Job opening: Clinical Pharmacist (Centralized Prior Authorization & Community Care)
Salary: $142 225 - 199 346 per year
Published at: Oct 29 2024
Employment Type: Full-time
As a Pharmacist (PADR) the primary functions are to cover Centralized Prior Authorization Drug Request (PADR) but may process for for all areas including Community Care Network Care in the Community (CCN) and outpatient services. The Pharmacist will process non-formulary requests for the health system based on criteria for use. Evaluate medication orders for community care orders.
Duties
Duties include but are not limited to:
Reviews all Prior Authorization Drug Reviews (PADRs), facility wide (internal and external), for appropriateness.
Implements and applies the VA formulary, guidelines, and restrictions to all PADRs being adjudicated.
Understands, reviews, and applies criteria for use for each requested drug or supply as appropriate for Community care Network Prescription orders.
Reviews, analyzes, and applies the available published medical literature as it pertains to PADRs and their adjudication.
Precept students and pharmacy residents
Collaborates with procurement technicians to ensure optimal use of resources and communication with staff regarding changes to drug availability.
Seeks to provide patients with the best drug therapy possible while balancing drug or supply availability and cost.
Documents PADR adjudication and/or formulary initiative activities in CPRS in a timely and professional manner as appropriate.
Interfaces and communicates with providers, pharmacists, and other staff, as needed, providing input and feedback before, during, and after the adjudication process for requested drugs or pharmacy supplies.
Reviews and evaluates requests for non-formulary and restricted drugs for appropriateness and compliance with established criteria.
Reviews patient medication regimens for clinical effectiveness, drug selection, dosing, contraindications, side effects, potential drug interactions, and therapeutic outcomes as required.
Serves as an authority on medication utilization, drug-drug and drug-food interactions, acceptable medication dosages, and compliance strategies.
Work Schedule: Varies
Telework: May be available on based on needs of service
Virtual: This is not a virtual position.
Functional Statement #: 00000
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
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: Applicants must possess one of the following:
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. 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.
Exception. Non-licensed pharmacists who otherwise meet the eligibility requirements may be given a temporary appointment at the entry level as a Graduate Pharmacist (GS-11 Level) 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.
Preferred Qualification:
At least 1 year of experience in evaluating prior authorization requests based on guidelines or organization's criteria.
Grade Determinations: In addition to the basic requirements above, applicants must possess the following grade requirements.
GS-11 Pharmacist:
Experience, Education, and Licensure. None beyond the basic requirements. (NOTE: See exception to licensure requirement listed above.
Assignment. Pharmacists at this grade level serve in a developmental capacity.
GS-12 Clinical Pharmacist
Experience or Education. In addition to the basic requirements, candidates must meet one of the following:
1 year of experience equivalent to the next lower grade level, or
Completion of an ACPE-accredited Pharm.D. program.
Assignment. A pharmacist in this assignment handles routine medication-related activities in accordance with local, Veterans Integrated Service Network (VISN), and national policies and regulations. These include, but are not limited to: 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. Pharmacists assigned to this position must demonstrate the following knowledge, skills and abilities (KSAs):
Knowledge of professional pharmacy practice.
Ability to communicate orally and in writing to both patients and health care staff.
Knowledge of laws, regulations, and accreditation standards related to the distribution and control of scheduled and non-scheduled drugs and pharmacy security.
Skill in monitoring and assessing the outcome of drug therapies, including physical assessment and interpretation of laboratory and other diagnostic parameters
Preferred Experience:
Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.
The full performance level of this vacancy is GS-12. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-11 to GS-12.
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 30 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 Jerry L Pettis Memorial Veterans Hospital
11201 Benton Street
Loma Linda, CA 92357
US
- Name: Michelle Covert
- Phone: 3852017032
- Email: [email protected]
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