Clinical Pharmacy Specialist (Home-Based Primary Care)

Full Job Description

The Primary Purpose of the Position is: The Clinical Pharmacist Practitioner (CPP) is an advanced practice provider with expertise in providing comprehensive medication therapy management and functions at the highest level of clinical practice to ensure patient centered care and evidence based positive patient outcomes.

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: 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.

(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.) 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).

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: 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.

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.

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.

GS-13 Grade Determinations: Experience. In addition to the GS-12 requirements, must have 1 year of experience equivalent to the next lower grade level 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.

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: Pharmacy Residency Training BCPS, BCACP or BCGP certification through the Board of Pharmacy Specialties At least 3 years of experience working in a clinical setting with a scope of practice or equivalent References: VA Handbook 5005/55, Part II, Appendix G15 Pharmacist Qualification Standard, dated June 7, 2012.

http://www.va.gov/ohrm/job listings/VAQualStds.doc. The full performance level of this vacancy is GS-13.

The actual grade at which an applicant may be selected for this vacancy is GS-13 Physical Requirements: The work requires sitting, walking, standing, bending and stooping, pulling an pushing and lifting/carrying of items up to 20 to 50 lbs.

and be able to maintain self-control in difficult stressful situations. Major Duties:

Major duties include, but not limited to: Clinical Practice 1.

Designs, implements, assesses, and monitors therapeutic drug plans to achieve positive patient outcomes through direct and indirect interactions with patients, providers, and staff in assigned areas.

Therapeutic medication plans including but not limited to assessments of clinical effectiveness, drug selection, dosing, contraindications, side effects, potential drug interactions and intolerances, cost-effectiveness, formulary considerations, antimicrobial stewardship, nutrition support, and therapeutic outcomes, as required.

Findings are acted upon based on scope of practice and/or communicated with prescribers and provides appropriate alternatives to current treatment plans, as needed.

Demonstrates expertise in the principles of clinical pharmacokinetics and pharmacodynamics and is knowledgeable and able to make dose adjustment recommendations based on objective laboratory findings.

2. Monitors and assesses the outcome of drug therapies with advanced skill, including physical assessment and interpretation of laboratory and other diagnostic procedures.

Administrative and Quality Assurance Functions 1. Participates in medication use evaluations activities, audits or quality management monitoring as requested. 2.

Gathers data for administrative reports when assigned. Upon request, independently prepares reports or participates in pharmacy projects.

Assists in preparing for special accreditations and reviews (e.g., The Joint Commission, Inspector General, etc.,) and meets with reviewing/inspecting officials and pharmacy management. 3.

Actively participates on hospital committees or workgroups as assigned. Serves as a liaison between clinical areas of assignment and committee(s).

Will bring back information or requests to Service Leadership for further review and/or decision making. 4.

Participates in developing criteria for drug utilization evaluations, data collection, trending reports, and other quality assurance activities as required to ensure appropriate and safe drug utilization.

5. Assists in the completion of newsletters and other written educational materials as assigned. Formulary Management 1.

Supports institutional efforts to construct and maintain the use of Veterans Administration (VA) national formulary that promotes safe and cost-effective use of medications.

Provides support to the Medical Staff in drug use policy development and disease management, focusing on appropriate, cost-effective use of therapeutic measures.

Provides support to the local and VISN P&T committees to assess and evaluate cost-effective medication use and programs. 2.

Provides timely and complete evaluation of non-formulary and prior authorization drug requests for appropriateness and compliance with established criteria as assigned. Education and Research 1.

Participates in the training and in-servicing of pharmacists, pharmacy technicians, pharmacy students, pharmacy residents, and other medical center personnel as requested. 2.

Serves as a preceptor for pharmacy students and pharmacy residents in accordance with established facility needs.

Supports student program and residency programs by completing requests for documents to maintain accreditation and or quality improvement efforts including but not limited to creating and updating learning experience descriptions, completing preceptor evaluation materials, participating in student and/or resident teaching and learning activities, completing ASHP documentation, learning experience and rotation evaluations, and providing information for completion of student and resident schedules and calendars.

Communication 1. Establishes, develops, and maintains effective working relationships and rapport with Facility Providers, Nursing and other departments as needed.

Serves as a source to resolve questions and problems affecting hospital staff members and patients. 2.

Expected to communicate in a manner that affords internal and external customers the ability to experience positive exchange and outcomes. Work Schedule: 0730-1600 Monday-Friday.

Tour may be adjusted or extended to meet patient care needs. Telework: Not Available Virtual: This is not a virtual position.

Functional Statement #: 55240-F Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized