Management Medical
Resume:
Nevine Abdallah-Helmi, PhD, RPh
CONTACT INFORMATION
Baltimore, MD 21207
*******@*****.***
PERSONAL INFORMATION
Citizenship: US Citizen
Gender: Female
SUMMARY
Certified licensed Clinical Pharmacist with PhD and Immunizer with CPR certificate in Maryland DHMH OIG Maryland state government with over 6 years experience in the fields of Retail Pharmacy and Hospital is applying for a Clinical Pharmacist position.
SKILLS
Clinical Pharmacist at OIG DHMH, Program Integrity Unit for Maryland Medicaid to ensure through claims review that procedures to assure accurate acquiring, receiving, dispensing and administering of all drugs meet the medical needs of the recipient and responsible for investigating pharmaceutical fraud, including responses to claims and writing reports.
Clinical Pharmacist in Retail Pharmacy Walgreens, Weis Market and Independent pharmacy.
Medication Therapy Management (MTM)
Clinical Pharmacist in Union Memorial Hospital and Maryland General Hospital in both Inpatient and
Outpatient Pharmacy
Experienced in high volume pharmacies filling over 300 prescriptions per day
Highly computer proficient, in PDX, Script 2000, Rx30, Meditech, and HCC
Maintained inventory control in all pharmacy and budging.
EXPERIENCE
Clinical Pharmacist July, 2010 - present
Department of Health & Mental Hygiene
Baltimore, Maryland
• Drug utilization review of both recipients and providers and use SURS computer runs to uncover aberrant drug utilization and Pharmacy billing anomalies.
• Reviewing physician orders for IV Mixtures and TPN.
• Actively work with and provide 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.
• Ensure that Rx’s paid for Maryland Medicaid are medically appropriate for the best interests of the recipient’s specific need and review dosage, quantities of drugs medical usage.
• Provide expertise with Rx’s pad fraud like overprescribing, lack of DEA authorization for controlled substances…etc.
• Assist OIG investigate staff in the determination of potential fraudulent activities regarding pharmaceutical matters.
• Document all work in a professional manner, including ensuring that all reports and other official
documents and overrides are correct and electronically filed.
• Ordering reports from software package.
Clinical Pharmacist July 2013 - present
Choice Pharmacy
Review, input and fill prescriptions and insurance information, assist in inventory management,
Copying and transfer Rx, receive new scripts over the phone and Compounding and Counseling Medication Therapy Management (MTM).
Clinical Pharmacist January 2012 – July 2012
Maryland General Hospital Project Red funding ended
Outpatient and Inpatient Pharmacy
Baltimore, Maryland
• Review, Input and fill prescriptions for patients prescribed by health care professionals
• Meditech and HCC computer system
• Reviewing Physician orders for IV Mixtures and TPN and preparing IV Mixtures.
• Copying and transfer Rx, receive new scripts over the phone
• Observe patients in all health care settings and conduct research to further pharmaceutical care and advance the treatment and prevention of disease.
• Evaluate and recommend such therapeutic therapy for patients in Red projects.
• Keep computerized records of patients' drug therapies to prevent negative drug interactions.
• Counseling patients Medication Therapy Management (MTM) and compounding drugs.
Clinical Pharmacist December 2009 – July 2010
Weis Market Pharmacy
Laurel, Maryland
• Dispense and compound prescriptions, and maintain accurate patient records, dosing information and directions for use.
• Consult 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
• Interact with HMOs and other insurance providers concerning billing/reimbursement issues
Clinical Pharmacist January 2007 – November 2009
Walgreen’s Pharmacy
Glen Burnie, Maryland
• Dispense and compound prescriptions, and maintain accurate patient records, dosing information and directions for use.
• Consult 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
• Interact with HMOs and other insurance providers concerning billing/reimbursement issues
Graduate Pharmacist Intern January 2006 - June 2006
Union Memorial Hospital
(Inpatient) prepare IV mixture, review durable medical supplies and drugs.
Union Memorial Hospital
(Outpatient) Participate input prescription and insurance information, fill prescriptions Compound topical drugs, review durable medical supplies, insurance information, and assist in
Inventory management, replenish supplies
CERTIFICATIONS
FPGEC Certificate USA EE#203-2456
Registered Pharmacist
and Immunizer Maryland #19047
CPR Certificate Maryland
DHMH Training
• Thinking About Management, December 16, 2011.
• Word 2007 March 8, 2011.
• Medicaid Orientation, February 23, 2011.
• MMIS Navigation October 12, 2010.
• Excel 2007 October 13, 2010
CONFERENCES
• Maryalnd Pharmacists Association/MD-ASCP/MSHP/MPhs Midyear Meeting,Sunaday February 9, 2014
Marriott In & Conference Center, Hyattsville MD 20783
• 2013 Maryland Fraud Conference on April 29- April 30, 2013 at Martins West, 6817 Dogwood Road Baltimore, MD 21244
• 2012 Maryland Fraud Conference on April 30 - May 1, 2012 at Martins West, 6817 Dogwood Road Baltimore, MD 21244
• Maryland Pharmacist Association 2012 Mid – year Meeting February 12, 2012, The Conference Center Maritime Institute 692 Maritime Boulevard Linthicum Heights, Maryland 21090.
• Institute for Brain Potential, IBP Seminar, November 16, 2011. Crowne Plaza Baltimore, 2004 Greenspring Drive, 21093 Maryland. Presented by Mark B. Moss, PhD, accredited by Accreditation Council for Pharmacy Education, ACPE.
• Medicaid Issues Symposium, October 4-5, 2011, Medicaid Integrity Institute, National Advocacy
Center, 1620 Pendleton St. Columbia, SC 29201.
• Pharmacy Times CE Discovery Series live meeting, March 5, 2011 at the Wyndham Princeton Forrestal Hotel and Conference Center, 900 Scudders Mill Road Plainsboro, NJ 08536.
• Pharmacy and Pharmaceutical Sciences World Congress 2002, 62nd Congress of International Pharmaceutical Federation (FIP), 31 August- 5th September 2002, Nice, France.
• American Association of Pharmaceutical Scientists, Pharmaceutics and Drug Delivery Conference, April 22-24, 2002, Crystal Gateway Marriott Arlington, Virginia, USA.
REFERENCES
Available upon request
Contact this candidate