Veterans Affairs, Veterans Health Administration Clinical Pharmacist Specialist (PACT) in San Diego, California
Summary Responsibilities Clinical Pharmacy Specialist/Patient Aligned Care Team must be a licensed pharmacist, will serve as a provider with prescribing privileges as outlined in the individual's Scope of Practice for Clinical Pharmacy Specialist (CPS) in PACT. The primary responsibility of the Clinical Pharmacy Specialist is the provision of evidence-based pharmaceutical care services through both direct and indirect interaction with patients and providers. Promotes and manages drug therapy based on current clinical knowledge that is consistent with policies established at the national, VISN, and local levels. Functions as part of the PACT Team and is most effective when assigned to a panel of patients, to support continuity of care. a. Works with the assigned Patient Aligned Care Team (PACT) to optimize patient care b. Participates in multidisciplinary team meetings for ongoing development of pharmacy PACT program c. The monthly clinic utilization summary (CUSS) for all clinics requires 80% face to face for Satisfactory performance. d. The monthly clinic utilization summary (CUSS) for all clinics requires 80% telephone clinic for Satisfactory performance. e. The total monthly pharmacy encounters for all clinics (face to face and telephone) requires 140 encounters for Satisfactory performance. f. The total weekly patient appointments for all clinics (face to face and telephone) requires 30 hours for Satisfactory performance. g. Maintains data to evaluate program success on ongoing basis. h. Assists in screening patients for PACT pharmacy services i. Serves as a primary provider for patients in the clinical setting and assumes personal responsibility for successful clinical patient outcomes via prescription and monitoring of pharmacotherapy as per clinical privileges for PACT. j. In collaboration with the health care team, contributes to the design, implementation, modification and monitoring of cost-effective therapeutic plans for patients. Includes ordering and interpreting laboratory tests and clinical data to assist in monitoring patient care. Requires knowledge of and ability to adhere to formulary and therapeutic guidelines. k. Document all pharmaceutical care activities appropriately utilizing CPRS including all patient encounters, significant findings, assessment and plan. l. Delivers effective education to patients, the public and healthcare professionals. Provide concise, applicable, and timely responses to requests for drug information from healthcare providers and patients. m. Appraise existing drug therapy of patients to determine the appropriateness of drug, dose, route/frequency and method of administration. When appropriate, will assess, document and intervene for concerns such as compliance, drug interactions, therapeutic duplications, therapeutic outcomes, formulary adherence, and cost. n. Identifies, interprets, and resolves prescribing and dispensing issues in a timely manner. o. Participates in the medication reconciliation process by interviewing patients and documenting medication use including facilitating communication with appropriate healthcare providers when conflicts are identified and by documenting non-VA medication as per medical center policy. p. Works within the assigned scope of practice along with completing all progress notes in a timely manner per hospital policy. q. Coordinates patient care with primary care and specialists when appropriate. Work Schedule: Full-time, permanent, Monday-Friday (8 hour shifts between 7 am - 5:30 pm)Financial Disclosure Report: Not required Requirements Conditions of Employment Qualifications 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: 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. 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:(1) 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.(2) 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.(3) 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. Preferred Qualifications: Pharm.D., completed a residency or fellowship, or equivalent experience. Grade Determinations: Must have one (1) year specialized experience at the grade 12 to be eligible for the grade 13. In addition to meeting the specialized experience at the next lower grade, you must meet the following Knowledge, Skills and Abilities (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. References: VA Handbook 5005, Part II, Appendix G15. The full performance level of this vacancy is GS-13. Physical Requirements: This position is primarily sedentary with some reaching, bending, walking. 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. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. If you are unable to apply online view the following link for information regarding an Alternate Application.