Program Coordinator Pharmacy Compounding - Full Time 8:00AM - 4:30PM - FSS

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Program Coordinator Pharmacy Compounding - Full Time, 8:00AM - 4:30PM - FSS','Full-time','Professional Clinical/Allied Health','8:00AM - 4:30PM','8:00AM - 4:30PM','80','80','None','None','WASHINGTON-TACOMA-ST JOSEPH MEDICAL CENTER','','!*!JOB SUMMARY:
 
This job is responsible for overseeing pharmacy compounding program activities across CHI PNW division (CHI-FH) facilities to maintain compliance with state and federal guidelines, laws and rules.  Incumbents are responsible for the timely, efficient and comprehensive monitoring/auditing of the program and for working closely with pharmacy staff to provide expertise, guidance and training to assure understanding of, and sustained adherence to, applicable standards and regulatory requirements. 
 
Work includes: 1) recommending policies and developing procedures related to sterile, non-sterile, hazardous compounding; 2) identifying competencies and developing/updating training based on compounding program objectives and standards; 3) overseeing compounding program data collection and analyzing results to identify/recommend improvements; 4) conducting site inspections to assure compliance with regulatory requirements and timely resolution of pending compliance issues; 5) conducting research related to products, processes, trends, and emerging standards relating to compliance; 6) providing consultative guidance to construction projects with potential impact on compounding facilities/work areas; and 6) representing CHI-FH at national and State levels as needed.
 
An incumbent applies knowledge of, and provides authoritative guidance on, the concepts and regulatory guidelines of USP pertaining to compounding practices which include, but are not limited to: 795, 797 and 800, Labor and Industries’ hazardous drug rules, and other oversight agencies (FDA, CMS, TJC) sufficient to coordinate/facilitate quality and compliant program operations and to exercise judgment and critical thinking in resolving related issues involving interpretation of complex standards.  An incumbent is expected to apply continuous quality improvement practices in the overall coordination and refinement of program operations within the scope of the position.   
 
 
ESSENTIAL JOB FUNCTIONS: 
 
Develops (based on interpretation of USP standards) and updates policies, procedures and other documentation to support sustained compliance with sterile and hazardous compounding regulations; oversees and monitors timely implementation by site coordinators and pharmacy management; researches and maintains continuous awareness of new/changing products/standards related to sterile, non-sterile and hazardous drug compounding.


Leads weekly sterile and hazardous compounding workgroups for site leads/pharmacy management to facilitate collaborative input for process development and standardization of practices; provides expert interpretation of USP standards and makes consequential recommendations/determinations.

Assesses trends in local and national compliance citations related to sterile and hazardous drug compounding; networks with external organizations to identify best practice recommendations for potential implementation; recommends implementation of process changes as need to ensure regional compliance.

Investigates, tests and reviews products for sterile/hazardous compounding; provides train-the-trainer support to regional pharmacy management/coordinators when new products are implemented.
Develops and updates training program(s) for regional sterile, non-sterile and hazardous drug compounding based on established standards and practices.


Delivers train-the-trainer services for site coordinators and pharmacy management to facilitate adherence to regulatory requirements and CHI-FH practices.

Identifies appropriate competencies and training materials to support program goals.

Maintains and upgrades professional and technical competency in sterile/hazardous compounding regulations, standards and practices.
Serves as point person for regulatory inspections related to sterile, non-sterile and hazardous drug compounding activities; monitors and follows up to ensure related action plans are fully implemented in a timely and sustainable manner by site management.


Conducts regularly scheduled mock inspections at each pharmacy site to identify potential issues and concerns; summarizes and presents findings and makes improvement recommendations.

Participates in on-site regulatory inspections as required; works with pharmacy management to develop action plans for resolving citations and avoiding future issues.
Establishes data collection requirements and data compliance thresholds based on program objectives; provides data analysis summaries as needed to support regional strategy development.


Reviews and analyzes data in the context of program requirements.

Oversees site-based data collection and works with site management to develop action plans in response to failures to meet data threshold requirements.
Serves as a content expert, providing advice and guidance to CHI-FH sites on sterile, non-sterile and hazardous drug compounding issues and regulatory requirements.


Provides consultative guidance with respect to facility construction, remodels and repairs related to compounding work areas.

Leads pharmacy teams through the complexities/workflow relating to compliance-related policies/procedures.
Represents CHI-FH at local/state/national level meetings as appropriate within scope of position.


Participates in CHI national sterile, non-sterile and hazardous compounding groups engaged in developing program standards and priorities.

Participates in Pharmacy Commission meetings and stakeholders’ work groups.

Attends Washington State quality organization events (e.g. WSPA).
 
Performs related duties as required.','!*!Education/Work Experience Requirements:
Associate’s degree in a discipline related to the work of the position, graduation from an accredited Pharmacy Technician training program, formal training in USP 797 and 800 compliance from a recognized training program, and three years of related work experience in coordinating sterile/hazardous drug compounding programs that would demonstrate attainment of the requisite job knowledge/abilities. 
Equivalent additional related work experience that would demonstrate attainment of the requisite job knowledge/abilities may be substituted for the degree requirement. 
Direct work experience with USP leaders/multiple USP practicing sites within a local region, within a state, or interstate preferred.
 
 
Licensure/Certification:


Washington State Department of Health Licensed Pharmacy Technician in good standing, authorized to perform work in a licensed pharmacy.

Completion of USP 797/800 training and certification by a recognized training organization (e.g. Critical Points or similar organization) upon hire or within six months of hire.

Certification by the Pharmacy Technician Certification Board.','We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.','2017-R0142837','CHI-Franciscan System Services','Program Coordinator Pharmacy Compounding - Full Time, 8:00AM - 4:30PM - FSS

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