What are the responsibilities and job description for the Licensed Pharmacist(CPS) - Primary Care position at Captain James A Lovell Federal Health Care Center?
The CPS will be assigned to Veterans Affairs (VA) or Department of Defense (DoD) primary care teams. Primary care teams servicing veteran beneficiaries are located in the main hospital and associated community-based outlying clinics. The CPS will be consulted by their team(s) for comprehensive medication management of complex patients with chronic diseases commonly seen in the primary care setting.
Foreign Education:
(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). (CERTIFICATION REQUIRED)
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.
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).
GS-13 GRADE DETERMINATION:
Specialized Experience: Must have 1 year of experience equivalent to the next lower grade level GS-12. Experience includes but not limited to: 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.
**** NOTE: Experience must be well documented in Resume/CV to qualify for the position. ****
Assignments: Candidates at this grade level are to be in one of the assignments listed below. 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 (CPS): 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:
1. Ability to communicate orally and in writing to persuade and influence clinical and management decisions.
2. Expert understanding of regulatory and quality standards for their program area.
3. Ability to solve problems, coordinate and organize responsibilities to maximize outcomes in their program area or area of clinical expertise.
4. Expert knowledge of a specialized area of clinical pharmacy practice or specialty area of pharmacy.
5. Advanced skill in monitoring and assessing the outcome of drug therapies, including physical assessment and interpretation of laboratory and other diagnostic parameters.
**** NOTE: KSAs must be documented in Resume/CV to be qualified for the position. ****
Preferred Experience: In addition to basic Qualification Standard: completion of ASHP-accredited PGY-1 Pharmacy Practice Residency and/or PGY-2 Specialty Pharmacy Residency (in an applicable specialty) or equivalent experience in the major duties for at least 3 years.
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. The actual grade at which an applicant may be selected for this vacancy is GS-13.
Physical Requirements: See VA Directive and Handbook 5019
FUNCTIONS OR SCOPE OF PRACTICE
The CPS provider manages medication therapy by initiating, modifying and discontinuing medication both independently and in collaboration with other practitioners when needed. The CPS provider interfaces with providers, including physicians, PAs, ARNPs in the design of the veterans' treatment regimen to achieve optimization of rational and cost-effective drug therapy. The CPS will directly assist clinicians in rational drug selection by providing written and/or verbal consultation. From a verbal or written patient presentation of signs, symptoms, laboratory tests and diagnoses, recognizes and lists important medical problems, disease states, symptoms or abnormal laboratory values that may necessitate altering the therapeutic regimen or which may be induced by drug therapy. The CPS provider refers to the appropriate level of care for patients when needed and is responsible for providing and documenting care of assigned patients. The CPS provider has knowledge of VA/DOD clinical practice guidelines, The Joint Commission (TJC) standards, Veterans Affairs (VA) and Defense Health Agency (DHA) performance measures, VA Pharmacy Benefits Management (PBM) and DHA initiatives and will integrate these standards into practice. Indirect patient care activities include teaching/mentoring trainees, participating in quality assurance and improvement projects, supporting research, staff education and consultation.
A. Clinical - Direct Patient Care
Telework: AD-HOC
Virtual: This is not a virtual position.
Functional Statement #: 08905F
Relocation/Recruitment Incentives: Not Authorized
Qualifications:
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 required by 38 U.S.C. 7402(d), and 7407(d).
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.) (TRANSCRIPT REQUIRED)
Foreign Education:
(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). (CERTIFICATION REQUIRED)
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.
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).
GS-13 GRADE DETERMINATION:
Specialized Experience: Must have 1 year of experience equivalent to the next lower grade level GS-12. Experience includes but not limited to: 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.
**** NOTE: Experience must be well documented in Resume/CV to qualify for the position. ****
Assignments: Candidates at this grade level are to be in one of the assignments listed below. 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 (CPS): 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:
1. Ability to communicate orally and in writing to persuade and influence clinical and management decisions.
2. Expert understanding of regulatory and quality standards for their program area.
3. Ability to solve problems, coordinate and organize responsibilities to maximize outcomes in their program area or area of clinical expertise.
4. Expert knowledge of a specialized area of clinical pharmacy practice or specialty area of pharmacy.
5. Advanced skill in monitoring and assessing the outcome of drug therapies, including physical assessment and interpretation of laboratory and other diagnostic parameters.
**** NOTE: KSAs must be documented in Resume/CV to be qualified for the position. ****
Preferred Experience: In addition to basic Qualification Standard: completion of ASHP-accredited PGY-1 Pharmacy Practice Residency and/or PGY-2 Specialty Pharmacy Residency (in an applicable specialty) or equivalent experience in the major duties for at least 3 years.
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. The actual grade at which an applicant may be selected for this vacancy is GS-13.
Physical Requirements: See VA Directive and Handbook 5019
Responsibilities:
VA Careers - Pharmacy: https://youtube.com/embed/Fn_ickNBEwsFUNCTIONS OR SCOPE OF PRACTICE
The CPS provider manages medication therapy by initiating, modifying and discontinuing medication both independently and in collaboration with other practitioners when needed. The CPS provider interfaces with providers, including physicians, PAs, ARNPs in the design of the veterans' treatment regimen to achieve optimization of rational and cost-effective drug therapy. The CPS will directly assist clinicians in rational drug selection by providing written and/or verbal consultation. From a verbal or written patient presentation of signs, symptoms, laboratory tests and diagnoses, recognizes and lists important medical problems, disease states, symptoms or abnormal laboratory values that may necessitate altering the therapeutic regimen or which may be induced by drug therapy. The CPS provider refers to the appropriate level of care for patients when needed and is responsible for providing and documenting care of assigned patients. The CPS provider has knowledge of VA/DOD clinical practice guidelines, The Joint Commission (TJC) standards, Veterans Affairs (VA) and Defense Health Agency (DHA) performance measures, VA Pharmacy Benefits Management (PBM) and DHA initiatives and will integrate these standards into practice. Indirect patient care activities include teaching/mentoring trainees, participating in quality assurance and improvement projects, supporting research, staff education and consultation.
A. Clinical - Direct Patient Care
- Core functions include face-to-face, video, and telephone encounters with referred patients, for comprehensive medication management in practice areas identified in their individual scope of practice.
- 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, i.e. changes in medication therapy, monitoring, and additional testing requirements.
- Clinical pharmacy specialists will determine if a referral to the physician is necessary when disease progression occurs or adverse drug events require treatment interventions outside of the CPS scope of practice.
- Identify patients who may benefit from comprehensive medication management through population management reports and during team huddles.
- 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 recommendations for alternatives to current treatment plans as needed.
- Monitors and reports drug errors, adverse drug reactions, allergies, and patient compliance issues. Documents findings per facility procedures and in accordance with the VA ADERS Adverse Drug Reaction (ADR) reporting program.
- Applies knowledge to interpret laboratory values in the evaluation of patient care, recognizes significant abnormalities and makes dose adjustments or recommendations based on objective laboratory findings.
- Promotes and monitors compliance for established drug therapy policies
- Provides formal and informal education and in-services to pharmacy, medical, nursing and other staff as requested.
- Provides education to patients, their families and caregivers about medications, patient responsibilities, and information on health promotion.
- Serves as a preceptor for pharmacy students and pharmacy residents
- The incumbent is responsible for maintaining his/her professional competency by keeping up with information on new drugs, new drug therapies, innovations in pharmacy practice, and integrating this information in his/her daily practice.
Telework: AD-HOC
Virtual: This is not a virtual position.
Functional Statement #: 08905F
Relocation/Recruitment Incentives: Not Authorized
Salary : $150,535