Practices as a Clinical Pharmacy Specialist for the Charlotte Avenue VA Clinic in Nashville TN. The Clinical Pharmacy Specialist will independently manage pharmacotherapy patients in his/her pharmacotherapy clinics, improving the clinic system efficiency and quality.

Duties

VA Careers - Pharmacy: https://youtube.com/embed/Fn_ickNBEws This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. ***Position is located at the Charlotte Avenue VA Clinic in Nashville, TN.*** Major Duties include, but are not limited to the following: Utilizes the highest level of clinical privileges for Clinical Pharmacy Specialists to manage assigned patients. Interfaces with providers, including physicians, PAs, ARNPs in the design of the Veteran's treatment regimen to achieve optimization of rational and cost-effective drug therapy. Serves as an authoritative information source on drugs and their utilization in therapy, with special emphasis on medications used in treatment of the assigned patients. Evaluates the drug literature by analysis of experimental design and methodology, in order to compare and contrast therapeutic regimens and roles for new drugs, with a special emphasis in medications used in referred patients. From a verbal or written patient presentation of signs, symptoms, laboratory tests and diagnoses, recognizes, and lists important medical problems, disease states, symptoms or abnormal laboratory values that may necessitate altering the therapeutic regimen or which may be induced by drug therapy. Establishes and expands the patient data base through interpreting the drug history, medical history, physical examination, and ongoing patient specific monitoring of therapy, with documentation in the formal patient medical record. Designs a therapeutic regimen or plan, based on patient-specific information that includes establishing a therapeutic endpoint, electing an appropriate drug and related therapy, and establishing an appropriate dosage regimen. Monitors and assesses therapeutic and adverse effects of drug therapy (including drug interactions) through selection and evaluation of physical and laboratory parameters. With approved clinical privileges assumes authority to direct therapy and order lab tests as indicated for appropriate patient monitoring. Provides consultation on selection of appropriate therapeutic regimens as a follow-up of non-therapeutic drug concentrations obtained from ambulatory care and inpatients. Provides highly specialized education and training support to other professional services in the broad area of advanced pharmacotherapy, with special emphasis on Pharmacotherapy. Works to develop, upgrade, and disseminate acceptable criteria for use of formulary and nonformulary medications and other high-cost items directed at employing cost effectiveness without compromising the quality of patient care. Provides physicians and other providers a focal resource for discussion of medical problems requiring a pharmaceutical intervention. Interviews each patient conducting a medication history and formulating a pharmaceutical care plan. Identifies all drug-induced problems that may be affecting the patient or contributing to a need for hospitalization. This would include drug side effects, allergic reactions, toxicities, improper dosage regimens, non-compliance, etc. Makes recommendations to the responsible physician for optimal management of drug induced problems either verbally or in writing. Evaluates the risk-benefit ratio of various therapeutic alternatives, develops a therapeutic plan utilizing the most efficacious, least toxic, and most economical pharmacological treatment modalities available, and communicates these plans to the patients' physician. Manages the medication programs of patients by writing verbal orders for appropriate medications, diagnostic studies, etc., in the patients' medical records, in consultation with the responsible physician. Provides and promotes cost effective pharmacy services, offering reasonable, appropriate alternatives to high-cost drugs. When assessing or providing patient care the employee will evaluate the impact of the age of the patient as it relates to ability to understand directions, provide objective self-assessment or any other medical milieu appropriate to the overall treatment plan. Work Schedule: To be determined by the service Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 000000/Clinical Pharmacist 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. 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. (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. English Language Proficiency. Pharmacists must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). Preferred Experience: - Doctor of Pharmacy degree plus (1), (2), or (3), below: 1) Completion of an ASHP accredited PGY-1 Pharmacy Practice residency and Three (3) years of practice with substantial component of patient care activities acting as a mid-level provider in the specialty area of primary care and/or preventive medicine. 2) Completion of BOTH an ASHP accredited PGY-1 Pharmacy Practice and a PGY-2 Ambulatory Care Residency with focus in chronic disease state management and three additional years of practice with a substantial component of patient care activities serving as a mid-level provider in specialty area of primary care and/or preventive medicine. 3) Completion of BOTH an ASHP accredited PGY-1 Pharmacy Practice Residency and a AHSP PGY-2 Specialty Ambulatory Care Residency with a substantial component of patient care activities during the residency, serving as a mid-level provider in specialty area of primary care. Grade Determinations:GS-13: (a) Experience. This position is above the full performance level for Licensed Pharmacists. 1-year of experience equivalent to the GS-12 level is required. This experience would allow you competently demonstrate the following GS-12 level Knowledge, Skills and Abilities (KSAs): 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. (b) 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: 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. References: VA Handbook 5005, Part II, Appendix G15 LICENSED PHARMACIST QUALIFICATION STANDARD, GS-0660, Veterans Health Administration, Dated June 7, 2012. The full performance level of this vacancy is 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 Tennessee Valley HCS - Nashville 1310 24th Avenue South Nashville, TN 37212 US
• Name: Matthew Kale
• Phone: 828-318-7817
• Email: [email protected]