The Clinical Pharmacy Specialist (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_ickNBEws Duties of this position include but are not limited to the following: Functions as an advanced practice provider for comprehensive medication management (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 Pharmacogenomics (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 via chart review Obtains oral informed consent and documents the encounter in the electronic medical record Orders PGx testing when 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 Evaluated third party pharmacogenomic testing results to determine clinical validity and utility 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 Performs limited external physical assessment and performs medication reconciliation in alignment with established policies or procedures 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) Determines if a referral to a physician is necessary when disease progression occurs, or adverse drug events require a higher level of treatment intervention Accepts urgent or same day patient visits including, but not limited to, patient medication review for polypharmacy, recent hospital or emergency department discharges, and co-managed care patients Follows up via face-to-face, telehealth, eConsult, telephone, secure messaging, and other modalities to provide patient care 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, recognized significant abnormalities, and makes dose adjustments or recommendations based on objective laboratory findings Works with providers to ensure compliance with national, VISN, and local initiatives (e.g. National Telepharmacogenomics) 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 Lead diffusion of the PGx pharmacist train the trainer program to offer training to pharmacy leaders clinical pharmacists, clinical pharmacy practitioners, and pharmacy Residents Provides formal and informal education and in-services to pharmacy, medical, nursing, and other staff as requested Serves as a subject-matter expert in PGSx for assigned committees, workgroups, or interdisciplinary teams Participates in self-development activities to maintain and strengthen professional competence in PGx and precision medicine Willing to serve as a clinical instructor or preceptor for pharmacy students and/or Residents Assists in new employee orientation education sessions as needed Participates in the appropriate, effective, and safe use of pharmaceuticals by contributing to criteria development, data collection, quality assurance and drug-use evaluation and other quality improvement activities for core practice area(s) medication use and PGx Assists in the facilitation, evaluation, and implementation, in collaboration with local laboratory service to offer PGx testing where it is not available Administratively manage the PGx pharmacist train the trainer program tracking activity and reporting these data to PGx National Other Duties as Assigned Work Schedule: Monday-Friday 0800-1630 Telework: Ad-Hoc Functional Statement #: 30220-F Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Contact [email protected], the EDRP Coordinator for questions/assistance. Learn more Permanent Change of Station (PCS): Not Authorized 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. 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) 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 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, Illinois60602-5109; 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.NOTE: Individuals who have or have had multiple licenses and had any such license revoked for professional misconduct, professional incompetence or substandard care, or who surrendered such license after receiving written notice of potential termination of such license by the State for professional misconduct, professional incompetence, or substandard care, are not eligible for appointment to the position unless such revoked or surrendered license is fully restored (38 U.S.C. 7402(f)). Effective November 30, 1999, this is a requirement for employment. This requirement does not apply to licensed pharmacists on VA rolls as of that date, provided they maintain continuous appointment and are not disqualified for employment by any subsequent revocations or voluntary surrenders of State license, registration or certification. In addition to the basic requirements listed above, the below qualification requirements must be met. 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). Grade Determinations: GS-13 Clinical Pharmacy Specialist (Pharmacogenomics) Experience. Must have 1 year of experience equivalent to the next lower grade level that includes: (Must be documented on your resume.) (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. 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: (Must be documented on your resume.) 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: PGY1 Residency, PGY2 residency and board certification preferred. References: VA Handbook 5005/55, Part II, Appendix G15 dated June 7, 2012.The full performance level of this vacancy is the GS-13. The actual grade at which an applicant may be selected for this vacancy is in the GS-13. Physical Requirements: The work may require sitting for long periods of time (4-8 hours) with occasional stooping or kneeling, walking, and standing for long periods of time. The principle duties require repetitive use of hands and fingers (i.e., typing, writing). The incumbent must be physically capable of operating various types of equipment used for the job (i.e. computer, telephone).

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 Lexington VA Health Care System 2250 Leestown Road Lexington, KY 40511 US
• Name: Kent McGregor
• Phone: 615-947-8891
• Email: [email protected]