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.

Duties

VA Careers - Pharmacy: https://youtube.com/embed/Fn_ickNBEws 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. FUNCTIONS OF THE POSITION: Clinical - Direct Patient Care Activities (20-40%): 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 via chart review Obtains oral informed consent and documents this 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 Evaluates third party pharmacogenomic testing results to determine clinical validity and utility for the Veteran served Utilizes race-agnostic PGx dosing guidelines and algorithms in accordance with PharmGKB statement on eliminating race-based medicine Identifies and reconciles drug-gene, drug-gene-disease, and drug-drug-gene (i.e., phenoconversion) interaction Ensures PGx testing and test results are handled in an ethical manner---also considering social and legal implications---and that patients are provided access to their genetic data when applicable 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 result Ensures referral of complex or unstable patients to higher level care, when needed Communicates with team for next steps and coordination of care, when necessary 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). 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 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. Program Management, Educational, and Administration (60-80%): 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, clinical pharmacy Practitioners, and pharmacy residents. Hours: Mon- Fri 8 a.m. to 4:30 p.m. with occasional holidays and weekend tour, 9:30 a.m. to 6 p.m. occasional tour

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. Applicants must meet all requirements by the time this announcement closes. 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. Language: Be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). Licensure: Possess a full, current, and unrestricted license to practice pharmacy in a State, Territory, Commonwealth of the U.S. (i.e. Puerto Rico), or the District of Columbia. Education: Be a 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. (TRANSCRIPT REQUIRED) GS-13 Grade Determination: Experience: In addition to the basic requirements, you must possess one-year of experience equivalent to the next lower grade level (GS-12). Equivalent experience to the next lower grade level (GS-12) may include: 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. AND You must demonstrate the following Knowledge, Skills, and Abilities (KSA's): 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: One or more of the following: Completion of an American Society of Health-System Pharmacists (ASHP) accredited residency program AND/OR: Active and current Board of Pharmacy Specialties (BPS) certification in Pharmacotherapy or Ambulatory Care AND/OR: Completion of an American Society of Health-System Pharmacists (ASHP) accredited Post-Graduate Year 2 (PGY-2) residency program. References: VA Handbook 5005 Part II, Appendix G15, Licensed Pharmacist VA Qualification Standard Physical Requirements: Physical movements involve completion of routine pharmacy functions which include but are not limited to significant computer work/typing, prescription order entry and processing, contact of patients (both face to face and via phone). Certain tasks are repetitive in nature and require multiple steps performed in succession for success. The incumbent should be able to lift and carry up to 50 pounds without significant difficulty. Incumbent must be able to stand or sit in one place for considerable time during completion of complex tasks. Complexity of mental processes involved is extensive, demanding, and challenging.

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 John J Pershing VA Medical Center 1500 North Westwood Boulevard Poplar Bluff, MO 63901 US
• Name: Rebecca Hampton
• Phone: 573-413-3921
• Email: [email protected]