The Clinical Pharmacy Practitioner (CPP) functions at the highest level of clinical practice and top of licensure and serves as an advanced practice provider working independently, but collaboratively, with prescribing privileges as outlined in the individual's practice area-based scope of practice. The CPP provider delivers evidence-based comprehensive medication management (CMM) through direct patient care and as part of the interdisciplinary team providing PGx management.

Duties

VA Careers - Pharmacy: https://youtube.com/embed/Fn_ickNBEwsClinical - Direct Patient Care Activities Functions as an advanced practice provider for CMM services to achieve defined outcomes through direct interactions with patients and providers in assigned care area(s). Functions as part of the interdisciplinary team to provide PGx-based CMM, which may include, but is not limited to: Prescribes, monitors, and adjusts medications related to PGx management Obtains pertinent medical history and obtains accurate medication related history and PGx family history from patient and chart review Orders PGx testing indicated to aid in the process of medication and dosage selection or deprescribing Monitors, and interprets pharmacogenomic results and other needed labs; implements follow up on treatment actions as clinically indicated Identifies and reconciles drug-gene, drug-gene-disease, and drug-drug-gene (i.e., phenoconversion) interactions Designs patient-specific medication and dosage regimens based on a person's PGx profile and other pertinent factors, such as pharmacokinetic and pharmacodynamic properties of a medication, drug-drug, and drug- gene interactions, comorbidities, patient demographics, and laboratory data to optimize patient outcomes Provides resources and education that empower patients to make informed healthcare decisions about undergoing PGx testing and understanding their test results Performs limited external physical assessment and performs medication reconciliation in alignment with established policies or procedures In addition to PGx management, provides CMM for complex patients with chronic diseases; orders and interprets labs or other needed tests pertinent to CMM and makes needed referrals. May also treat other co-morbid conditions (in alignment with scope of practice). Clinical - Indirect Patient Care Activities 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 Facilitate the creation of pharmacist-led specialty PGx services using either consult, e-consult, or care coordination agreement (CCA) functionality Monitors and reports drug errors, adverse drug reactions, allergies, and patient compliance issues. Documents findings per facility procedures and in accordance with the VAADERS Adverse Drug Reaction (ADR) reporting program Reviews relevant population management dashboards to identify patients who may benefit from engagement in care for PGx testing, management, and/or risk mitigation 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 Provides input and recommendations as the PGx subject matter expert during routine patient care planning or targeted complex or high-risk reviews Program Management, Educational, and Administration Advocate for the rational and ethical use of PGx testing as part of routine care Educate healthcare professionals using academic detailing frameworks about PGx principles and appropriate indications and contra-indications for cost-effective PGx testing Provide resources and education that empower patients to make informed healthcare decisions about undergoing PGx testing and understanding their test result Lead diffusion of the PGx pharmacist train the trainer program to offer training to pharmacy leaders, clinical pharmacists, clinical pharmacy practitioners, and pharmacy residents Create clinical workflows to facilitate PGx testing for specific patient cohorts Facilitate PGx test results are handled in an ethical manner and that patients are provided access to their genetic data when applicable Provides formal and informal education and in-services to pharmacy, medical, nursing, and other staff as requested Serves as a subject matter expert in PGx for assigned committees, workgroups, or interdisciplinary teams Provides education to patients, their families and caregivers about medications, patient responsibilities, and information on health promotion. Participates in self-development activities to maintain and strengthen professional competence in PGx and precision medicine Work Schedule: Monday- Friday day shift Compressed/Flexible:Not eligible Telework: Available Virtual: This is not a virtual position. Financial Disclosure Report: Not required

Requirements

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: Graduate of an accreditation Council for Pharmacy Education accredited College or School of Pharmacy with a baccalaureate degree in pharmacy and/or a Doctor of Pharmacy degree. Licensure: Full, current and unrestricted license to practice pharmacy in a State, Territory, Commonwealth of the United States 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, an 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. Physical Requirements: See VA Directive and Handbook 5019. English Language Proficiency: Pharmacists must be proficient in spoken and written English. Grade Determinations: GS-13 Experience. In addition to the GS-12 requirements, must have 1 year of experience equivalent to the next lower grade level. Pharmacists assigned to this position must demonstrate the following knowledge, skills and abilities: Ability to communicate orally and in writing to persuade and influence clinical and management decisions Expert understanding of regulatory and quality standards for their program area Ability to solve problems, coordinate and organize responsibilities to maximize outcomes in their program area or area of clinical expertise Expert knowledge of a specialized area of clinical pharmacy practice or specialty area of pharmacy Advanced skill in monitoring and assessing the outcome of drug therapies, including physical assessment and interpretation of laboratory and other diagnostic parameters. Preferred Experience: Pharmacogenomic Certificate or experience; Program management or direct patient care experience; PGY1 Pharmacy Residency +/- PGY2 Pharmacy Residency References: VA Handbook 5005, Part II, Appendix G15. The full performance level of this vacancy is GS13. Physical Requirements: Must be physically and mentally able to perform efficiently the duties of the position.

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.

Contacts

• Address Bath VA Medical Center 76 Veterans Avenue Bath, NY 14810 US
• Name: Tara Lanigan
• Phone: 612-467-6517
• Email: [email protected]