Clinical Pharmacy Specialist - (PACT) - Clinical Resource Hub
What you'd do
A Clinical Resource Hub (CRH) is a repository of clinical and administrative staff that serve all Veterans Affairs (VA) facilities within a Veterans Integrated System Network (VISN). This position serves as a Patient Aligned Care Team (PACT) Clinical Pharmacy Specialist (CPS) provider for the CRH program. The CRH PACT CPS provider functions at the highest level of clinical practice and works independently under their scope of practice to directly care for patients.
Major duties
VA Careers - Pharmacy: https://youtube.com/embed/Fn_ickNBEws All qualified candidates encouraged to apply. Open to current permanent VA employees within 50 miles of any VISN 20 VA facility. Duties include but are not limited to the following: a. Functions as an advanced practice provider with a scope of practice to provide CMM services for identified Spoke site facilities as outlined in VHA Handbook 1108.11, Clinical Pharmacy Services. Core activities outlined within the scope of practice include: Executing therapeutic plans utilizing the safest and most cost-effective medication treatments Performing the physical measurements and objective assessments necessary to ensure the patient's appropriate clinical responses to therapy Ordering, subsequent review, and action on appropriate laboratory tests and other diagnostic studies necessary to monitor, support, and modify the patient's drug therapy Ordering and prescribing medications, vaccines, devices, and supplies to include: initiation, continuation, discontinuation, monitoring, and altering therapy; prescribing, administering, or dispensing controlled substances may be included in the scope of practice only if the clinical pharmacist is authorized by their State license to do so and comply with the limitations and restrictions on that authority Ordering consults and referrals, as appropriate, to maximize positive drug therapy outcomes; examples include, but are not limited to, referrals for routine care or assessment to clinical nutrition professionals, prosthetics, social workers, integrated mental health professionals, or other specialty areas Obtaining and documenting informed consent for treatments and procedures that require consent for which the clinical pharmacist is responsible, including those where the clinical pharmacist is the prescriber of a treatment that requires consent or when they are providing medication management services on behalf of the original prescriber. NOTE: The clinical pharmacist must have sufficient knowledge and training in the treatment or procedure, its indications, risk and benefits, complications, and alternative treatments, to effectively counsel the patient. b. Conducts virtual and in-person (when appropriate) encounters with patients for CMM in the PACT practice area c. Achieves minimum productivity expectations as set forth by the National CRH Leadership Team and Clinical Pharmacy Practice Office (CPPO) d. Follows-up with patients in a timely manner and monitors for drug therapy response, potential adverse drug reactions, allergies, compliance, laboratory results, and other monitoring measures as appropriate; treatment plan adjustments are made accordingly based on assessed measures e. Reviews patient medication regimens for clinical effectiveness, drug selection, dosing, contraindications, side effects, potential drug interactions, pharmacokinetic impact, and therapeutic outcomes as required; information is communicated with team members and appropriate alternatives to current treatment plans are provided f. Promotes and monitors compliance for established drug therapy policies g. Coordinates with and refers to appropriate diagnosing providers when disease progression or events occur that are outside the CRH PACT CPS provider SOP h. Identifies patients who may benefit from CMM through population management, team meetings, and/or huddles i. Documents appropriate subjective and objective information, as well as clinical interventions in the electronic medical record and in a timely, professional manner j. Page 4 of 6 Reports and documents drug errors, adverse drug reactions, and allergies according to policy k. Conducts drug utilization reviews, quality assurance activities, and utilization reviews as required l. Works with health care team members to ensure compliance with national, VISN, and local initiatives m. Serves as an authority on drug usage, interactions, over-dosages, and compliance n. Maintains a good working knowledge of information resources, both written and electronic, as well as therapeutics and disease management o. Provides timely and accurate responses to drug information inquiries Work Schedule: Monday-Friday, 8:00am to 4:30pm Mountain Time. Telework: Pending exemption for remote status: Under the 180-day Mid-Term Extensions (MTE). This position could be approved for Mid-Term Extensions (MTE). MTE allows for the facility leader to grant employees in the identified positions an extension up to 180-days to RTO; In which case approved positions would be approved locally to grant telework/remote for those 180-days. Virtual: This is not a virtual position. Functional Statement #: 00000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized
What you need to qualify
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. Education: 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. 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) 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). Grade Determinations: In addition to the basic requirements for employment in paragraph 2, 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: 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. Preferred Experience: ASHP-accredited PGY-1 and PGY-2 in relevant practice area, board certification or other applicable certifications, at least 2 years of experience as a PACT CPP, and recent experience as a primary preceptor for students and /or residents. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is GS-13. Physical Requirements: There may be some walking, standing, sitting, bending, and carrying of light items.
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