This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.

Duties

The CPS (Transition of Care) manages pharmacotherapy to ensure that treatment guidelines and appropriate medication monitoring recommendations are being followed, in addition to adherence to National Formulary and local policy. The Clinical Pharmacy Specialist can independently manage the pharmacotherapy of patients transitioning care settings under their own scope of practice and in conjunction with the transition of care team or other providers involved in the patient's care. Duties include but not limited to: Work with patients through their transition of care in the inpatient and ambulatory care setting in conjunction with the transitions of care team, or other designated team, and follow up independently with a focus on pharmacotherapy and medication education and reconciliation as appropriate for both inpatient and outpatient setting. Fully utilizes the highest level of clinical privileges for CPSs to manage assigned patients. With approved clinical privileges, assumes authority to direct therapy and order lab tests, as indicated, for appropriate patient monitoring. Authority to treat patients can be given either via consult, provider request, function of team membership, or locally approved policy for automatic consult. Interfaces with providers, including physicians, PAs, ARNPs in the design of the patient'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, including medication reconciliation as needed, medical history, allergies/adverse drug events, physical examination, and ongoing patient specific monitoring of therapy, with documentation in the electronic 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 regimen and follow up. Monitors and assesses therapeutic and adverse effects of drug therapy (including drug interactions) through selection and evaluation of patient-specific and laboratory parameters. Works to publicize and institute criteria for use of formulary and non-formulary medications. Provides consultation on selection of appropriate therapeutic regimens as a follow-up of non- therapeutic drug concentrations obtained from ambulatory care and inpatients. Completes all clinical reminders, assigned by pharmacy supervisor, that are actionable at the time of the patient encounter. Interviews patients, conducting a medication history and formulating a pharmaceutical care plan; performs medication reconciliation as a component of provider duties. 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. Completes or reroutes any secure messages that are directed to the CPS. Provides and promotes cost-effective pharmacy services, offering reasonable, appropriate alternatives to high cost drugs. May use telehealth modalities (e.g., clinical video telehealth) to improve access for patients requiring pharmacotherapy as needed for patient care encounters. May participate in shared medical appointments or group education, as approved by Pharmacy Administration. May propose additional programs or services that assist the pharmacy service in providing pharmacotherapy services, with review by Pharmacy Administration. Participates in interdisciplinary team meetings/rounds. Work Schedule: Employees may be required to work day, evening, night, weekend, holiday and/or compressed, tours on a rotating schedule. The hours may vary per the needs of the service and will rotate, on a fair and equitable basis, to include weekends and holidays. Telework: Available - Per Agency policy and Service Approval on an Ad hoc basis. Virtual: This is not a virtual position. Functional Statement #: 82335F Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Former EDRP participants ineligible to apply for incentive.Contact [email protected], the EDRP Coordinator for questions/assistance. Learn more

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. 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: (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. NOTE: Prior to 2005 ACPE accredited both baccalaureate and Doctor of Pharmacy terminal degree program. Today the sole degree is Doctor of Pharmacy. (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. 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. NOTE: Individuals who have or have had multiple licenses and had any such license revoked for professional misconduct, professional incompetence or substandard care, or who surrendered such license after receiving written notice of potential termination of such license by the State for professional misconduct, professional incompetence, or substandard care, are not eligible for appointment to the position unless such revoked or surrendered license is fully restored (38 U.S.C. § 7402(f)). Effective November 30, 1999, this is a requirement for employment. This requirement does not apply to licensed pharmacists on VA rolls as of that date, provided they maintain continuous appointment and are not disqualified for employment by any subsequent revocations or voluntary surrenders of State license, registration or certification. Grade Determinations: In addition to the basic requirements for employment above, the following criteria must be met when determining the grade of candidates. Clinical Pharmacy Specialist GS-13 Experience. In addition to the GS-12 requirements, 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. 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 and monitoring and assessing the outcome of drug therapies comma including physical assessment and interpretation of laboratory and other diagnostic parameters. Preferred Experience: PGY1, PGY2 Residency in an applicable area, experience in transitions of care, and Board Certification in Pharmacy or other related area. References: VA Handbook 5005, Part II, Appendix G15 The full performance level of this vacancy is GS-13 Physical Requirements: The work involves light to moderate lifting; light to moderate carrying; reaching above shoulder, use of fingers, both hands required, walking; standing; repeated bending, ability for rapid mental and muscular coordination simultaneously; near vision correctable, far vision correctable in one eye, ability to distinguish basic colors/shades of colors; hearing aid permitted.The work of this position involves everyday risks or discomforts which require normal safety precautions typical of such places as offices, meeting and training rooms, libraries, and residences or commercial vehicles, e.g., use of safe work practices with office equipment, avoidance of trips and falls, observance of fire regulations and traffic signals. The work area is adequately lighted, heated, and ventilated. Occasional travel may be required.

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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Contacts

• Address Orlando VA Medical Center 13800 Veterans Way Orlando, FL 32827 US
• Name: Manuel Colon
• Phone: 407-631-8496
• Email: [email protected]