Provides ambulatory pharmaceutical care services using approved protocols in collaboration with other health professional, including managing patient drug therapy, providing patient education, and preparing and/or overseeing the preparation and dispensing of medications. Promotes high quality, evidence-based, cost-effective pharmaceutical care. Performs these duties in the clinical areas assigned.

• Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws.
• Conducts patient medication history inquiries upon referral from physicians and other medical personnel.
• Given a diagnosis, synthesize a treatment plan, which may include drug therapy and lifestyle modifications, and transition within the continuum of care settings.
• Identifies, resolves, and prevents potential and actual medication-related problems including: untreated indications, improper drug selection, subtherapeutic dosage, overdose, failure to receive medication, adverse drug reactions, drug interactions, and medication without indication.
• Under protocol, initiates, adjusts, monitors, and recommends changes in drug therapy based on information obtained through patient interviews, objective monitoring parameters, review of drug profiles and the patient medical record.
• Coordinates and interprets laboratory monitoring of drug therapy, including serum drug levels, electrolytes, and other approved drug-related laboratory testing.
• Provides patient monitoring for the purpose of evaluating and optimizing patient outcomes, drug utilization and patient compliance, detecting and/or minimizing ADRs, eliminating unnecessary drug use and duplication.
• Provides patient education related to the individuals disease state, including predictable actions, side effects, reasons for proper compliance, and any special instruction.
• Assure ongoing performance improvement of the pharmaceutical care services provided.
• Provides education to providers and staff via presentations, newsletters, formal utilization reviews, and one-on-one interactions.
• Performs drug utilization review, comprehensive medication review, and/or medication reconciliation.
• Operate pharmacy computer system(s) and other equipment and software.
• Documents information appropriately in the patients medical record and other computer systems according to policies and procedures and regulatory requirements
• Supports a collaborative Labor-Management Partnership environment.
• Performs other duties as required.