Job Summary: Under indirect supervision, 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. Essential Responsibilities: • Under the direction of the Department manager or designee, promotes rational and cost-effective Inpatient and Outpatient drug therapy through close participation in the drug therapy decision-making process with assigned physicians and other medical personnel. • Provides direction to Pharmacist Residents, Pharmacist Interns, Pharmacy Technicians, and other non-licensed personnel. • 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 other duties as required.