Board Certified Clinical Pharmacist
Resume:
Dr. Jennifer N. Mays
****.*.********@*****.***
http://www.linkedin.com/in/jennifernicolemays
Career Summary:
CPHQ (Certified Professional in Healthcare Quality) credentialed leader in change management and quality improvement with 10+ years of combined healthcare and management experience. I am skilled in crafting and executing strategic, system-level initiatives to improve clinical quality and reduce risk of harm. I excel at developing and managing implementation of solutions for sustainable clinical performance improvement. I am proficient at influencing organizational growth and building highly motivated teams that drive profits to exceed healthcare needs. I have demonstrated capability in driving large-scale change while simultaneously facilitating interventions for smaller, supportive processes. I am seeking an opportunity as a pharmacy leader in a fast-paced collaborative healthcare setting.
Education:
Hampton University School of Pharmacy 09/2010-‘15
Doctor of Pharmacy
Hampton University 09/2007-‘10
N.D. Certificate Leadership Studies
Certificates and Licensure:
Virginia Pharmacist Licensure 020*******-**/2015-current
Board Certification in Medication Therapy Management (NBMTM) 06/2019
AHA Basic Life Support for Healthcare Providers (CPR and AED) 03/2019
Certified Durable Medical Equipment Specialist (BOC) 11/2018
Certified Professional in Healthcare Quality (CRHQ) 05/2018
Project Management Essentials Certified (PMEC) 04/2018
Pharmacists Certificate Program in Medication Therapy Management 09/2016
NACDS Community Pharmacy-Based Point-Of-Care Testing 07/2015
APhA Pharmacy-Based Immunization Delivery 04/2014
Professional Experience:
1.Clinical Pharmacist 10/2019
Naval Medical Center Portsmouth
Decentralized Clinic
Counsel patients on indication, side effects, potential drug interactions and how to use and store medications including most of the following diseases: oncology, hepatitis C, HIV, psoriasis, crohn’s disease, organs transplant etc.
Discuss with prescriber therapy, doses, frequencies, drug interactions and etc. based in clinical guidelines
Evaluated medication profiles to identify changes warranted to optimize patient drug therapy and minimize potential for adverse drug reactions
Collaborate with Palliative Care and medical Interdisciplinary team to assess and address the needs of palliative and hospice patients
2.Clinical Adjunct Faculty 05/2019- current
Bryant & Stratton College
Developed a semester-long curriculum and designed the class syllabus for 2 Healthcare Terminology classes to an assortment of Allied Health students at various academic levels
Monitored and provided student status updates through online Blackboard platform
3.Clinical Pharmacist 03/2019-current
Walgreens
Manage Celgene REMS program (Revlimid, Thalomid and Pomalyst drugs)
Performed physical assessments and recommended the order of appropriate laboratory testing to help determine prolonged efficacy and toxicity of medication therapy
Evaluate each prescription regarding clinical guidelines and insurance requirements
Calculate appropriate dosages and dose titrations
Administer methadone according to protocol and best practice measures
Assess patients for adverse effects by evaluating appropriate monitoring parameters (systolic blood pressure, A1c, blood glucose, TC, LDL) and scheduling appropriate in-store follow ups
Collaborate with physicians, nurses, counselors to ensure patient progress
Increased patient growth and sales with community outreach including brown bag days,
immunizations and diabetic education
Implemented quality assurance procedures to increase accuracy
4.Clinical Pharmacist 01/2018-current
Newport News Free Clinic
Designs, implements, and assesses the most cost effective and therapeutically optimized drug care plans to reduce barriers to therapy for patient and minimize impact to budget restraints
Initiated patients on smoking cessation therapy under a collaborative practice agreement based on readiness to quit, appropriate lifestyle modifications and budget as a reflection of clinic medication therapy management tenets
Verified and input medication orders using EPIC computer system
Performed order and product verification, drug utilization review, and recommended changes in medications and dosages to optimize patient's medication regimen and clinic formulary and budget constraints
Worked as part of a team with an emphasis on continual improvement of processes, quality management systems and compliance
Controlled clinic formulary drug management and drug formulary selection through Pharmacy and Therapeutic (P&T) committee to ensure safe, appropriate, cost-effective use of purchased, procured, and donated drugs
Performs regular quality compliance audits of the department activities including electronic health records, insurance claims processing, payment collection, product logs, and processing misfills and prescribing patterns
Conducted interdisciplinary educational programming in the form of formal presentation to exchange pertinent health information across industries
Reviewed and analyzed uninsured patient’s clinical information to determine medical necessity as a function of priority for hospitalizations, treatment, and re-certification
Utilized clinical judgment for medication requests not addressed by P&T Committee criteria or guidelines
Communicated with healthcare providers regarding step therapy requirements, quantity limits, age restrictions, non-formulary drugs, therapeutic area formulary alternatives, plan benefits, and exclusions.
5.Pharmacy Manager 04/2017-06/2018
CVS Health
Provided education and clinical input to optimize patient's medication regimen
Interpreted and evaluate physician's medication orders for appropriateness of dosing based on patient parameters
Performed therapeutic drug monitoring and dosage adjustments of high risk medications
Gathers and maintains clinical information and data endpoints to support required documentation within area of responsibility
Managed pharmacy support personnel and ensure compliance with established policies, standards, and practices
Supervised the safe, effective, and timely use of narcotic pain medications
Deployed comprehensive high-quality pharmaceutical services surrounding HR/personnel, supply-chain, and equipment handling
Evaluate patient's charts for deprescibing and polypharmacy to gain a more comprehensive history
Pain management assessments and optimization of care for palliative patients
Evaluated medication profiles to identify changes warranted to optimize patient drug therapy and minimize potential for adverse drug reactions
Engaged in medication reconciliation services by ensuring accurate prescription directions for use, dose, medication interactions, preventing therapeutic duplications and overlaps, and updating known allergies consistent with appropriate due diligence
Built profitable business and script growth through recommended clinical programs including appropriate immunization, smoking cessation, and Medication Therapy Management where appropriate
Interfaced with third party claims billing via covermymeds.com to initiate prior authorization at the pharmacy level for patients with specific claims requiring detailed evaluation of clinical evidence and appropriate DUR (drug utilization review)
Realized a proven ability to flourish in a cross-functional team any various parts of the leadership dynamic
Gathered, assembled, and analyzed facts in order to draw conclusions and make modifications to ensure business growth
Administered monthly internal reviews to audit ancillary staff’s inventory practices and records keeping
Evaluated drug literature in order to compare and contrast therapeutic regimens and use for new and existing products
Evaluated medication use patterns for discernable health outcomes
Managed ancillary pharmacy staff via coach and counseling techniques
Bolstered productivity by providing staff with specific, measurable, attainable, and realistic goals throughout their shifts
Served as the lead preceptor for Pharm.D IPPE/APPE rotation students, graduate interns, pharmacy residents, and pharmacy technician externs.
6.Health and Wellness Strategist (MTM Clinical Pharmacist) 08/2016-06/2017
Remote
Delivered clinical services to patients through various MTM platforms such as immunization information, diabetes booth, blood pressure/cholesterol screening, etc
Performed medication reconciliation upon patient admission and monthly chart reviews to assess for appropriateness in dosage, indication for use, drug-drug interaction and drug-disease interactions, adverse drug reactions, and monitoring
Developed effective health care communication skills necessary for communicating with prescribers and other healthcare professionals
Completed interactive, person-to-person and telephonic comprehensive medication reviews as well as targeted interventions with patients and caregivers
Performed interactive, person-to-person and telephonic comprehensive medication reviews as well as targeted interventions with patients and caregivers
Evaluated medication profiles to identify changes warranted to optimize patient drug therapy and minimize potential for adverse drug reactions
Reviewed therapy plans with healthcare team and made appropriate recommendations and alterations per protocol and provided drug information services (DIS) to patients in need
Engaged in active patient-centered therapy management through medication reconciliation services at time of discharge at every transition of care
Maintained data systems to collect, analyze, monitor, and report patient data with respect to privacy and confidentiality per HIPAA in order to adequately identify and improve upon healthcare processes such as risk management, patient safety, utilization review, and credentialing
7.Pharmacist 10/2015-03/2017
Rite Aid Pharmacy
Created an environment of efficiency to yield prescriptions with the right drug, for the right patient, at the right time
Reviewed therapy plans with healthcare team and made appropriate recommendations and coverage determinations
Provide education and clinical input to optimize patient's medication regimen
Advised local physicians, physician assistants, and nurse practitioners on guideline based drug therapy and usage
Provided superior pharmaceutical care for all patients including product verification and quality assurance
Compounded specific non-commercially available products
Conducted smoking cessation sessions and initiated patients on therapy based on established physician protocol
Researched medical literature and clinical information to provide accurate responses to inquires
Triaged patients in order to best determine if and when vaccinations were ideally administered and determined when vaccination or other medication administration was potentially unsafe.
Evaluated drug literature in order to compare and contrast therapeutic regimens and use for new and existing products
Documented and reported all data points that are not in conformance with the established standards
Reviewed clinical cases to ensure accuracy and completeness of files, accuracy of payment, and compliance with local, state, and federal guidelines, regulations, and laws
Provided clarification and guidance on difficult and complicated clinical cases to bolster health literacy and assisted with coverage determination of cases as required
Interfaced with state Medicaid to make electronic non-formulary determinations via claims data for patients without prior-authorizations due to age, appropriate diagnosis code, or cost intervention
Resolved difficult customer cases, complaints and addressed questions to build customer trust and loyalty
Ensured all DME billed through Medicaid met the regulatory requirements before product fulfillment
8.Pharmacy Inventory Specialist 09/2010-‘15
Rite Aid Pharmacy
Scheduled in person and telehealth MTM intervention sessions for especially high risk patients to reduce the odds of readmission and to reiterate the importance of drug adherence to life saving medications as a function of cost containment to the health system
Executed outbound calls to patients and healthcare professionals regarding patient medications, adherence and barrier removal
Demonstrated ability to listen actively, understand and triage patient questions and provide accurate answers and solutions
Reviewed insurance claims and appropriate member eligibility criteria to discover trends and patterns in billing processes
Performed distribution activities such as order filling, shipping, receiving, cycle counts, and processing overages and damages
Collected and analyzed raw inventory data using computerized system, replenished inventory on medication bays, tracked and recorded defective pieces of inventory rates of return, rates of purchase, and rates of accuracy in order to improve and maintain acceptable performance and quality standards
Reviews claims to make sure that the payer specific billing requirements are met, follows-up on billing, check claim status, verify insurance, determine and apply appropriate adjustments, answers inquiries, send letters to insurance and updates accounts as necessary
Called different insurance companies to inquiry on payments and denials, also call member with problems with health insurance and cob information
Performed on-line reviews, investigation and process of medical claims, invoices and documents
9.Corporate Intern June 2013-August ‘13
Rite Aid Home Office
Systematically reviewed cost effectiveness analysis of Diabetes prevention interventions using CEA (cost effectiveness analysis) Registry
Participated in policy development and revision by evaluating patient compliance program effectiveness and recommending changes to leadership
Participated in reviewing Medicaid prior authorizations and appeals using clinical policies formulary development by analyzing new drug releases, and clinical guidelines
Researched medical literature and clinical information to provide accurate responses to inquires
Managed a strict project timeline for the rebranding and conceptualized the Rite Aid mobile phone application that was subsequently presented to the company’s executive leadership
Communicating to persuade and influence clinical and management decisions
Evaluated drug literature in order to compare and contrast therapeutic regimens and use for new and existing products
Makes comparisons and appropriate evaluations of current therapeutic regimens to identify the role of newer potentially more optimal agents
Presided as the pharmacy liaison with physicians, nurses, pharmacist sand other support staff to resolve any drug related problems
Conducted interdisciplinary educational programming in reference to drug therapy for an audience of physicians, nurses, and other health professionals
Utilizes excellent interpersonal, oral, and written communication skills to communicate medical terminology, jargon, and ideas to patients and professionals
Reviewed antibiotic use as part of overall quality improvement program and prepares necessary reports for the antimicrobial stewardship P&T sub-committee
Clinical Pharmacy Expertise:
Engaged in active patient-centered therapy management through medication reconciliation services at time of discharge at every transition of care
Conducted smoking cessation sessions and initiated patients on therapy based on established physician protocol
Advised local physicians, physician assistants, and nurse practitioners on guideline based drug therapy and usage
Monitoring and Assessing Drug Therapy Outcomes:
Tracked patient blood pressures to trend over a period of 7-8 weeks at the initiation of drug selection to ensure optimal therapy and to mitigate side effects
Evaluated medication profiles to identify changes warranted to optimize patient drug therapy and minimize potential for adverse drug reactions
Reviewed therapy plans with healthcare team and made appropriate recommendations and alterations per protocol
Proficiencies:
EPIC, QS1, AthenaHealth, PioneerRx
ICD10, HCPCS
Mirixia, Outcomes, MTMPath, PharmMD: RESOLVE, OptimizeMTM, covermymeds.com
English, American Sign Language, Spanish
Microsoft Word, Powerpoint, Excel
Micromedex, Clinical Pharmacology, Lexicomp, UpToDate
Current Professional Affiliations:
Kappa Epsilon Professional Pharmacy Fraternity
American Society for Medication Therapy Management (ASMTM)
Toastmasters International
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