Pharmacist (Clinical Spec)
The duties of this position include but are not limited to:
Designing, implementing, assessing, monitoring and documenting therapeutic plans utilizing best evidence, 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. Ordering laboratory and other tests to help determine efficacy and toxicity of medication therapy. Serve as a resource of pharmacotherapeutic information to all staff. 1. Program Management a. Assists in the operations of the other areas of the Pharmacy Service Line including distribution and clinical work in other areas. b. Ensure timely completion of all position pre-requisites and requirements c. Supervisory
Responsibilities:
Responsible for guidance and direction of staff members as needed by circumstance d. Ensure timely and accurate completion of all encounters and consults 2. Clinical a. Functions independently under scope of practice as defined by the health care system for selected disease states to provide pharmaceutical care to patients. b. Obtains medication histories from patients and summarizes significant findings in the medical record and/or to the provider as appropriate. c. Reviews patient medication regimens for clinical effectiveness, drug selection, dosing, contraindications, side effects, potential drug interactions, and therapeutic outcomes as required. Communicates findings with prescribers and provides appropriate alternatives to current treatment plans as needed. d. Monitors for and reports drug errors, adverse drug reactions, allergies, and patient compliance issues. Documents findings per facility procedures. e. Applies knowledge of normal laboratory values in the evaluation of patient care and recognizes significant abnormalities. f. Has expertise in the principles of clinical pharmacokinetics and pharmacodynamics and is knowledgeable and able to make dose adjustment recommendations based on objective laboratory findings. g. Reviews and evaluates requests for non-formulary and restricted drugs for appropriateness and compliance with established criteria where applicable. h. Serves as the primary provider to consult to other VA providers in practice area on the appropriate VA National Formulary medications to consider for patients that are choosing to transfer their care to VA or during transitions of care i. Reviews literature routinely to provide an evaluation of efficacy, safety, and cost-effectiveness for routine patient care and projects as assigned. Maintains a current knowledge of therapeutics and disease management. Assists with medication use evaluations and other Pharmacy and Therapeutics activities. j. Documents clinical interventions in a timely and professional manner as appropriate. k. Promotes and monitors compliance for established drug therapy policies. l. Works with providers to ensure compliance with national, VISN, and local initiatives. m. Serves on medical center and/or VISN committees as requested. 3. Education and Research a. Participates in the training and in-servicing of pharmacists, pharmacy technicians, pharmacy students, pharmacy residents, and other medical center personnel as required. b. Effectively instructs patients and family members in the appropriate use of medications and medical devices. Is able to adjust communication and tracking methods based on age and developmental considerations. Is able to accurately assess and document patient comprehension. Is able to refer patients to educational programs provided at the medical center by multidisciplinary teams. c. Is skilled at using both written and verbal communication techniques in teaching others. d. Serves as preceptor for pharmacy students and pharmacy residents in accordance with established protocols. Supervises projects as required by pharmacy residents and students e. Assists in new employee orientation sessions as scheduled. f. Assists in the development of proposals for improved and/or new clinical pharmacy services. Drug Information a. Serves as an authority on drug usage, interactions, over-dosages, and compliance to medical staff, nursing staff, technicians and students. Uses appropriate references to research drug information. b. Has a good working knowledge of information resources, both written and electronic. c. Maintains a current knowledge of therapeutics and disease management. d. Provides timely and accurate responses to drug information inquiries from all Work Schedule:
Mon-Fri 0730-1600; compressed tour is available with employee working 9-hours shift x 8 days, 8-hour shift x 1 day, and off x 1day per pay period. 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 requested by 38. U.S.C. 7402(d), and 7407(d). 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 Doctor of Pharmacy (Pharm.D.) degree. 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 Equivalence 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. GS-13 (a) Experience. In addition to the GS-12 requirements, must have 1 year of experience equivalent to the next lower grade level. 1. 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:
Highly qualified candidates will have obtained either a PGY2 residency certificate or at least 3 years of experience as a PACT CPS. References:
VA HANDBOOK 5005/55 PART II APPENDIX G15, LICENSED PHARMACIST QUALIFICATION STANDARD GS-660 Veterans Health Administration, dated June 07, 2012 Physical Requirements:
Moderate lifting(15-44 pounds), Moderate carrying(15-44 pounds), reaching above head, Use of fingers,Both hands required, walking and standing 3 hours, Ability for rapid mental and muscular coordinating simultaneously, Near vision correctable at 13 to 16 to Jaeger 1 to 4, Near vision correctable at 13 to 16 to Jaeger 1 to 4, Ability to distinguish basic colors, Ability to distinguish shades of colors, Hearing (aid permitted), Mental & emotional stability required and ability to read.
Estimated Salary: $20 to $28 per hour based on qualifications.
Designing, implementing, assessing, monitoring and documenting therapeutic plans utilizing best evidence, 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. Ordering laboratory and other tests to help determine efficacy and toxicity of medication therapy. Serve as a resource of pharmacotherapeutic information to all staff. 1. Program Management a. Assists in the operations of the other areas of the Pharmacy Service Line including distribution and clinical work in other areas. b. Ensure timely completion of all position pre-requisites and requirements c. Supervisory
Responsibilities:
Responsible for guidance and direction of staff members as needed by circumstance d. Ensure timely and accurate completion of all encounters and consults 2. Clinical a. Functions independently under scope of practice as defined by the health care system for selected disease states to provide pharmaceutical care to patients. b. Obtains medication histories from patients and summarizes significant findings in the medical record and/or to the provider as appropriate. c. Reviews patient medication regimens for clinical effectiveness, drug selection, dosing, contraindications, side effects, potential drug interactions, and therapeutic outcomes as required. Communicates findings with prescribers and provides appropriate alternatives to current treatment plans as needed. d. Monitors for and reports drug errors, adverse drug reactions, allergies, and patient compliance issues. Documents findings per facility procedures. e. Applies knowledge of normal laboratory values in the evaluation of patient care and recognizes significant abnormalities. f. Has expertise in the principles of clinical pharmacokinetics and pharmacodynamics and is knowledgeable and able to make dose adjustment recommendations based on objective laboratory findings. g. Reviews and evaluates requests for non-formulary and restricted drugs for appropriateness and compliance with established criteria where applicable. h. Serves as the primary provider to consult to other VA providers in practice area on the appropriate VA National Formulary medications to consider for patients that are choosing to transfer their care to VA or during transitions of care i. Reviews literature routinely to provide an evaluation of efficacy, safety, and cost-effectiveness for routine patient care and projects as assigned. Maintains a current knowledge of therapeutics and disease management. Assists with medication use evaluations and other Pharmacy and Therapeutics activities. j. Documents clinical interventions in a timely and professional manner as appropriate. k. Promotes and monitors compliance for established drug therapy policies. l. Works with providers to ensure compliance with national, VISN, and local initiatives. m. Serves on medical center and/or VISN committees as requested. 3. Education and Research a. Participates in the training and in-servicing of pharmacists, pharmacy technicians, pharmacy students, pharmacy residents, and other medical center personnel as required. b. Effectively instructs patients and family members in the appropriate use of medications and medical devices. Is able to adjust communication and tracking methods based on age and developmental considerations. Is able to accurately assess and document patient comprehension. Is able to refer patients to educational programs provided at the medical center by multidisciplinary teams. c. Is skilled at using both written and verbal communication techniques in teaching others. d. Serves as preceptor for pharmacy students and pharmacy residents in accordance with established protocols. Supervises projects as required by pharmacy residents and students e. Assists in new employee orientation sessions as scheduled. f. Assists in the development of proposals for improved and/or new clinical pharmacy services. Drug Information a. Serves as an authority on drug usage, interactions, over-dosages, and compliance to medical staff, nursing staff, technicians and students. Uses appropriate references to research drug information. b. Has a good working knowledge of information resources, both written and electronic. c. Maintains a current knowledge of therapeutics and disease management. d. Provides timely and accurate responses to drug information inquiries from all Work Schedule:
Mon-Fri 0730-1600; compressed tour is available with employee working 9-hours shift x 8 days, 8-hour shift x 1 day, and off x 1day per pay period. 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 requested by 38. U.S.C. 7402(d), and 7407(d). 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 Doctor of Pharmacy (Pharm.D.) degree. 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 Equivalence 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. GS-13 (a) Experience. In addition to the GS-12 requirements, must have 1 year of experience equivalent to the next lower grade level. 1. 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:
Highly qualified candidates will have obtained either a PGY2 residency certificate or at least 3 years of experience as a PACT CPS. References:
VA HANDBOOK 5005/55 PART II APPENDIX G15, LICENSED PHARMACIST QUALIFICATION STANDARD GS-660 Veterans Health Administration, dated June 07, 2012 Physical Requirements:
Moderate lifting(15-44 pounds), Moderate carrying(15-44 pounds), reaching above head, Use of fingers,Both hands required, walking and standing 3 hours, Ability for rapid mental and muscular coordinating simultaneously, Near vision correctable at 13 to 16 to Jaeger 1 to 4, Near vision correctable at 13 to 16 to Jaeger 1 to 4, Ability to distinguish basic colors, Ability to distinguish shades of colors, Hearing (aid permitted), Mental & emotional stability required and ability to read.
- Department:
0660 Pharmacist - Salary Range:
$129,761 to $168,693 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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