Clinical Pharmacy Manager - Transitional Care Excellence

3000 Montefiore Medical Center; New York (NY); On-site; USD 152,000 - 190,000; Full time

Job summary

Montefiore Medical Center in Bronx, NY seeks a Transitional Care Clinical Pharmacy Manager to lead pharmacotherapy for high-risk patients during hospitalization and post-discharge. You will optimize GDMT under CDTM, support care transitions, and collaborate with physicians, nurses, and care navigators across inpatient and ambulatory settings.

The role emphasizes population health, value-based care, and innovative programs, with opportunities for telemedicine and RPM workflows, plus ongoing

Qualifications

• Doctor of Pharmacy degree is required.
• PGY-2 residency in cardiology/ambulatory care or PGY-1 with board certification and 3 years of relevant experience.
• New York State license with eligibility to be credentialed as an allied health professional.
• Active Board Certification (BCPS or BCACP, or equivalent) within 6 months of hire.
• Direct patient care experience in ambulatory, hospital, or transitional care settings.
• Strong clinical judgment, communication, and interdisciplinary collaboration skills.
• Experience managing chronic cardiometabolic or pulmonary disease states.
• Experience in value-based care, care transitions, or population health programs.
• Bilingual language skills preferred.

Responsibilities

• Leads longitudinal pharmacotherapy management for high-risk patients during hospitalization and post-discharge using telemedicine and in-person care models.
• Initiates, optimizes, and titrates GDMT under CDTM, focusing on heart failure, ASCVD, diabetes, obesity, CKD, COPD, asthma, and pneumonia.
• Identifies high-impact clinical opportunities post-discharge to prevent readmissions and disease progression.
• Solves complex medication-related challenges including access, affordability, adherence, and health-related social needs.
• Serves as a clinical bridge across inpatient, ambulatory, and post-acute settings for seamless care transitions.
• Partners with physicians, APPs, nurses, and navigators to design high-reliability care pathways.
• Acts as liaison to post-acute partners like home care, SNFs, and rehabilitation centers.
• Contributes to quality improvement aligned with CMS Star Ratings, HEDIS, and value-based contracts.
• Participates in program development, innovation (telehealth, AI outreach, RPM workflows) and disease-specific care pathways.
• Engages in academic activities including research, protocol development, and dissemination of outcomes.

Skills

Direct patient care

Clinical judgment

Communication

Interdisciplinary collaboration

Cardiometabolic disease experience

Population health

Bilingual (preferred)

Education

Doctor of Pharmacy degree

PGY-2 residency in cardiology/ambulatory care or PGY-1 with board certification and 3 years experience

NYS license with eligibility for allied health credential

Board certification (BCPS/BCACP or equivalent)

Job description

City/State: Bronx, New York Grant Funded: No Department: Transitional Care Excellence Work Shift: Day Work Days: MON-FRI Scheduled Hours: 9 AM-5:30 PM Scheduled Daily Hours: 7.5 HOURS Pay Range: $152,000.00-$190,000.00

The Transitional Care Clinical Pharmacy Manager is a core clinical team member within Montefiore’s multidisciplinary Transitional Care Excellence department. This role sits at the intersection of inpatient care, ambulatory management, and population health, with a focus on improving outcomes for high-risk cardiovascular-kidney-metabolic and respiratory patient populations.

Responsibilities

• Leads longitudinal pharmacotherapy management for a defined panel of high-risk patients with cardiovascular-kidney-metabolic syndrome and respiratory conditions during hospitalization and post-discharge utilizing telemedicine, remote patient monitoring, and in-person care models
• Initiates, optimizes, and titrates guideline-directed medical therapy (GDMT) under collaborative drug therapy management (CDTM) agreements, with a focus on heart failure, ASCVD, diabetes, obesity, CKD, COPD, asthma, and pneumonia
• Identifies and acts on high-impact clinical opportunities early in the post-discharge period to prevent readmissions and disease progression
• Solves complex medication-related challenges including access, affordability, adherence, and health-related social needs
• Serves as a clinical bridge across inpatient, ambulatory, and post-acute settings, ensuring seamless care transitions and accountability across the continuum
• Partners with physicians, advanced practice providers, nurses, and navigators to design and execute high-reliability care pathways
• Acts as a key liaison to post-acute partners including home care, skilled nursing facilities, and rehabilitation centers
• Contributes to quality improvement initiatives aligned with CMS Star Ratings, HEDIS measures, and value-based care contracts
• Participates in program development, innovation (e.g., telehealth optimization, AI-enabled outreach, RPM workflows), and scaling of disease-specific care pathways
• Engages in academic and scholarly activities including research, protocol development, and dissemination of outcomes

Qualifications

• Doctor of Pharmacy degree
• Advanced training (e.g., completion of a PGY-2 residency in cardiology, ambulatory care, or other relevant specialties) or completion of a PGY-1 residency with current board certification and 3 years of relevant experience
• NYS license with eligibility to be credentialed as an allied health professional
• Active Board of Pharmacy Specialties certification or completion within 6 months of hire
• Direct patient care experience in ambulatory, hospital, or transitional care settings
• Strong clinical judgment, communication, and interdisciplinary collaboration skills
• Experience managing chronic cardiometabolic or pulmonary disease states
• Experience in value-based care, care transitions, or population health programs
• Bilingual language skills preferred

Work Environment

Position requires onsite presence during onboarding, credentialing, training, and orientation. Initial six-month probationary period will be fully onsite. Following successful completion of training, credentialing, and the six-month probationary period, employees may be eligible for limited telemedicine or remote work responsibilities based on operational needs. Candidates must be comfortable working in both ambulatory and interdisciplinary care settings.

The ideal candidate will demonstrate:

• Strong clinical pharmacy knowledge and direct patient care experience
• Ability to thrive in a fast-paced, complex healthcare environment
• Excellent problem-solving and critical-thinking skills
• Strong organizational and time-management abilities
• Adaptability and comfort navigating change and evolving priorities
• Commitment to delivering high-quality, patient-centered care
• Ability to collaborate effectively with physicians, nurses, advanced practice providers, and interdisciplinary teams
• Passion for improving outcomes for high-risk and vulnerable patient populations
• Strong communication and relationship-building skills
• Board certification (BCPS, BCACP, or equivalent) preferred, or willingness to obtain within the required timeframe

Montefiore Medical Center is an equal employment opportunity employer. Montefiore Medical Center will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.

Since its inception in 1884, Montefiore’s mission has been to heal, to teach, to discover and advance the health of the communities we serve. Montefiore's state-of-the-art facilities include the internationally-recognized Children’s Hospital at Montefiore and our Notable Centers of Excellence - Montefiore Einstein Center for Cancer Care, Montefiore Einstein Center for Heart and Vascular Care, Montefiore Einstein Center for Transplantation. Combined with a growing number of locations for primary and specialty care throughout the Bronx and Westchester County, Montefiore is the ideal organization to apply and hone your expertise.

An assortment of insurance products and discount programs through Voluntary Benefits. Check out our comprehensive benefits available to you when you join our outstanding team! To heal, to teach, to discover and to advance the health of the communities we serve. To be a premier academic medical center that transforms health and enriches lives. Automated Employment Decision Tools Notice (AEDT)