Veterans Affairs, Veterans Health Administration Clinical Pharmacist Specialist (PC-POP) in Salt Lake City, Utah
Summary The Clinical Pharmacy Specialist (CPS) functions at the highest level of clinical practice, works independently under their individual scope of practice to directly care for patients. This CPS functions as a member of the Primary Care Pain Education and Opioid Monitoring Program (PC-POP), serving as a mid-level provider to initiate, modify or discontinue medication therapy for face-to-face, telehealth, or telephone appointments. Responsibilities Essential Functions: Conduct patient interviews and assess (to include, but not limited to), medication therapy and adherence, adverse drug reactions and drug interactions, and medication reconciliation. Review medications and allergies for accuracy, appropriateness, safety, and interactions. Discontinue medications that are no longer needed, that are an unnecessary duplication of therapy, or that are causing untoward side effects. Communicates changes to the patient's provider appropriately. Order labs for monitoring of medications and side effects, and adjust medications based on treatment guidelines and patient status within scope of practice. Perform laboratory and controlled substance monitoring in accordance with established policies, procedures, and protocols. Educate patients and their family members on NARCAN administration, overdose risk mitigation strategies, chronic non-cancer pain treatment modalities, and adherence to controlled substance medication regimen(s). Provide patients with oral and written counseling and education as appropriate to his/her disease state and drug therapy. Serve as the subject matter expert for long-term opioid therapy & pain management, controlled substance tapers, monitoring results, drug information, and relevant policies, procedures, and protocols. Design and provide effective in-service education on pharmacology and pharmacotherapy for chronic non-cancer pain medications and other medications. Provide medication management services to include, but not limited to, development of treatment goals, assessment and management of symptoms, assessing adherence, and scheduling follow up visits. Collaborate regularly with the veteran's treatment team members concerning the ongoing management of the veteran. Document all patient interactions and assessments in the medical record promptly and accurately. Coordinate and manage PC-POP pharmacy consults promptly, accurately, and according to facility policy. Be responsible for the care of patients as well as the development of effective, professional relationships within the PC-POP team and Whole Health Service. Clinical - Direct Patient Care Activities that require a scope of practice. Core functions include patient encounters for comprehensive medication management of complex patients with chronic diseases including, but not limited to, chronic pain, diabetes, hypertension, hyperlipidemia, smoking cessation, hepatitis C, and osteoporosis. Functions as a mid-level provider to design, implement, and monitor therapeutic drug plans to achieve definite outcomes through direct interactions with patients and providers in assigned areas. Orders, performs, 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 discuss the plan of therapy including changes in medication therapy, referral to primary care or specialty provider. Clinical pharmacy specialists will determine if a referral to the physician is necessary when disease progression occurs or adverse drug events require treatment interventions. Physical assessment Follows up via tele-health, e-consults, scan echo and other technical modalities to see patient.s Clinical - Indirect Patient Care Activities Review 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. Obtains medication histories from patients and summarizes significant findings in the medical record and/or to the provider as appropriate. Monitor and report drug errors, adverse drug reactions, allergies, and patient compliance issues. Documents findings per facility procedures. Actively participates in the VAADERS Adverse Drug Reaction (ADR) reporting program. Apply knowledge of normal laboratory values in the evaluation of patient care, recognizes significant abnormalities, and make dose adjustment recommendations based on objective laboratory findings. Reviews and evaluates requests for non-formulary and restricted drugs for appropriateness and compliance with established criteria where applicable. Assists Pharmacy and Therapeutics committee with medication use evaluations and other safety initiatives. Documents clinical interventions in CPRS in a timely and professional manner as appropriate. Promotes and monitors compliance for established drug therapy policies. Works with providers to ensure compliance with national, VISN, and local initiatives. Reviews and verifies pending medication orders for appropriateness and to reduce potential risk of adverse drug events. Work Schedule: Monday thru Friday 8:00 am to 4:30 pm Financial Disclosure Report: Not required Requirements Conditions of Employment Qualifications To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 06/17/2021. 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. NOTE: 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. (1) Exception. Non-licensed pharmacists who otherwise meet the eligibility requirements may be given a temporary appointment at the entry level as a Graduate Pharmacist under the authority of 38 U.S.C. § 7405(c)(2)(B). The appointing official may waive the requirement of licensure for a period not to exceed 2 years for a pharmacist that provides care under the supervision of a licensed pharmacist. For grade levels above the GS-11, the candidate must be licensed. (2) Failure to Obtain License. In all cases, pharmacists must actively pursue meeting state prerequisites for licensure starting from the date of their appointment. At the time of appointment, the supervisor will provide the unlicensed pharmacist with the written requirement to obtain licensure, the date by which the license must be acquired, and the consequences for not becoming licensed by the deadline. Failure to become licensed within 2 years from date of appointment will result in removal from the GS-0660 Pharmacist series and may result in termination of employment. English Language Proficiency. Pharmacists must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). Grade Determinations for GS-13:Experience or Education: In addition to the GS-12 requirements, must have 1 year of experience equivalent to the next lower grade level. Demonstrate the following Knowledge Skills and Abilities at the GS-12: 1. Knowledge of professional pharmacy practice. 2. Ability to communicate orally and in writing to both patients and health care staff. 3. Knowledge of laws, regulations, and accreditation standards related to the distribution and control of scheduled and non-scheduled drugs and pharmacy security. 4. Skill in monitoring and assessing the outcome of drug therapies, including physical assessment and interpretation of laboratory and other diagnostic parameters. Please Note for the Purpose of the Board applicants must demonstrate the following KSAs for the GS-13: 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 References: VA Handbook 5005/55, Part II, Appendix G15. This can be found in the local Human Resources Office. The full performance level of this vacancy is GS-13. Physical Requirements: Must be in overall good health. The work requires standing, walking, moderate lifting and carrying of items, and reaching above shoulders. The work also requires the use of fingers, ability to distinguish basic colors, the ability to read without strain (far vision correctable in one eye to 20/20 and 20/40 in the other), and the ability to hear (aid permitted). Must be able to stand up for 4-6 hours a day. Physical requirements for this position will be in accordance with VA Directive and Handbook 5019, HRML No. 05-12-02, Employment of People with Disabilities, Including Under Schedule A, 5 CFR 213.3102(u). Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Additional Information This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. If you are unable to apply online view the following link for information regarding an Alternate Application.