The Anticoagulation Program Manager/Formulary Manager Clinical Pharmacy Specialist (CPS) or Clinical Pharmacist Practitioner (CPP) will function at the highest level of clinical practice, providing comprehensive medication management working under a scope of practice in anticoagulation as defined by the medical center that is consistent with policies established at the national, VISN, and local levels.

Duties

The Anticoagulation Program Manger CPP have full responsibility to develop, organize, and manage patients diagnosed with conditions needing anticoagulation therapy and to coordinate further diagnostic assessment through appropriate professionals when there is question regarding the treatment diagnosis. Serves as the facility Anticoagulation Program Manager. The Program Manager is responsible for managing comprehensive patient care and daily activities of the Anticoagulation Clinic. They will have full responsibility to develop primary care and specialty referral-based services such as physician consultation, utilization of population management to identify patients needing pharmaceutical care interventions, and to establish rapport to serve as leaders in anticoagulation within the facility. Anticoagulation CPP should have operational knowledge in the management of direct oral anticoagulant and warfarin use. Anticoagulation CPP will serve as Sheridan VA HCS pharmacy representative providing consultation and support for specialty initiatives. The Anticoagulation CPP will provide services as determined by approved Scope of Practice. As the Formulary Manager, the CPP will serve as the primary prior authorization drug request reviewer. Complete and document reviews in the Electronic Health Record in a timely manner (every effort will be made to complete reviews in no later than 96 hours of medication request) and include allergy assessment, ADR information, drug-drug and drug-food interaction potential, lab value assessment, elimination of duplicate/obsolete orders and appropriate drug conversions. Reviews and adjudicates non formulary and prior authorization drug requests for appropriateness, utilizing clinical knowledge, national and VISN treatment guidelines, drug criteria for use and relevant literature and resources. Oversees the formulary management process as it relates to implementation, enhancement and standardization when appropriate. Critically reviews non-formulary drug requests for appropriateness and provides feedback to providers. Serves as resource to Clinical Pharmacist Practitioners and Clinical Pharmacists in the approval of questionable requests. Track and trend non-formulary usage by drug, service and provider to identify target areas of inappropriate usage. Additionally, will identify, develop and present medication hierarchies to appropriate committees and ensure cost effective patient care. Directly involved in the design, implementation and monitoring of therapeutic drug plans to achieve definite outcomes through direct interactions with patients and providers in assigned areas in pain as outlined in the individual's scope of practice. Maintains an active scope of practice, serving as a pharmacist with advanced scope of practice within the ambulatory care through provision of patient care during new patient and follow up visits for chronic disease states. -Has expertise in the principles of clinical pharmacokinetics and pharmacodynamics and is knowledgeable and able to make dose adjustment recommendations based on objective laboratory findings. 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 alternatives to current treatment plans as needed. Documents and ensure completion of clinical interventions, encounters, alerts and consults in CPRS in a timely and professional manner as appropriate. Obtains medication histories from patients and summarizes significant findings in the medical record and/or to the provider as appropriate and is accountable for medication reconciliation according to facility policies. Works with other Primary Care/Mental Health healthcare professionals (i.e. Physiatrists, Psychiatrists, Physicians, Psychologists, Social Workers, Nurses, etc.) and assists in providing education and medication management to patients in both individual and group settings. All other duty's as assigned Work Schedule: Monday-Friday 8:00am-4:30pm Telework: Ad-hoc Virtual: This is not a virtual position. Functional Statement #: 58645-O Relocation/Recruitment Incentives: 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: Citizenship: Citizen of the United States. (Noncitizens may be appointed when it is not possible to recruit qualified citizens. 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: 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 Doctor of Pharmacy. OR Graduates of foreign pharmacy degree programs that 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. Grade Determinations: In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates. GS-13 Experience. In addition to the basic requirements, must have 1 year of experience equivalent to the next lower grade level GS 12. The required specialized experience for the GS-12 includes: Handling routine medication-related activities in accordance with local, network, and national policies and regulations. 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. GS-13 KSA's. Pharmacists assigned to this position must demonstrate all of the following Knowledge Skills and Abilities (KSAs): 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: PGY1 Residency completion or equivalent work history in anticoagulation or formulary management. Current prescribing privileges in anticoagulation. References: VA Handbook 5005/55 Part II Appendix G15 The full performance level of this vacancy is 13. Physical Requirements: This position provides services to patients and their families. Incumbents must be physically and mentally able to efficiently perform the essential functions of the position without hazard to themselves or others. Normal work of the position requires visual acuity (with the ability to read typewritten characters without strain, corrective lenses permitted), keen hearing, clear distinctive speech, manual dexterity. This position may require reaching above shoulder-level height and requires potentially moderate levels of lifting and carrying (15-44 pounds). This position requires long periods of sitting, standing and walking. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs.

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 Sheridan VA Medical Center 1898 Fort Road Sheridan, WY 82801 US
• Name: Tamara Martin
• Phone: (801) 584-1284
• Email: [email protected]