Clinical Pharmacist Primary Care
Resume:
RADHA HUSSAIN, PHARMD, MPH
C: 954-***-**** EMAIL: *******@*****.***
Clinical Pharmacist (11/2023- 01/2025)
MyCare Medical Group -Broward and Palm Beach counties
Provided value- based healthcare to Medicare Part D patients seen in Mycare medical offices across Broward and Palm Beach counties.
Contributed to HEDIS performance measures with providers, primarily with de-escalating concurrent opioid/benzo usage, blood pressure control, lowering HgA1c, etc.
Reviewed patients’ medications profile and made recommendations to enhance patient outcomes or safety as needed.
Used professional judgment to assist MyCare providers (MDs, DOs, NPs and PAs) in providing timely, accurate and appropriate pharmaceutical care.
Worked with patients’ primary care provider and care management team to manage chronic conditions (diabetes, hypertension, COPD, etc.) and getting these patients to goal.
Helped to prevent avoidable medication-related hospitalizations, impacting Part A costs reductions.
Served as a resource to practice physicians, nurses, and other team members on general drug information.
Counseled patients in the clinics on CGM usage, diabetes management, insulin titration, thyroid medication titration and medication adherence.
Documented clinical activities, outcomes, and quality intervention results.
Acted as a resource for prescribers in counseling and making medication recommendations to lower HgA1c in patients with A1c > 9.0
Participating in problem-solving where appropriate about best practice development for medications such as high cost, or otherwise sub-optimal therapies.
Assisted the Director, Pharmacy Services in establishing and maintaining internal formulary and protocols and local education of practitioners.
Consistently provided pharmaceutical care to patients to ensure appropriate prescribing, route, method of administration, and length of therapy.
Monitored for age-appropriate response to drug therapy and for any adverse events from drug therapy.
Exhibited competence in pharmacy clinical functions and accessing drug/patient information resources including lab values.
Obtained Medicare part D plan exclusion approvals for patients to receive infusion medications at local infusion sites.
Clinical Pharmacist Full Time (08/2021-11/2023); Per-Diem (11/2023-present)
HCA Healthcare (HCA Florida Woodmont Hospital & HCA Northwest Medical Center)
Responsible for the safe, effective, evidence-based, and cost-effective selection and utilization of medications.
Accountable for individualizing antibiotics dosing relative to individual patient factors namely age, weight, gender, and renal function that influence their pharmacokinetic and pharmacodynamic interactions.
Charged with daily therapeutic monitoring of intravenous antibiotics in adult patients.
Initiate, calculate and modify Total Parental Nutrition in adult patients.
Participate in daily multidisciplinary rounds to coordinate patient care, determine care priorities, establish goals, and plan for potential transfer or discharge
Provide in-services and education to newly hired nurses on antibiotics safety, sedative, and vasopressor drip titration, resolving pyxis issues and the safe disposal of narcotics
Review pediatric orders, including Total Parental Nutrition and antibiotics therapy for appropriateness in dose, frequency, and administration
Serve as a patient advocate when planning and implementing pharmaceutical care within a multidisciplinary rounding team, collaborating with other healthcare professionals
Prepare and dispense medication orders per physician request according to established policies, procedures, and protocols
Verify Computerized Physician Order Entry orders for accuracy and appropriateness
Intervene when orders are unclear or potentially unsafe or inappropriate
Interpret medication orders (verbal and written) and transcribe to computerized patient medication profiles accurately
Trouble shoots/clarifies Centralized Order Entry orders
Prepare and dispense medications, including sterile, chemotherapy, and parenteral nutrition preparations safely and accurately using appropriate techniques, USP 797 & 800 guidelines
Evaluate Total Parenteral Nutrition for appropriateness based on facility policies and guidelines or ASPEN guidelines or recommendations as appropriate
Issue controlled substances to patient care areas and maintains records as required by law
Follow corporate policies and procedures related to the dispensing and monitoring of controlled substances
Ensure safe, appropriate, evidence-based, and cost-effective medication therapies for patients according to established policies, procedures, and protocols
Monitor medication therapy regimens for contraindications, drug-drug interactions, drug-food interactions, drug-laboratory test interactions, allergies, appropriateness of drug and dose, indications, and therapeutic duplications
Research Intern (Fall 2021- Summer 2022)
University of Florida
Worked collaboratively with UFHealth clinicians to test the feasibility of reducing secondhand smoke exposure in children within the pediatric care setting.
Prepared and submitted a grant to implement a pediatrician supported smoking cessation program at UF Shands pediatric practices.
Prepared and submitted for publishing a brief report reviewing current public and private payers’ coverage for tobacco cessation treatments and barriers to accessing treatments.
Coverage Determination Clinical Pharmacist (10/2020- 08/2021)
Alliance Healthcare Solutions (Elixir PBM -formerly EnvisionRX Options)
Make clinical prior authorization determinations in accordance with covered benefit guidelines, as required by Medicare Part D.
Effectively communicate issues and resolutions to members, pharmacies, providers, and appropriate internal stakeholders.
Applied clinical knowledge to create and maintain therapeutic equivalency drug and dosing information.
Reviewed and analyzed formulary data to identify client - specific preferred alternative products for non - preferred and non-formulary products.
Reviewed and decision member and prescriber requests for formulary tier exceptions.
Communicated with Prescribers’ informing them of covered formulary alternatives, for medically accepted diagnosis.
Revised and authorize requests for Quantity Limit overrides and Step Therapy Exceptions.
All medications reviewed for Prior Authorizations include but are not limited to therapies for Oncology, Hepatitis C, Multiple Sclerosis, Neurological diseases, Alzheimer’s disease, Opioid patient safety reviews, Part B determinations etc.
Ambulatory Clinical Specialist (09-2019 – 07/2020)
Memorial Healthcare System. Miramar, FL
he Ambulatory Clinical Specialist will provide specialized care for medication management by
reviewing medication regiments and pharmaceutical needs for patients in ambulatory clinical
setting.
Job - Responsibilities
1. Coordinates a transitions of care medication plan for high risk patients transitioning from
hospital or other clinical setting to home. Review and reconcile all medications upon
discharge to assess for potential duplicate therapy, inappropriate dosing, or missing
medication orders/prescriptions.
2. Communicate directly with prescriber to resolve patient's medication -related issues and
provide a written discharge medication plan. Coordinates the dispensing of discharge
medications if necessary.
3. Reviews medication orders and monitor laboratory parameters and adjust medication to
ensure optimal therapy in collaboration with primary care providers.
4. Educates and counsels patients on medications and explains in detail any and all changes
to their regimen. Addresses and resolves potential barriers to patient understanding or
medication access and provides patient with a written medication plan.
5. Attends multi-disciplinary rounds to determine patient's disposition when needed.
Educates physician and clinical staff on any new pharmaceutical therapies.
6. Serves as patient advocate, ensuring that quality care is given
he Ambulatory Clinical Specialist will provide specialized care for medication management by
reviewing medication regiments and pharmaceutical needs for patients in ambulatory clinical
setting.
Job - Responsibilities
1. Coordinates a transitions of care medication plan for high risk patients transitioning from
hospital or other clinical setting to home. Review and reconcile all medications upon
discharge to assess for potential duplicate therapy, inappropriate dosing, or missing
medication orders/prescriptions.
2. Communicate directly with prescriber to resolve patient's medication -related issues and
provide a written discharge medication plan. Coordinates the dispensing of discharge
medications if necessary.
3. Reviews medication orders and monitor laboratory parameters and adjust medication to
ensure optimal therapy in collaboration with primary care providers.
4. Educates and counsels patients on medications and explains in detail any and all changes
to their regimen. Addresses and resolves potential barriers to patient understanding or
medication access and provides patient with a written medication plan.
5. Attends multi-disciplinary rounds to determine patient's disposition when needed.
Educates physician and clinical staff on any new pharmaceutical therapies.
6. Serves as patient advocate, ensuring that quality care is given
he Ambulatory Clinical Specialist will provide specialized care for medication management by
reviewing medication regiments and pharmaceutical needs for patients in ambulatory clinical
setting.
Job - Responsibilities
1. Coordinates a transitions of care medication plan for high risk patients transitioning from
hospital or other clinical setting to home. Review and reconcile all medications upon
discharge to assess for potential duplicate therapy, inappropriate dosing, or missing
medication orders/prescriptions.
2. Communicate directly with prescriber to resolve patient's medication -related issues and
provide a written discharge medication plan. Coordinates the dispensing of discharge
medications if necessary.
3. Reviews medication orders and monitor laboratory parameters and adjust medication to
ensure optimal therapy in collaboration with primary care providers.
4. Educates and counsels patients on medications and explains in detail any and all changes
to their regimen. Addresses and resolves potential barriers to patient understanding or
medication access and provides patient with a written medication plan.
5. Attends multi-disciplinary rounds to determine patient's disposition when needed.
Educates physician and clinical staff on any new pharmaceutical therapies.
6. Serves as patient advocate, ensuring that quality care is given
Responsibilities
1. Coordinates a transitions of care medication plan for high risk patients transitioning from
hospital or other clinical setting to home. Review and reconcile all medications upon
discharge to assess for potential duplicate therapy, inappropriate dosing, or missing
medication orders/prescriptions.
2. Communicate directly with prescriber to resolve patient's medication -related issues and
provide a written discharge medication plan. Coordinates the dispensing of discharge
medications if necessary.
3. Reviews medication orders and monitor laboratory parameters and adjust medication to
ensure optimal therapy in collaboration with primary care providers.
4. Educates and counsels patients on medications and explains in detail any and all changes
to their regimen. Addresses and resolves potential barriers to patient understanding or
medication access and provides patient with a written medication plan.
5. Attends multi-disciplinary rounds to determine patient's disposition when needed.
Educates physician and clinical staff on any new pharmaceutical therapies.
6. Serves as patient advocate, ensuring that quality care is given.
Coordinated a transitions of care medication plan for high-risk patients transitioning from hospital or other clinical setting to home.
Communicate clearly and tolerantly with chronic disease patients requiring oral Oncology chemotherapy regimens, Cystic Fibrosis, HIV, Long- Acting Therapies like anti-psychotics and all other specialty therapies.
Reviewed clinical notes in EPIC to prepare appeal letters for review and signature by the physician.
Reviewed and reconcile all medications upon discharge to assess for potential duplicate therapy, inappropriate dosing, or missing medication orders/prescriptions.
Communicated directly with prescriber to resolve patient's medication -related issues and provide a written discharge medication plan. Coordinates the dispensing of discharge medications if necessary.
Reviewed medication orders and monitor laboratory parameters and adjust medication to ensure optimal therapy in collaboration with primary care providers.
Educated and counsel patients on medications and explain in detail all changes to their regimen. Addresses and resolves potential barriers to patient understanding of medication access and provides patient with a written medication plan.
Attended multi-disciplinary rounds to determine patient's disposition when needed. Educates physician and clinical staff on any new pharmaceutical therapies.
Served as patient advocate, ensuring that quality care is given.
Worked alongside reimbursement specialists to ensure prior authorizations are done correctly to avoid delays/gaps in therapy.
Provided verbal counseling to patients via phone or in-person on all their discharged medications, including but not limited to transplant and oncology patients.
Reviewed labs in EPIC while counseling patients regarding side effects to their medications.
Contributed to the growth of the Pulmonary, Oncology and Endocrinology disease states
Pharmacist (07-2019-- 09-19)
CVS Multi-Dose Packaging. Plantation, FL
Transferred and reconciled all medications from the local CVS and other outpatient pharmacies, so patients can utilize the multi-dose packaging system
Reviewed times and doses of all medications included in the multi-dose packaging.
Counseled patients on drug-interactions, medication dosing and prescribing drug information.
Resolved patient complaints by providing detailed follow-ups until a resolution is reached.
Clinical Pharmacist II (02-2011 -- 07-2019)
Premier Inc. (Commcare Specialty Pharmacy). Plantation, FL
Conducted Comprehensive Medication Reviews (CMRs) for patients enrolled in Commcare’s Disease State Management Programs.
Led the Hepatology/Infectious Disease, RSV and Preterm- Birth Navigation Pods and co- managed the Oncology Pod by reviewing Prescriptions, Prior- Authorizations and appeal letters, then communicating any issues to prescribers.
Monitored patients in the Disease Management Programs for compliance, side effects, drug- utilization and drug-drug interactions.
Optimized therapeutic patient outcomes by providing individualized medication reconciliation and counseling through Medication Therapy Management (MTM) programs -OUTCOMES and MIRAXA PRO.
Managed Health System Accounts by continually monitoring the Coverage Determination processes including coverage criteria, denial language, and communication with prescribers.
Provided clinical decision support, coaching, and mentoring to pharmacy technicians, patient navigators and nurses.
Provided In-services/education to staff; patient navigators, pharmacists, nurses and pharmacy technicians on newly approved and current medication therapies, clinical studies and off-labeled investigational uses.
Reviewed and provided feedback on individual performance for quarterly and yearly evaluations.
Performed resolutions to customer and prescribers’ complaints by navigating complex issues.
Counseled patients receiving medications for HIV, PRE- and POST- Exposure prophylaxis, Hepatitis B & C, RSV, Opportunistic infections, Oncology, Blood Disorders, RA, MS and other rare, specialty diseases.
Supervised the activities of the pharmacy technicians in the preparation of antibiotic and chemotherapy sterile compounding.
Reviewed prescriptions and drug regimens to ensure new therapies coincide with the CDC, WHO, NCCN & AASLD guidelines then communicated any discrepancies with the prescribers.
Launched Disease Management Programs for Hepatitis C, Oncology and HIV, using AALSD treatment guidelines, NCCN formulary and clinical guidelines, FDA publicity and Drug Manufacturers’ strategies.
Created, led and managed clinical studies for presentations at Premier’s Specialty Summit, NASP, AMCP and Palm Beach Association of Pharmacists.
Clinical Studies used Real- world data compiled and extrapolated from Commcare’s Disease Educated Patient Navigators, Pharmacy Technicians and Pharmacy Interns through training, teaching and coaching with PowerPoint presentations, questions and discussion sessions.
Screened specialty prescriptions, calculated dosages based on patient’s weight, calculated CrCl, Child-Pugh scores etc.
Ordered medications through wholesalers, kept & participated in monthly inventory.
Created medication pamphlets to be used as a quick reference for staff.
Presented Commcare’s Disease Management Programs to the URAC and ACHC accreditation bodies for initial accreditation and subsequent renewals.
Shared the after- hours and holiday call cycle, pharmacists were on- call 24 hours a day, 7 days a week.
Co- Precepts pharmacy students while on HIV rotations.
Retail Pharmacist (10-2010 – 02-2011)
CVS Caremark, Pembroke Pines, FL
Transcribed, verified, and filled prescription orders. Checked prescriptions that have been entered with a high degree of accuracy and efficiency.
Provided clinical consultative services to patients and therapeutic recommendations to nurses, physicians, and other health care personnel.
Answered customer questions and helped resolve customer issues in a timely and professional manner.
Maintained proper storage and security conditions for medications and prescription files.
Contributed to the maintenance of a productive and error-free work environment by keeping pharmacy workspaces neat and orderly.
Lead and directed the Pharmacy Technician Support Staff, supported the management by oversight and operation of all aspects within the pharmacy.
Education
2019-2021- MPH (master’s in public health), University of Florida, College of Public Health, FL
2006-2010 - PharmD, Nova Southeastern University, College of Pharmacy, FL
Clinical studies & Presentations
AMCP 27th Annual Meeting and Expo. Awarded a Silver Medal Abstract winner for poster, “A Retrospective Analysis of Patients Enrolled in Commcare’s Hepatitis C Disease Management Program. https://www.jmcp.org/doi/pdf/10.18553/jmcp.2015.21.s4.1: Abstract B6
NASP 2017 Annual Meeting Abstract presenter for poster, “Impact of a Specialty Pharmacist in Optimizing Treatment Outcomes with Self- Administered Biologics in Rheumatoid Arthritis Patients.” http://naspnet.org/wp-content/uploads/2017/09/NASP-2017-Poster-Summaries-for-NASP-Website_091317.pdf
Featured in Specialty Pharmacy Continuum, Sept. 2017. “Specialty Pharmacists Boost Adherence Rates for RA Biologics” https://www.specialtypharmacycontinuum.com/Article/PrintArticle?articleID=44650
Gave presentations at the Palm Beach Pharmacist Association meetings to pharmacists, extrapolating and assembling data from patients enrolled in the Hepatology Program
Presented at Premier advisor live meetings, “Hepatitis C Screening and Linkage to Care” http://offers.premierinc.com/rs/381-NBB-525/images/051016%20Advisor%20Live%20-%20HCV%20Screening%20and%20Care.pdf.
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