Pharmacist (Clinical Pharmacy Specialist)
The Clinical Pharmacy Specialist (CPS) serves as a consultant and mid-level provider with Telehealth Service. The CPS functions at the highest level of clinical practice, working independently under his/her scope of practice as defined by the medical center to directly care for patients at the parent facility, affiliated CBOCs, other areas of the medical center, or other facilities or CBOCs consulted for care through telehealth or other virtual modalities. This CPS functions to initiate, modify or discontinue medication therapy with an emphasis on the management of diabetes, hypertension, hyperlipidemia, anticoagulation, smoking cessation, and naloxone administration. Designs, implements, assesses, monitors and documents therapeutic plans utilizing the most effective, least toxic, and most economical medication treatment for patients consulted to her/his care and other clinics as designated by supervisor. Works independently and effectively to evaluate prescriptions for accuracy, eligibility, availability, and cost effectiveness and therapeutic appropriateness; contacts physicians and makes authorized changes in orders or prescriptions as required. Functions independently in day-to-day clinical and administrative duties associated with this position, consulting with higher level supervisors only when required. In general, uses a high degree of appropriate professional judgment to solve complex problems which routinely arise throughout the work day. When required, communicates any problems to the medical staff and/or other health care professionals, and offers alternatives or solutions to the problems. Demonstrates recognized expertise in the assigned area of practice for the purpose of chronic disease state management, including-but not limited to-thromboembolism, diabetes, hypertension, hyperlipidemia, smoking cessation, and naloxone administration. Uses pharmacokinetic principles in patient monitoring and in designing therapy utilizing VA National Clinical Practice Guidelines when appropriate. Acts as a mid-level provider to manage patients primarily through virtual modalities such as Clinical Video Telehealth and VA Video Connect. Will also provide patient care by telephone and face to face encounters as needed. Monitors and assesses the outcome of drug therapies with advanced skill, including physical assessment and interpretation of laboratory and other diagnostic procedures. Monitors patients prospectively for any deviation from the accepted treatment plan, for the efficacy of the plan, and for any adverse reaction or drug interaction occurring during the execution of the plan. Demonstrates advanced knowledge of pharmaceutics, pharmacodynamics and pharmacotherapeutics as determined by clinical review. Reviews, analyzes, and applies literature to specific patient situations. Documents interventions and recommendations via CPRS progress notes and consults, demonstrating the ability to communicate orally and in writing to persuade and influence clinical and management decisions. Written documentation of all patient interactions is required. Evaluates the need for and provides verbal and written medication information to patients or families concerning their medications and disease states. Serves as advisor to the Chief, Telehealth Service and VISN 6 TelePrimary Care Hub on matters related to clinical practice, drug therapy, and drug selection. Assists the area of practice in meeting all of The Joint Commission medication management standards by having an expert understanding of regulatory and quality standards for the area of practice. May evaluate non-formulary and restricted medication requests from assigned providers. Work Schedule:
Full-time, Monday -Friday:
8:
00 a.m. - 4:
30 p.m. Virtual:
This is not a virtual position. Financial Disclosure Report:
Not required Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements:
United States Citizenship:
Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. ENGLISH LANGUAGE PROFICIENCY:
Pharmacists must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). EDUCATION:
(1)Graduate of an Accreditation Council for Pharmacy Education (ACPE) accredited College or School of Pharmacy with a baccalaureate degree in pharmacy (BS Pharmacy) and/or a Doctor of Pharmacy (Pharm.D.) degree. Verification of approved degree programs may be obtained from the Accreditation Council for Pharmacy Education, 20 North Clark Street, Suite 2500, Chicago, Illinois 60602-5109; phone:
(312) 664-3575, or through their Web site at:
http:
//www.acpe-accredit.org/. (NOTE:
Prior to 2005 ACPE accredited both baccalaureate and Doctor of Pharmacy terminal degree program. Today the sole degree is Doctor of Pharmacy.) (2) Graduates of foreign pharmacy degree programs meet the educational requirement if the graduate is able to provide proof of achieving the Foreign Pharmacy Graduate Examination Commission (FPGEC) Certification, which includes passing the Foreign Pharmacy Graduate Equivalency Examination (FPGEE) and the Test of English as a Foreign Language Internet-Based Test (TOEFL iBT). LICENSURE:
Full, current and unrestricted license to practice pharmacy in a State, Territory, Commonwealth of the United States (i.e., Puerto Rico), or the District of Columbia. The pharmacist must maintain current registration if this is a requirement for maintaining full, current, and unrestricted licensure. A pharmacist who has, or has ever had, any license(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status may be appointed only in accordance with the provisions in VA Handbook 5005, Part II, Chapter 3, section B, paragraph 16. NOTE:
You MUST Provide a copy of your Transcripts with your application package, as well as FPGEC and TOEFL iBT if applicable. NOTE:
You MUST Provide a copy of your License with your application package. Individuals who have or have had multiple licenses and had any such license revoked for professional misconduct, professional incompetence or substandard care, or who surrendered such license after receiving written notice of potential termination of such license by the State for professional misconduct, professional incompetence, or substandard care, are not eligible for appointment to the position unless such revoked or surrendered license is fully restored (38 U.S.C. 7402(f)). Effective November 30, 1999, this is a requirement for employment. This requirement does not apply to licensed pharmacists on VA rolls as of that date, provided they maintain continuous appointment and are not disqualified for employment by any subsequent revocations or voluntary surrenders of State license, registration or certification. Preferred
Experience:
Board Certification in Ambulatory Care Pharmacy, Pharmacotherapy, or other advanced certification is highly desired. A sustained record of contribution and commitment to pharmacy, as defined by ASHP. Telehealth experience is highly desired. Grade Determinations:
GS-13 EXPERIENCE - Qualifying experience equivalent of one (1) year at the GS-12 grade level which is directly related to the position to be filled. Experience includes reviewing, interpreting, and verifying medication orders for appropriateness; processing and filling medication orders; interacting with and making recommendations to other clinical staff regarding medication therapy ordered to ensure safe and effective care; reviewing the patient's medications, allergies, labs, and other pertinent information from the medical record to identify and solve medication-related problems; contacting providers as appropriate; documenting recommendations and interventions; providing refill extensions and partial medication supplies; taking health and medication histories; performing medication reconciliation; providing drug information; assisting in formulary management including therapeutic substitutions, nonformulary reviews and medication usage evaluations; documenting and assessing adverse drug events (ADEs); assisting in medical emergencies; providing oversight of technical staff in all aspects of medication distribution. Pharmacists assigned to this position must demonstrate the following KSAs:
a. Ability to communicate orally and in writing to persuade and influence clinical and management decisions. b. Expert understanding of regulatory and quality standards for their program area. c. Ability to solve problems, coordinate and organize responsibilities to maximize outcomes in their program area or area of clinical expertise. d. Expert knowledge of a specialized area of clinical pharmacy practice or specialty area of pharmacy. e. Advanced skill in monitoring and assessing the outcome of drug therapies, including physical assessment and interpretation of laboratory and other diagnostic parameters. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). References:
VA Handbook 5005/55 Part II Appendix G15, Licensed Pharmacist Qualification Standard The full performance level of this vacancy is GS-13. Physical Requirements:
The work may require regular and recurring physical exertion, involving standing/sitting for prolonged periods of time, lifting/carrying of pharmaceutical supplies or telecommunications equipment weighing up to 40 lbs., and bending/stooping. The work may entail repetitive wrist movement while using various size syringes, vial cap removal, and typing.
Estimated Salary: $20 to $28 per hour based on qualifications.
Full-time, Monday -Friday:
8:
00 a.m. - 4:
30 p.m. Virtual:
This is not a virtual position. Financial Disclosure Report:
Not required Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements:
United States Citizenship:
Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. ENGLISH LANGUAGE PROFICIENCY:
Pharmacists must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). EDUCATION:
(1)Graduate of an Accreditation Council for Pharmacy Education (ACPE) accredited College or School of Pharmacy with a baccalaureate degree in pharmacy (BS Pharmacy) and/or a Doctor of Pharmacy (Pharm.D.) degree. Verification of approved degree programs may be obtained from the Accreditation Council for Pharmacy Education, 20 North Clark Street, Suite 2500, Chicago, Illinois 60602-5109; phone:
(312) 664-3575, or through their Web site at:
http:
//www.acpe-accredit.org/. (NOTE:
Prior to 2005 ACPE accredited both baccalaureate and Doctor of Pharmacy terminal degree program. Today the sole degree is Doctor of Pharmacy.) (2) Graduates of foreign pharmacy degree programs meet the educational requirement if the graduate is able to provide proof of achieving the Foreign Pharmacy Graduate Examination Commission (FPGEC) Certification, which includes passing the Foreign Pharmacy Graduate Equivalency Examination (FPGEE) and the Test of English as a Foreign Language Internet-Based Test (TOEFL iBT). LICENSURE:
Full, current and unrestricted license to practice pharmacy in a State, Territory, Commonwealth of the United States (i.e., Puerto Rico), or the District of Columbia. The pharmacist must maintain current registration if this is a requirement for maintaining full, current, and unrestricted licensure. A pharmacist who has, or has ever had, any license(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status may be appointed only in accordance with the provisions in VA Handbook 5005, Part II, Chapter 3, section B, paragraph 16. NOTE:
You MUST Provide a copy of your Transcripts with your application package, as well as FPGEC and TOEFL iBT if applicable. NOTE:
You MUST Provide a copy of your License with your application package. Individuals who have or have had multiple licenses and had any such license revoked for professional misconduct, professional incompetence or substandard care, or who surrendered such license after receiving written notice of potential termination of such license by the State for professional misconduct, professional incompetence, or substandard care, are not eligible for appointment to the position unless such revoked or surrendered license is fully restored (38 U.S.C. 7402(f)). Effective November 30, 1999, this is a requirement for employment. This requirement does not apply to licensed pharmacists on VA rolls as of that date, provided they maintain continuous appointment and are not disqualified for employment by any subsequent revocations or voluntary surrenders of State license, registration or certification. Preferred
Experience:
Board Certification in Ambulatory Care Pharmacy, Pharmacotherapy, or other advanced certification is highly desired. A sustained record of contribution and commitment to pharmacy, as defined by ASHP. Telehealth experience is highly desired. Grade Determinations:
GS-13 EXPERIENCE - Qualifying experience equivalent of one (1) year at the GS-12 grade level which is directly related to the position to be filled. Experience includes reviewing, interpreting, and verifying medication orders for appropriateness; processing and filling medication orders; interacting with and making recommendations to other clinical staff regarding medication therapy ordered to ensure safe and effective care; reviewing the patient's medications, allergies, labs, and other pertinent information from the medical record to identify and solve medication-related problems; contacting providers as appropriate; documenting recommendations and interventions; providing refill extensions and partial medication supplies; taking health and medication histories; performing medication reconciliation; providing drug information; assisting in formulary management including therapeutic substitutions, nonformulary reviews and medication usage evaluations; documenting and assessing adverse drug events (ADEs); assisting in medical emergencies; providing oversight of technical staff in all aspects of medication distribution. Pharmacists assigned to this position must demonstrate the following KSAs:
a. Ability to communicate orally and in writing to persuade and influence clinical and management decisions. b. Expert understanding of regulatory and quality standards for their program area. c. Ability to solve problems, coordinate and organize responsibilities to maximize outcomes in their program area or area of clinical expertise. d. Expert knowledge of a specialized area of clinical pharmacy practice or specialty area of pharmacy. e. Advanced skill in monitoring and assessing the outcome of drug therapies, including physical assessment and interpretation of laboratory and other diagnostic parameters. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). References:
VA Handbook 5005/55 Part II Appendix G15, Licensed Pharmacist Qualification Standard The full performance level of this vacancy is GS-13. Physical Requirements:
The work may require regular and recurring physical exertion, involving standing/sitting for prolonged periods of time, lifting/carrying of pharmaceutical supplies or telecommunications equipment weighing up to 40 lbs., and bending/stooping. The work may entail repetitive wrist movement while using various size syringes, vial cap removal, and typing.
- Department:
0660 Pharmacist - Salary Range:
$124,316 to $161,615 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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