Serves as a provider with prescribing privileges as outlined in the individual's practice area based scope of practice for the Clinical Pharmacy Specialist (CPS) in Geriatrics to provide comprehensive medication therapy management (MTM).

Duties

The primary responsibility of the CPS is the provision of evidence-based pharmaceutical care services through direct care with patients and consultation with other providers on their team. This CPS promotes and manages drug therapy based on current clinical knowledge that is consistent with policies established at the national, VISN, and local levels. The CPS functions as part of the Geriatrics and Extended Care Programs. The CPS will follow patients in direct care settings to achieve therapeutic goals. CPS are employees of their medical center's Pharmacy Service, to ensure they receive all professional guidance, policy and communications, along with department missions and goals, especially regarding the VA National Formulary, VISN and local medical center Pharmacy and Therapeutic Committee objectives for formulary management activities and patient safety updates (i.e. notices, bulletins). The Geriatrics CPS will perform their duties in one of the Geriatrics and Extended Care Program areas; Community Living Center (CLC), Geriatric Patient Aligned Care Team (GeriPACT), Home Based Primary Care (HBPC), Hospital in Home (HIH), Geriatric Medicine Education at Discharge (GMED) Program, Palliative Care Consult Team (PCCT) and Outpatient Palliative and Hospice Care (PHC) Program. The Geriatrics CPS may work remotely using telehealth technologies to include VA Video Connect (VVC) when the team requirements do not necessitate a full time Geriatrics CPS be physically present. The CPS will be given appropriate resources and physical space (i.e., treatment room) for the direct care of their patients. Clinical Duties: 1. Is 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. 2. Incumbent is actively involved in reviewing patient medication regimens for clinical effectiveness, drug selection, dosing, contraindications, side effects, potential drug interactions, and therapeutic outcomes as required as a provider. Communicates findings with other providers and provides appropriate alternatives to current treatment plans as needed. 3. Applies knowledge of normal laboratory values in the evaluation of patient care and recognizes significant abnormalities. 4. 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. 5. Coordinates and organizes responsibilities to maximize outcomes for telehealth care including management of health emergencies at remote site. As required, the CPS will provide tele-health assessments and treatment provided by tele-work. Education and Research: 1. Participates in the training and in-service of medical staff, nursing staff, residents, students and other allied health professionals as required. 2. Effectively instructs patients and family members in the appropriate use of medications and medical devices. Incumbent adjusts communication and tracking methods based on age and developmental considerations. Accurately assesses and document patient comprehension. Refers patients to educational programs provided at the medical center by multidisciplinary teams. 3. Utilizes effective written and verbal communication techniques in teaching others. 4. Assists in new employee orientation sessions as scheduled. 5. Assists in the development of proposals for improved and/or new clinical pharmacy services. Drug Information: 1. Serves as an authority on drug usage, interactions, over-dosages, and compliance to medical staff, nursing staff, technicians and students. Uses appropriate references to research drug information. 2. Possesses good working knowledge of information resources, both written and electronic. 3. Maintains current knowledge of therapeutics and disease management. 4. Provides timely and accurate responses to drug information inquiries from all customers. Work Schedule: Monday - Friday / 0800-1630 Telework: Available Virtual: This is not a virtual position. Functional Statement #: Clinical Pharmacist Specialist Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required

Requirements

Qualifications

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. Must be proficient in written and spoken English. 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, Illinois 60602-5109; 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.) 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. Exception. Non-licensed pharmacists who otherwise meet the eligibility requirements may be given a temporary appointment at the entry level as a Graduate Pharmacist under the authority of 38 U.S.C. § 7405(c)(2)(B). The appointing official may waive the requirement of licensure for a period not to exceed 2 years for a pharmacist that provides care under the supervision of a licensed pharmacist. For grade levels above the GS-11, the candidate must be licensed 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: (a) Experience: In addition to the GS-12 requirements which are:, 1 year of experience equivalent to the next lower grade level, OR 2. Completion of an ACPE-accredited Pharm.D. program, must have 1 year of experience equivalent to the next lower grade level. 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. AND Pharmacists assigned to this position must demonstrate the following KSAs: 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: 1. PGY2 Residency in Geriatrics, Ambulatory Care, Internal Medicine, or Pharmacotherapy 2. Board Certification in Geriatrics and/or Pharmacotherapy and/or Ambulatory Care thru the Board of Pharmaceutical Specialties 3. 1 year clinical pharmacy direct patient care experience in Geriatrics or Ambulatory Care functioning under a scope of practice within the past 18 months References: VA HANDBOOK 5005/55 PART II APPENDIX G15 LICENSED PHARMACIST QUALIFICATION STANDARD GS-660 The full performance level of this vacancy is GS-13. Physical Requirements: Moderate lifting, 15-44 pounds; Moderate carrying, 15-44 pounds; Reaching above shoulder; Use of fingers; Both hands required; Walking ( 8 hours); Standing ( 8 hours); Kneeling ( 1 hours): Repeated bending 4 hours; Both legs required: Near vision correctable at 13" to 16" to Jaeger 1 to 4: Specific visual requirement (specify) - DVA Correctable to 20/40; Both eyes required; Ability to distinguish basic colors: Hearing (aid may be permitted)

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Accreditation Information: 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, Illinois 60602-5109; phone: (312) 664-3575, or through their Web site at: ACPE. (NOTE: Prior to 2005 ACPE accredited both baccalaureate and Doctor of Pharmacy terminal degree program. Today the sole degree is Doctor of Pharmacy.) 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).

Note: If your school has changed names, or is no longer in existence, you must provide this information in your application.

Note: If your school was accredited by ACPE at the time of graduation but is no longer listed on the ACPE website, you must provide documentation of accreditation with your application packet.

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 Audie L Murphy Memorial Veterans Hospital 7400 Merton Minter Boulevard San Antonio, TX 78229 US
• Name: VISN 17 SSU USAS Group
• Email: [email protected]