Pharmacist - Clinical Pharmacy Specialist
What you'd do
The Clinical Pharmacy Specialist (Long Term Care) serves as a mid-level provider with prescribing privileges as outlined in the individual's Scope of Practice. The Community Living Center Clinical Pharmacy Specialist functions at the highest level of clinical pharmacy practice to provide comprehensive medication management in the community living center practice setting.
Major duties
Duties include, but are not limited to: Utilizes a patient-centered approach to improve patient health outcomes through optimizing medication use in collaboration with the patient and other healthcare providers. Collaborates prospectively with providers to develop, implement, and maintain systems that promote desirable clinical outcomes of acute and chronic disease states through use of safe, evidence-based, and cost-effective drug therapies. Provides prospective consultation to physicians, nurses, and other health care providers on appropriate drug therapy. Actively participates in multidisciplinary team rounds. Assess and prioritizes the patients active medical conditions, taking into account clinical and patient goals of therapy. Assesses the indication, effectiveness, safety, and adherence of each mediation the patient is taking. Makes appropriate adjustments to medication therapy. Utilizes motivational interview skills with patient, family, caregiver and other healthcare professionals to collect patient-specific data, conduct medication history, and identify additional data needed for medication review assessment and medication reconciliation. Documents pharmaceutical care plan and interventions performed in electronic health record and/or facility specific programs. Orders, reviews, and analyzes appropriate laboratory tests and other diagnostic studies necessary to monitor and support the patient's drug therapy. Follows-up with patients on lab or test results to monitor, evaluate, and adjust medication therapy. Monitors serum levels for patients receiving drugs with narrow therapeutic indices and evaluates and adjusts medication therapy using pharmacokinetic and pharmacodynamic principles. Ensures appropriate care coordination during transitions of care within the healthcare system (changes in levels of care, shift changes, etc.) as well as throughout the discharge process, as indicated. Ensures appropriate selection of medications, dosages, and administration, and provides recommendation on routes and dosages for alternatives medications if warranted. Identifies, reports, and monitors adverse drug events, allergies and patient compliance issues. Orders, performs, and interprets the physical measurements necessary to monitor, support and modify the patient's medication therapy. Maintains working knowledge of applicable medication criteria for use. Applies knowledge to direct appropriate medication therapy and adjudicate non-formulary and formulary with prior authorization medication requests. Work Schedule: 8 hour tour including rotating weekends, evenings/nights and holidays on a fair and equitable basis based on needs of service. Telework: Ad-hoc Virtual: This is not a virtual position. Permanent Change of Station (PCS): Not Authorized
What you need to qualify
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. 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. English Language Proficiency. Pharmacists must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). Grandfathering Provision. All licensed pharmacists employed in VHA in this occupation on the effective date of this qualification standard are considered to have met all qualification requirements for the title, series and grade held, including positive education and licensure/certification/registration that are part of the basic requirements of the occupation. For employees who do not meet all the basic requirements required in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following provisions apply: (1) Employees grandfathered into the GS-660 occupational series may be reassigned, promoted up to and including the full performance (journey) level, or changed to lower grade within the occupation, but may not be promoted beyond the journey level or placed in supervisory or managerial positions. (2) Employees who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed, on a temporary or permanent basis, until they fully meet the basic requirements of the standard. Employees initially grandfathered into this occupation, who subsequently obtain additional education and/or licensure/certification/registration, that meet all the basic requirements of this qualification standard must maintain the required credentials as a condition of employment in the occupation. (3) If a licensed pharmacist who was retained under this provision leaves the occupation, the employee loses protected status and must meet the full VA qualification standard requirements in effect at the time of reentry to the occupation. Grade Determinations: In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates. GS-13 Experience. In addition to the GS-12 requirements, must have 1 year of experience equivalent to the next lower grade level. Clinical Pharmacy Specialist. The clinical pharmacy specialist (CPS) functions at the highest level of clinical practice, works independently under their scope of practice as defined by the individual medical center to directly care for patients. A CPS plays a defined role in budgetary execution and serves as a mid-level provider who functions to initiate, modify or discontinue medication therapy and as a consultant for intensive medication therapy management services. This includes, but is not limited to, the following: designing, implementing, assessing, monitoring and documenting therapeutic plans utilizing the most effective, least toxic and most economical medication treatments; helping achieve positive patient centric outcomes through direct and indirect interactions with patients, providers, and interdisciplinary teams in assigned areas; performing physical assessments; and ordering laboratory and other tests to help determine efficacy and toxicity of medication therapy. Pharmacists assigned to this position must demonstrate the following KSAs: Ability to communicate orally and in writing to persuade and influence clinical and management decisions. Expert understanding of regulatory and quality standards for their program area. Ability to solve problems, coordinate and organize responsibilities to maximize outcomes in their program area or area of clinical expertise. Expert knowledge of a specialized area of clinical pharmacy practice or specialty area of pharmacy. Advanced skill in monitoring and assessing the outcome of drug therapies, including physical assessment and interpretation of laboratory and other diagnostic parameters. Preferred Experience: The ideal candidate will have successfully completed an ASHP accredited PGY1 Pharmacy Residency followed by a PGY2 Residency in Geriatrics or another geriatrics focused specialty area. Candidates should demonstrate strong clinical expertise in the care of older adults, experience in interdisciplinary team collaboration, and a solid foundation in managing complex medication regimens commonly encountered in Community Living Center (CLC) settings. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: The work requires regular and recurring physical exertion involving moderate lifting/carrying (15-44 pounds) and walking/standing for 4 hours. The work also involves working with hands in water, work closely with others, ability for rapid mental and muscular coordination simultaneously, near vision correctable in one eye to 20/20 and 20/40 in the other, ability to distinguish basic colors, hearing (aid may be permitted), use of fingers, both hands required, and be emotionally and mentally stable. See VA Handbook 5005/129 Part II Chapter 3 Section F. 3. Appointments under 38 U.S.C. 7401(3).
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