orientation and cGMP Basics.
SOP PS-06 (revisions 5) General Procedures to be followed during pharmacy packaging operations
Staff Pharmacist April 2016- present
Giant Pharmacy
Baltimore, Maryland USA
Reviews prescribe medications and dosages to ensure that therapy is safe and effective for the patient’s condition. Utilizes patient profiles to identify clinically significant drug allergies and drug interactions. Processes and labels prescriptions with proper identification data and directions for patient use. Compounds and dispenses medications accurately.
Analyses patient care and services needs in a manner that facilitates the achievement of both high level of customer satisfaction, reduce prescription cost and the attainment of organizational care and service initiatives.
Provides advice and consultation to patients regarding side effects drug interactions, specific storage requirement and complete directions for use. Monitors designated patients’ compliance and response to drug therapy to improve individual patient outcomes.
Demonstrates proficiency in operating automated systems for prescriptions order entry, patient profile review or retrieval of clinical or statistical data by Enterprise system. Maintains proper records relating to medication profiles, prescription files, controlled substances records, non-formulary records and other legal and department records and procedures.
Serves as a liaison to assigned clinical care team as demonstrated by problem solving skills on medication related issues, input on education matters relating to medications and fostering interdepartmental coordination on pharmaceutical care initiatives.
Maintains professional competency through attendance and participation in clinical team meetings and ACPE accredited continuing education programs. Assists in the training and education of pharmacy students and technicians.
Consults with physicians with regard to medication dosage, drug interactions, medical equipment, disease management and potential side effects of prescription and OTC medications, Medication Therapy Management (MTM).
Improves drug-inventory management system to reduce waste and eliminate back orders
Interacts with HMOs and other insurance providers concerning billing/reimbursement issues
Provides vaccination and CPR services.
Staff Pharmacist October 2016-November 2017
AHS Staffing
Maryland, USA
AbsoluteCare Pharmacy Baltimore
Spring Grove Pharmacy LTC
Prepare medications by reviewing and interpreting physician orders
Detect therapeutic incompatibilities and possible interactions between drugs
Dispense medications by compounding, packaging, and labeling pharmaceuticals
Control medications by monitoring drug therapies and advising interventions
Complete pharmacy operational requirements, such as:
1.Organizing and directing technicians' work flow
2.Verifying technician preparation and labeling of pharmaceuticals
3.Verifying order entries, charges, and inspections
4.Answer questions and requests made by health care professionals
5.Occasional counseling of patients on drug therapies
Comply with state and federal drug laws as regulated by the state board of pharmacy, the drug enforcement administration and the food and drug administration.
Drug Safety Associate February 2014- February 2015
QTECH SOLUTIONS INC
Somerset, New Jersey USA
Extracted relevant Medical Data from the Medical Information provided and entered data into company case template of the case.
Tracked and processed assigned pharmaceutical and Data Management Center (DMC) queries.
Reviewed Adverse event Cases and Performed Triage
Reviewed cases for minimum criteria, determine clock start date of case and due date for case and determine type of case.
Performed and reviewed QC and SAE submission..
Created the case in the safety data base (Safety database screens developed In House)
Performed data entry into given drug safety database screens and written narratives
Applied knowledge on MedDRA coding for issuing queries for all discrepancies found while coding on case report forms on following concepts:
§ Investigator Brochure/Labeling/coding information for Coding
§ Coding convention § Regulatory status-MSSO
§ Ambiguous laboratory data § Missed Concepts for MedDRA coding
§ Hierarchy in MedDRA coding and grading of AE
Generated specific data reports from the safety database as requested and well written, concise and accurate narratives for both serious and non-serious cases.
Gained working knowledge pertaining to the functionality and features of Drug Safety database (Oracle Argus).
Reviewed SOP for Reconciliation of the serious adverse event database and SOP for Procedure description for SAE reconciliation.
Performed reconciliation to assure that serious events are accurately captured, and interpreted.
Distributed Safety Information according to project specific requirements.
Sr. Informatics Pharmacist November 2015- November 2016
Expert Medical Advisor
CSRA (Federal/Civil)
Columbia, Maryland USA
Provided pharmacology subject matter expertise for a Federal Health Care Program that provides pharmacy benefits under a workers compensation model.
Performed critical reviews and analyses of the performance of the Pharmacy Program, including the delivery of prescription services, costs and utilization of the prescription benefits and other key Program measures and indicators.
Evaluated, recommended and implemented policies and procedures for the Pharmacy Program based on market research, pharmacological trends and industry practices.
Reviewed and incorporated health and medical standards in accordance with federal, state legal guidelines and HEDIS performance measurements.
Provided a way for physicians’ network to create clinical decision support tools that integrate into their EHR and then share them through the Allscripts and MLM exchange.
Routinely communicated with providers to influence the use of formulary medications in compliance with clinical protocols, target drug initiatives and pre-authorized therapeutic substitutions. Documented all clinical interventions using approved forms.
Participated in departmental quality improvement initiatives and contributes to team or departmental projects directed towards the achievement of improved services efficiency and patient outcomes.
Leaded critical reviews and analyses working both independently and in collaboration with team members to support Program decision-making initiatives for the delivery of services, and supports the creation and dissemination of information through verbal and written communication.
Provided expertise and guidance for the Program in the areas of Fraud, Waste and Abuse (FW&A).
Documented electronic files case searches to track, manage and control issued documents, assign various tracking numbers.
Clinical Pharmacist July 2010 – November 2015
Department of Health and Mental Hygiene
(Medicaid and Medicare)
Baltimore, Maryland USA
Maintained and tracked laws and regulations, contract documentations, amendments, and various compliance measures. Developed policies, procedures, and processes to comply with state law, federal law, contract requirements, and various standards.
Provide drug product and clinical pharmacy knowledge for Medicaid/ Medicare Part D coverage determination requests.
Attend court to provide pharmaceutical knowledge for appeal cases with attorney general.
Oversee, detailed clinical data related to pharmaceuticals for analysis and research.
Conducted compliance audits, developed and implemented corrective action plans, and report on achievement of action plans to senior management and Board of Directors.
Ensured business unit and Centene Corporate are in compliance with state and federal program regulations, insurance regulations, regulatory requirements for business entities and state contract requirements.
Developed strategic relationships with state legislative policymakers and assisted with the development of state legislative public policy concerning state insurance, Managed Care Organization, Medicare and Medicaid regulations and initiatives.
Reviewed Drug utilization of both recipients and providers and used SURS computer runs and POS to uncover aberrant drug utilization and Pharmacy billing anomalies.
Reviewed physician prescriptions and orders for IV Mixtures and TPN to ensure that Rx’s paid for Maryland Medicaid are medically appropriate for the best interests of the recipient’s specific need and reviewed dosage, quantities of drugs medical usage.
Provided expert training for OIG staff in efforts to prevent fraud and abuse in the dispensing medication and proper billing of Maryland Medicaid for achieving both claims recovery and cost avoidance.
Provided expertise with Rx’s pad fraud including overprescribing, lack of DEA authorization for controlled substances.
Assisted OIG investigate staff in the determination of potential fraudulent activities regarding pharmaceutical matters.
Documented all work professionally to ensure all reports and other official documents and overrides are correct and electronically filed.
Clinical Pharmacist August 2012- November 2012
MedStar St. Mary Hospital
Inpatient Pharmacy
Leonardtown, Maryland USA
Reviewed Physician orders and fill prescriptions for patients prescribed by health care professionals using Cerner computer system.
Ensured prescription directions for use, dose, medication interactions, therapeutic duplications, allergy information, age specific dosage and other pertinent data are appropriate for individual patients. Intervention with providers shall be made for noted discrepancy of above listed items.
Managed pharmacotherapy requiring periodic adjustment due to specific or changing pharmacokinetics characteristics (e.g. aminoglycosides, phenytoin, antithrombotic)
Assessed metabolic needs and ordered therapeutic internal or parenteral nutrition products in the inpatient setting.
Consulted with other health-care providers about patient treatment needs or options.
Clinical Pharmacist January 2012 – July 2012
University of Maryland Medical Center
Midtown Center
Outpatient and inpatient pharmacy
Baltimore, Maryland USA
Reviewed, copied and transferred Rx, receive new scripts over the phone and fill prescriptions for patients prescribed by health care professionals using Meditech and HCC computer system
Reviewed Physician orders for IV Mixtures and TPN and prepared IV Mixtures.
Observed patients in all health care settings and conducted research to further pharmaceutical care.
Evaluated and recommended such therapeutic therapy for patients in Red projects.
Kept computerized records of patients' drug therapies to prevent negative drug interactions.
Consulted patients Medication Therapy Management (MTM) and compounded drugs.
Staff Pharmacist December 2009 – July 2010
Weis Market Pharmacy
Laurel, Maryland USA
Dispensed and compounded prescriptions, and maintain accurate patient records, dosing information and directions for use by PDX.
Consulted with physicians and patients with regard to medication dosage, drug interactions, medical equipment, disease management and potential side effects of prescription and OTC medications, Medication Therapy Management (MTM).
Improved drug-inventory management system to reduce waste and eliminate back orders
Interacted with HMOs and other insurance providers concerning billing/reimbursement issues
Staff Pharmacist January 2007 – November 2009
Walgreen’s Pharmacy
Baltimore, Maryland USA
Dispensed and compounded prescriptions, and maintained accurate patient records, dosing and directions information using Script 2000 system.
Consulted with physicians and patients with regard to medication dosage, drug interactions, medical equipment, disease management and potential side effects of prescription and OTC medications, Medication Therapy Management (MTM).
Improved drug-inventory management system to reduce waste and eliminate back orders
Interacted with HMOs and other insurance providers concerning billing/reimbursement issues
LTC facility: Checked for completeness and accuracy of all new and refill labels and orders. Checked for content and accuracy of all drugs packaging and labeling.
Assisted in the proper ordering, handling, receiving, documentation, and storage of all controlled substances; assisted in maintaining a perpetual inventory for schedule II drugs.
Pharmacist Intern January 2006 - June 2006
Union Memorial Hospital
Baltimore, Maryland USA
(Inpatient) prepared IV mixture, review durable medical supplies and drugs.
(Outpatient) participated in input prescription and insurance information, filled prescriptions Compound topical drugs, reviewed durable medical supplies, insurance information, and assisted in Inventory management, replenish supplies
REFERENCES
Available upon request
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