This position plans and provides primary and clinical pharmacy care in Ambulatory Care and Endocrinology areas at Midtown CBOC. The primary functions are managing therapy of patients with chronic medical conditions to achieve predetermined therapeutic goals; responding to consult requests from medical staff; improving success rate on critical medical center performance measures; educating and training medical and allied health care staff on medication therapy and disease management guidelines. 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. 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) 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: 13 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: PGY2 Ambulatory Care or at least three years of experience managing endocrine related conditions References: See VA Handbook 5005, Part II, Appendix G-15 The full performance level of this vacancy is 13. Physical Requirements: Incumbent must be physically and mentally able to perform efficiently the duties of the position. The work requires regular and recurring physical exertion, involving walking and standing for prolonged periods of time, lifting/carrying of pharmaceutical supplies weighing at least 50 lbs., and bending and stooping. Although the incumbent is assigned to a specific location, it must be understood that as an employee of the Phoenix VA Health Care System, the possibility exists for reassignment to a different unit in accordance with good management practices ["VA Careers - Pharmacy: https://youtube.com/embed/Fn_ickNBEws Clinical (1) Plans and provides patient related clinical pharmacy services in assigned clinics. (2) Functions under a scope of practice consistent with skills, training, and education, and consistent with the pharmaceutical care needs in ambulatory care. (3) Functions within defined scope of practice and therapy guidelines to achieve therapeutic goals in patients with endocrine conditions and as otherwise assigned. (4) Effectively addresses patients who have not achieved therapeutic goals because of poor adherence to prescribed regimen, adverse effects, polypharmacy, and/or suboptimal medicine regimen. (5) Achieves therapeutic goals by monitoring response to prescribed therapy via appropriate history, physical and laboratory monitors, as well as prescription refill evidence and feedback from patient. (6) Orders appropriate laboratory tests at appropriate times as necessary to determine response to prescribed therapy. (7) Reviews patient profile for appropriateness, duplication, drug/drug and drug/food interactions, incompatibilities, or other drug related problems, and either makes appropriate changes to patient's medications or recommends change to the provider who is seeing the patient. (8) Takes responsible and appropriate actions to promote optimum, most cost effective, drug therapy to patients under their care. (9) Performs medication reconciliation of patient's profiles and medications being taken, and updates medication profile as necessary. (10) Renews prescriptions for maintenance medications as needed and issues new prescriptions as appropriate and within scope of practice. B. Diabetes Technology (1) Functions under a scope of practice to manage patients on insulin pumps in collaboration with Endocrinology providers. (2) Oversees continuous glucose monitor updates, processes, supplies, and order sets at the Phoenix VA Health Care System. (3) Point of contact for diabetic software platforms and liaison between company representatives to troubleshoot technology issues. Work Schedule: Monday - Friday, (Hours to be determined based on patient care and clinic needs) Telework: Yes, partial telework available for highly qualified applicants Virtual: This is not a virtual position. Functional Statement #: 0000000 Financial Disclosure Report: Not required"]

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