The Clinical Pharmacist partners closely with the Medical Director, Advanced Practice Provider (APP), Registered Nurse (RN), Licensed Clinical Social Worker (LCSW), Community Health Worker (CHW), and Care Navigators to optimize medication therapy, improve clinical outcomes, and reduce avoidable healthcare utilization for individuals with complex medical, behavioral, and social needs. By building trusted relationships and coordinating with primary care providers, specialists, health plans and community partners, the program seeks to stabilize complex conditions, improve continuity of care and reduce avoidable emergency department visits and hospitalizations.