Pharmacy Regulatory Compliance Specialist, Full-Time Days

Position Summary Facility: South Lake Hospital Location: Clermont, FL Status: Full-Time Department: Pharmacy Schedule: Days Title: Pharmacy Regulatory Compliance Specialist #LI-JM1 “Orlando Health Is Your Best Place to Work” is not just something we say, it’s our promise to you." Orlando Health South Lake Hospital is a comprehensive medical and surgical acute care facility serving the residents of Lake County as a trusted member of the community for over 75 years. Conveniently located in Clermont, the hospital’s dedicated team of physicians, nurses, clinicians and medical professionals is committed to delivering expert and compassionate care. Our efforts have earned us recognition as a national leader. Click Here to Learn About: South Lake Hospital ORLANDO HEALTH - BENEFITS & PERKS: Competitive Pay Evening, nights, and weekend shift differentials offered for qualifying positions. All Inclusive Benefits (start day one) Student loan repayment, tuition reimbursement, FREE college education programs, retirement savings, paid paternity leave, fertility benefits, back up elder and childcare, pet insurance, PTO/Holidays, and more for full time and part time employees. Employee-centric South Lake Hospital has been selected as one of the “Best Places to Work in Healthcare” by Modern Healthcare. The pharmacy regulatory compliance specialist oversees and ensures compliance with required pharmacy inspection and documentation of emergency code carts / boxes and enter the results into Performance Improvement database as identified. Also oversees and ensures compliance with the Agency for Health Care Administration (AHCA), OSHA, CMS regulations and Orlando Health environment of care requirements Responsibilities Essential Functions Manages the site-specific Pharmacy Continuous Quality Improvement (CQI) program which includes the following: Investigating each event, entering and analyzing data from CQI sheets. Identifying and implementing action steps to prevent future errors. Facilitating and recording of CQI staff meetings. With guidance by Orlando Health regulatory compliance personnel and the pharmacy manager/designee, participates in the evaluation of compliance with The Joint Commission National Patient Safety Goals and interacts with appropriate staff and management in the implementation of the Joint Commission National Patient Safety Goals involving medications and other medication safety- related regulatory requirements. When appropriate, generates Incident Reports related to medication misadventures Participates in data collection and evaluation to support corporate and/or site-specific operational and safety initiatives. Coordinates with the Pharmacy Technology Specialist, Pharmacy Buyer and Controlled Substance Specialist to maintain and improve the safety and integrity of pharmacy dispensing processes. Coordinates with Corporate Pharmacy Educator to ensure that pharmacy staff participates in appropriate in-services related to medication safety and participation by staff is properly documented. Participates and serves on committees and task forces as appropriate to his/her duties as a Pharmacy Regulatory Compliance Specialist. Develops and presents site-specific in-services to educate pharmacy and/or hospital staff. Evaluates and documents Pharmacy Technician Annual Clinical Review Evaluates and oversees compliance with U.S.P 797 regulations which includes the following: Appropriate determination and documentation of education and competency of I.V. room personnel. Appropriate environmental monitoring and cleaning of the I.V. room. Appropriate monitoring of I.V. room workflow and processes to ensure U.S.P. 797 compliance. Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards. Maintains compliance with all Orlando Health policies and procedures. Other Related Functions At some sites, functions as back up to the Pharmacy Technology Specialist, Pharmacy Controlled Substance Specialist, and Pharmacy Buyer when required. Attends department meetings, facility in-services, and special corporate events and/or meetings. Assumes the responsibility for professional growth and development Qualifications Education/Training High school diploma or equivalent required. Licensure/Certification Must be currently registered with the Florida State Board of Pharmacy, renewed every two years. Experience Two (2) years pharmacy experience required. Essential Functions Manages the site-specific Pharmacy Continuous Quality Improvement (CQI) program which includes the following: Investigating each event, entering and analyzing data from CQI sheets. Identifying and implementing action steps to prevent future errors. Facilitating and recording of CQI staff meetings. With guidance by Orlando Health regulatory compliance personnel and the pharmacy manager/designee, participates in the evaluation of compliance with The Joint Commission National Patient Safety Goals and interacts with appropriate staff and management in the implementation of the Joint Commission National Patient Safety Goals involving medications and other medication safety- related regulatory requirements. When appropriate, generates Incident Reports related to medication misadventures Participates in data collection and evaluation to support corporate and/or site-specific operational and safety initiatives. Coordinates with the Pharmacy Technology Specialist, Pharmacy Buyer and Controlled Substance Specialist to maintain and improve the safety and integrity of pharmacy dispensing processes. Coordinates with Corporate Pharmacy Educator to ensure that pharmacy staff participates in appropriate in-services related to medication safety and participation by staff is properly documented. Participates and serves on committees and task forces as appropriate to his/her duties as a Pharmacy Regulatory Compliance Specialist. Develops and presents site-specific in-services to educate pharmacy and/or hospital staff. Evaluates and documents Pharmacy Technician Annual Clinical Review Evaluates and oversees compliance with U.S.P 797 regulations which includes the following: Appropriate determination and documentation of education and competency of I.V. room personnel. Appropriate environmental monitoring and cleaning of the I.V. room. Appropriate monitoring of I.V. room workflow and processes to ensure U.S.P. 797 compliance. Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards. Maintains compliance with all Orlando Health policies and procedures. Other Related Functions At some sites, functions as back up to the Pharmacy Technology Specialist, Pharmacy Controlled Substance Specialist, and Pharmacy Buyer when required. Attends department meetings, facility in-services, and special corporate events and/or meetings. Assumes the responsibility for professional growth and development Education/Training High school diploma or equivalent required. Licensure/Certification Must be currently registered with the Florida State Board of Pharmacy, renewed every two years. Experience Two (2) years pharmacy experience required.