This position is in the James J. Peters VA Medical Center in the Bronx, New York and provides support to the Pharmacy Program. The James J. Peters VAMC is a tertiary care facility classified as a Clinical Referral Level 1 Facility. It is a teaching hospital, providing a full range of patient care services, with state-of-the-art technology as well as education and research. 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 (PharmD)degree. (PROOF OF TRANSCRIPTS MUST BE PROVIDED THAT CLEARLY SHOW MEETING THIS REQUIREMENT) 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). 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. Grade Determinations: GS-13 (a) Experience. In addition to the GS-12 requirements, must have 1 year of experience equivalent to the next lower grade level. (b) Assignments. Candidates at this grade level are to be in one of the assignments listed below. For all assignments above the full performance level, the higher level duties must consist of significant scope, administrative independence, complexity (difficulty) and range of variety as described in this standard at the specified grade level and be performed by the incumbent at least 25% of the time. 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: Minimum five years of pharmacist experience. Pharmacy Residency Experience preferred. Ambulatory Care Pharmacy Experience preferred References: VA Handbook 5005 Part II Appendix G15 dated June 7, 2012 The full performance level of this vacancy is 13. The actual grade at which an applicant may be selected for this vacancy is GS-13. Physical Requirements: See VA Directive and Handbook 5019. ["The Clinical Pharmacy Specialist-PACT functions as a Licensed Independent Provider and the therapeutic expert in drug use and drug utilization. The clinical pharmacy specialist (CPS) functions at the highest level of clinical practice, works independently under their individual scope of practice to\ndirectly care for patients. A CPS functions as a member of their assigned PACT Teams and serves as\na mid-level provider 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\neffective, 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. CPS will have knowledge of best pharmacy practices, ASHP Policy Positions and Guidelines, The Joint Commission requirements, Veterans Affairs (VA) performance measures, Pharmacy Benefits Management (PBM) initiatives and the ability to integrate these standards into practice. Clinical - Direct Patient Care Activities that require a scope of practice\n1) Core functions include patient encounters for comprehensive medication management of complex patients with chronic diseases including, but not limited to, diabetes, hypertension, hyperlipidemia, smoking cessation, pain management, hepatitis C, and osteoporosis; Urgent or same day face-to-face patient visits including but not limited to patient medication review for polypharmacy, recent hospital discharges, and comanaged\ncare patients. 2) 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. 3) 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. 4) Follows-up with patients on lab or test results to discuss the plan of therapy, i.e. changes in medication therapy, monitoring, and additional testing requirements. 5) Clinical pharmacy specialists will determine if a referral to the physician is necessary when disease progression occurs or adverse drug events require treatment interventions. 6) Physical assessment Clinical - Indirect Patient Care Activities\n1) 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.\n2) Obtains medication histories from patients and summarizes significant findings in the medical record and/or to the provider as appropriate.\n3) 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.\n4) 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.\n5) Reviews and evaluates requests for non-formulary and restricted drugs for appropriateness and compliance with established criteria where applicable.\n6) Assists Pharmacy and Therapeutics committee with medication use evaluations and other safety initiatives.\n7) Documents clinical interventions in CPRS in a timely and professional manner as appropriate.\n8) Promotes and monitors compliance for established drug therapy policies.\n9) Works with providers to ensure compliance with national, VISN, and local initiatives.\n10) Reviews and verifies medication orders for appropriateness and to reduce potential risk of adverse drug events. Performs other assigned duties. Performs other assigned jobs. Work Schedule: Monday-Friday 7:30am to 4pm, some weekends\nTelework: Not Available\nVirtual: This is not a virtual position.\nFunctional Statement #: 21P84-O\nRelocation/Recruitment Incentives: Not Authorized\nFinancial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.