This Clinical Pharmacy Specialist (Clinical Pharmacy Practitioner) position is in the VA Maine Healthcare System, located at the Togus, ME location. This position is a full-time at 40 hours per week. 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: 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. 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. English Language Proficiency: Pharmacists must be proficient in spoken and written English. IN ADDITION TO THE BASIC REQUIREMENTS APPLICANTS MUST MEET THE FOLLOWING: GS-12 Clinical Pharmacist (Full Performance Level)1. One (1) year of experience equivalent to the next lower grade level,Or2. Completion of an ACPE-accredited Pharm.D. program. Pharmacists assigned to this position must demonstrate the following knowledge, skills and abilities (KSAs) at the GS-12 level: 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. GS-13 Clinical Pharmacy Specialist (Above Full Performance) Experience. In addition to the GS-12 requirements, candidates must have 1 year of experience equivalent to the next lower grade level (GS-12).These duties include, but are not limited to: reviewing, interpreting, and verifying medication orders for appropriateness; processing and filling medication orders; interacting with and making recommendations to other clinical staff regarding medication therapy ordered to ensure safe and effective care; reviewing the patient's medications, allergies, labs, and other pertinent information from the medical record to identify and solve medication-related problems; contacting providers as appropriate; documenting recommendations and interventions; providing refill extensions and partial medication supplies; taking health and medication histories; performing medication reconciliation; providing drug information; assisting in formulary management including therapeutic substitutions, nonformulary reviews and medication usage evaluations; documenting and assessing adverse drug events (ADEs); assisting in medical emergencies; providing oversight of technical staff in all aspects of medication distribution. Pharmacists assigned to this position must demonstrate the following knowledge, skills and abilities (KSAs) at the GS-13 level: 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. References: (From VA Qualification Standards) References: VA Handbook 5005/15, Part II, Appendix G-15. Pharmacist Qualification Standard, GS-660.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: Work requires moderate lifting, walking, reaching above head, bending, stooping, standing, pushing, pulling, lifting/carrying of light items (up to 15 pounds) and coordination for rapid mental and muscular coordination simultaneously. Ability to read both computer and printed documents; Hearing with minimal ability to carry a conversation with patient and health care staff. ["Duties: VA Careers - Pharmacy: https://youtube.com/embed/Fn_ickNBEws The Clinical Pharmacy Specialist performs duties of a clinical and teaching nature, including direct patient care, routinely functioning with minimal supervision as an independent practitioner operating under a scope of practice. The incumbent must be capable of using professional judgment and clinical expertise to solve complex problems and to provide clinical information to VA Maine Healthcare providers and Veterans. Duties of the Pharmacist (Clinical Specialist) include, but are not limited to: Serves as an authority on pharmaceutical care in specialized and routine areas of clinical pharmacy practice for medical, nursing and pharmacy staff. Responsible for the evaluation, monitoring and medication management of Veterans referred by consult to the Clinical Pharmacy Specialist for chronic disease state management. Initiation and prescribing of appropriate pharmacotherapy and laboratory monitoring related to national guideline-based treatment of diabetes, dyslipidemia, and hypertension and other chronic disease state medication management as requested by VA Primary Care Providers. Design of a therapeutic regimen or plan, based on patient specific information, which includes establishing a therapeutic endpoint, selecting an appropriate drug therapy, establishing an appropriate dosage regimen and providing appropriate and timely lab monitoring of related to all prescribing activity. Responsible for the evaluation, monitoring and management of Veterans referred by consult to VA Maine Healthcare Anticoagulation Clinic (ACC), this includes warfarin dose adjustment, determination of frequency of laboratory follow-up and management of \"bridging\" with low molecular weight heparins. Participation in quality management initiatives and monitoring of anticoagulation therapy, patient education and serves as an anticoagulation therapy information resource to all VA Maine Healthcare providers. Review of medication regimens of all referred patients and noting for the VA provider any findings that might require action that include but are not limited to: Inappropriate dose, dose interval, or dosage form; Drug and/or pharmacologic duplication; Adverse drug-drug, drug-lab, or drug-food interaction; Adverse drug reactions (reports adverse drug events (ADE), near misses and, medication errors in alignment with VA ADERS reporting program; Inappropriate therapeutic regimen; Misuse of medication, i.e., abuse, overuse or underutilization. Recommends alternative drug therapies designed to reduce cost of medications while continuing to ensure optimal therapeutic response. Serves as drug information resource for Ambulatory Care/PACT providers answering inquiries regarding therapeutics, drug interactions, dosing, side effects, formulary options, etc. Work Schedule: Full-Time, Monday-Friday 7:30am-4:00pm Compressed/Flexible: Not authorized Telework: VA supports the use of telework as a way to help attract and retain talented individuals in public service, increase worker productivity, and better prepare the agency to operate during emergencies. This position may be authorized for telework. Telework eligibility will be discussed during the interview process. Virtual: This is not a virtual position. Functional Statement #: F05267 Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized Financial Disclosure Report: Not required NOTIFICATIONS: This position is in the Excepted Service. This position is an AFGE Bargaining Unit positions. Due to a critical staffing shortage, 38 U.S.C. § 7412 waives the requirement to apply Veterans' preference for this job announcement. This position is covered by a special rate Travel and relocation expenses are not authorized. Narrative responses to the knowledge, skills and abilities (KSAs) will be required from the selectee in order to proceed with the appointment. Current or Former Federal Employees must submit copies of their most recent SF-50, (Notice of Personnel Action). The SF-50 must identify the position title, series, grade, step, tenure, and type of service (Competitive or Excepted). In some cases, more than one SF-50 may be required to show a higher grade previously held. Incomplete applications will not be considered Applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Applicants will not be appointed to the position if a verified positive drug test result is received. Selectee will be required to complete additional forms to proceed with employment process."]
The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. At VA Long Beach Healthcare System, our health care teams are deeply experienced and guided by the needs of Veterans, their families, and caregivers. Our medical center provides primary care and specialty health services, including cardiology, mental health care, treatment for spinal cord injuries and disorders, suicide prevention, women’s health services, and more.