Clinical Pharmacist Specialist-Breast/Solid Tumor

City of Hope

Irvine, CA

Job posting number: #7136657 (Ref:10019952)

Posted: March 28, 2023

Salary / Pay Rate: $70.71 - $113.14 / hour

Application Deadline: Open Until Filled

Job Description

About City of Hope

City of Hope is an independent biomedical research and treatment organization for cancer, diabetes and other life-threatening diseases.

Founded in 1913, City of Hope is a leader in bone marrow transplantation and immunotherapy such as CAR T cell therapy. City of Hope’s translational research and personalized treatment protocols advance care throughout the world. Human synthetic insulin, monoclonal antibodies and numerous breakthrough cancer drugs are based on technology developed at the institution. AccessHope™, a subsidiary launched in 2019 serves employers and their health care partners by providing access to City of Hope’s specialized cancer expertise.

A National Cancer Institute-designated comprehensive cancer center and a founding member of the National Comprehensive Cancer Network, City of Hope is ranked among the nation’s “Best Hospitals” in cancer by U.S. News & World Report and received Magnet Recognition from the American Nurses Credentialing Center. Its main campus is located near Los Angeles, with additional locations throughout Southern California and in Arizona.

City of Hope’s commitment to Diversity, Equity and Inclusion

We believe diversity, equity and inclusion is key in serving our mission to provide compassionate patient care, drive innovative discovery, and advance vital education focused on eliminating cancer and diabetes in all of our communities. Our commitment to Diversity, Equity and Inclusion ensures we bring the full range of skills, perspectives, cultural backgrounds and experiences to our work -- and that our teams align with the people we serve in order to build trust and understanding. We are dedicated to fostering a community that embraces diversity - in ideas, backgrounds and perspectives; this is reflected in our work and represented in our people.

Position Summary

The Clinical Pharmacist Specialist (CPS) functions at the highest level of clinical practice and works independently to support the provision of evidence-based pharmaceutical care services through direct and indirect interaction with patients and providers. This CPS functions as a member of the COH multidisciplinary team working collaboratively with other health care providers to deliver advanced clinical services to City of Hope patients, while providing professional guidance to staff within assigned service line and promoting continued growth of comprehensive clinical pharmacy services. The CPS will ensure provision of safe, appropriate, timely, and cost-effective pharmacotherapy to our patients in accordance with evidence-based literature, regulations governing pharmacy practice, and City of Hope policies and procedures. CPS will also act as a drug information resource to the other health care providers and will be responsible for education of staff on drug-related topics in their area of specialty.

The clinical pharmacist specialist has the education, training and skills and is considered the pharmacy’s top subject matter expert in medication management in the specific area of specialty.

The clinical pharmacist specialist delivers comprehensive patient centered care by providing ongoing disease education, counseling, and benefit verification as well as coordination of care with multiple care providers. The pharmacist provides comprehensive patient and care givers medication education and a customized and personalized adherence management plan.

The Clinical Pharmacist Specialist will guide Clinical Pharmacists to develop, implement, and maintain systems that promote desirable clinical outcomes through use of safe, cost-effective drug therapies while supporting City of Hope mission. The CPS will provide disease specific support in their area of specialty when needed, helping with complex therapeutic issues, acting as the liaisons between the Pharmacy enterprise and the health care team members, and by providing continued education activities while supporting the professional growth of the staff.

Responsibilities include but are not limited to the following:

Key Responsibilities include:

  • Collaborates with providers to develop, implement, and maintain systems that promote desirable clinical outcomes through use of safe, cost-effective drug therapies. Designs pharmaceutical care plans if needed and documents interventions performed.
  • Provides oversight of safe and timely medication use system in the assigned specialty area.
  • Collaborates with members of multidisciplinary health care team to optimize patient’s medication therapy.
  • Actively participate in multidisciplinary team rounds.
  • Evaluates physician’s medication orders for appropriateness.
  • Helps develop and implement drug therapy plans for patients in collaboration with the other team members.
  • Monitors treatments and provides timely follow-up on the clinical effects of the medication regimen with recommendation for adjustments as necessary to achieve optimal outcomes and documents actions.
  • When appropriate, approves new drug orders, which may include checking/verifying chemotherapy notes, and processing non-formulary requests.
  • Screens for drug-drug, drug-herb/dietary supplement, drug-allergy, drug-food, drug-disease state and drug-laboratory interactions.
  • Performs pharmacokinetic drug monitoring on individual patients.
  • Provides education to providers and patients and care giver as needed.
  • Prevents, detects, manages, and documents adverse drug reactions to minimize adverse eventsin patients.
  • Serves as a drug information resource for other members of the multidisciplinary team.
  • Addresses and helps to resolve medication management issues that arise in the specialty area.
  • Ensure timely access to oral oncology medication by proactively collaborating with other team members of the specialty pharmacy program.
  • Act as a liaison between the care team and the specialty pharmacy distributors to ensure timely access to medications.
  • Ensure that all patient care follow up is completed timely (lab, assessments, scans, etc.) in accordance with the patient care plan.
  • Engages in activities related to reimbursement optimization and pre-authorization with the ultimate goal of minimizing insurance denials, when appropriate.
  • Engages in activities that promotes cost effective high-quality care such as review for appropriate medication use criteria, medical necessity and “on/off” label indication based on payor guidelines, coordination of necessary documentation with the ordering provider, and interpreting ongoing payor changes to the team.
  • Keep abreast of changes in payor policies and practices.
  • Provides support to the Specialty Pharmacy Program to maximize patient enrollment in the program.
  • Actively participate in educating patients and their care givers on specialty medications and the impact of the program on their health care and outcomes.
  • Maintains and promotes understanding of 340b practices when applicable.
  • Evaluates non-formulary requests and offer alternatives to medical staff as appropriate.
  • Participates in cost-saving and/or revenue-generating activities to contribute to the financial health of the department while ensuring safe quality care.
  • Responsible for development of evidence-based treatment guidelines, order sets, treatment plans,
  • Develop and Implement policies and procedures for the oncology area of practice and other clinical areas of specialty pharmacy programs to ensure timely access to medications and the provision of high-quality care and outcome.
  • Develop and maintain safe medication prescribing and dispensing practices in accordance with best practice and most up to date clinical guidelines.
  • Closely measure and track quality assurance measures in their specialty area and report trending data to the pharmacy leadership team.
  • Educates medical, nursing, and pharmacy staff about the management, prescribing and monitoring of oncology therapies including chemotherapy agents.
  • Work in close collaboration with pharmacy medication safety officer to address medication errors and near misses and ensure that system issues resulting in those medication errors are resolved. Develop standard work processes and staff education to address system gaps.
  • Participates in formulary management and review of medication use processes to improve timely delivery of patient care.
  • Assists the Pharmacy Leadership team with management of drug shortages.

Basic education, experience and skills required for consideration:

  • Graduate of ACPE-accredited Pharmacy School
  • Pharmacy Practice Residency (PGY 1) and Specialty Residency (PGY2), or
  • Five years of experience as a clinical pharmacist in a desired area of specialty may substitute for the required residencies, or
  • A PGY1 residency plus three years of experience as a clinical pharmacist in a desired area of specialty may substitute for the required PGY2 residency.

Req. Certification/Licensure:

  • Current CA Pharmacist License or to obtain license within 90 days of job entry.
  • BLS – American Heart Association or obtain within 3 months of hire date.
  • Board Certification in the area of specialty (if applicable) is required or must be obtained within 3 years of employment

Preferred Education:

  • Pharm D preferred

Preferred Experience:

  • Previous experience as a clinical pharmacy in the specified area for at least 5 years preferred


  • Ability to use Epic and all pharmacy relevant software.

Additional Information:

  • As a condition of employment, City of Hope requires staff to comply with all state and federal vaccination mandates.
  • Full Time
  • Minimum hourly rate: $70.711058
  • Maximum hourly rate: $113.137500

Salary / Pay Rate Information:
Pay Rate: $70.71 - $113.14 / hour

The estimated pay scale represents the typical [salary/hourly] range City of Hope reasonably expects to pay for this position, with offers determined based on several factors which may include, but not be limited to, the candidate’s experience, expertise, skills, education, job scope, training, internal equity, geography/market, etc. This pay scale is subject to change from time to time.

City of Hope is a community of people characterized by our diversity of thought, background and approach, but tied together by our commitment to care for and cure those with cancer and other life-threatening diseases. The innovation that our diversity produces in the areas of research, treatment, philanthropy and education has made us national leaders in this fight. Our unique and diverse workforce provides us the ability to understand our patients' needs, deliver compassionate care and continue the quest for a cure for life-threatening diseases. At City of Hope, diversity and inclusion is a core value at the heart of our mission. We strive to create an inclusive workplace environment that engages all of our employees and provides them with opportunities to develop and grow, both personally and professionally. Each day brings an opportunity to strengthen our work, leverage our different perspectives and improve our patients’ experiences by learning from others. Diversity and inclusion is about much more than policies and campaigns. It is an integral part of who we are as an institution, how we operate and how we see our future.

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