The Patient Aligned Care Team (PACT) CPS is called upon to directly manage numerous primary care conditions, such as Diabetes, Hypertension, Hyperlipidemia, Hypothyroidism, COPD/Asthma, Gout, Heart Failure, and Pain, among others. They are fully integrated into their interdisciplinary teams, hold a broad scope of practice and are credentialed as midlevel providers. They additionally serve as preceptors for APPE students and PGY1/PGY2 residents. 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: 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. 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. English Language Proficiency. Pharmacists must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). Grade Determinations: GS-13, Clinical Pharmacy Specialist: Experience. In addition to the GS-12 requirements, which is Completion of an ACPE-accredited Pharm.D. program or 1 year of experience equivalent to the next lower grade level (GS-11), you must have 1 year of experience at or equivalent to the next lower grade level (GS-12) which include but not limited to: 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. 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: Completion of an accredited PGY1 residency including significant primary care component -OR- equivalent clinical practice experience is required for entering this position. Highly competitive candidates will have additionally completed a PGY2 Ambulatory Care residency and current (or pursuing) BCACP certification. Physical Requirements: Moderate lifting 15-44 pounds, moderate carrying 15-44 pounds, reaching above the shoulder, use of fingers, both hands required, Standing (4 hours), Kneeling ½ hour intermittently, hear conversational voice, emotional/mental stability, clear speech, near vision correctable 13' to 16' to Jaeger 1 to 4, specific visual requirement - read/type without strain, ability to distinguish basic colors, Hearing (aid permitted). References: VA Handbook 5005/55 Part II, Appendix G15, Licensed Pharmacist Qualification Standard GS-660 Veterans Health Administration. ["*A recruitment incentive may be authorized for a highly qualified applicant.* VA Careers - Pharmacy: https://youtube.com/embed/Fn_ickNBEws Major duties include, but are not limited to: Outpatient Ambulatory Care Program Services: Responsible for outpatient ambulatory care pharmacy activities involving highly innovative methods of health care delivery in clinic, telehealth, or home-based primary care (HBPC) environments. Participates in a patient-focused, team-based multi-disciplinary model of patient centered care to promote positive patient outcomes through direct and indirect interaction with patients and providers. Serves as a mid-level provider by directing therapy; ordering lab tests; performing physical assessments; and initiating, modifying and discontinuing medications as defined within the Clinical Pharmacy Specialist's scope of practice. Conducts medication therapy management clinics, anticoagulation clinics, and group forums (e.g. COPD, diabetes, smoking cessation, substance abuse, etc.). Provides drug information, observations on patient response to therapy, and develops appropriate treatment plans regarding treatment alternatives or additional interventions to maximize patient care outcomes taking into consideration choice of therapy, safety, efficacy, and pharmaco-economics Evaluates appropriateness of pharmacologic therapy at clinic visits and as the level of care changes. Develops appropriate therapeutic monitoring plans and documents the activities in the medical record via electronic progress notes. Provide medication reconciliation and patient medication counseling verifying and documenting patient understanding of the medication, proper medication use, expected outcomes, how to obtain refills of medication and how the current prescription will be processed. Report actual and/or potential medication errors or adverse events and participate in quality improvement initiatives to promote patient safety. Actively participates in the VA Adverse Drug Reaction (VA ADR) reporting program. Plays a role in budget execution by working with and educating providers to ensure adherence to the formulary process so that patients receive the most cost-effective drug therapy. Process non-formulary and restricted drug consult requests utilizing national VA PBM criteria for use documenting reasons for approval or denial. Outpatient Pharmacy Program Services: Maintains work flow patterns that assure timely delivery of outpatient ambulatory care pharmacy services, ensures accurate dispensing and record keeping documentation, and oversees technical and nonprofessional staff in the outpatient pharmacy setting. Effectively organizes workload, solves problems, and achieves established goals. Participates in quality improvement activities, pharmacoeconomic initiatives (e.g., drug conversions), committees, and workgroups in support of the pharmacy service strategic plan in all areas of the outpatient pharmacy section. Provides patient care utilizing an advanced in-depth knowledge of outpatient ambulatory care specialized areas of pharmacy practice. Oversees day-to- day maintenance and operation of pharmacy equipment and automation, such as ScriptPro. Assists in assuring that the outpatient pharmacy program is compliant with all regulatory and accrediting body requirements (i.e., Joint Commission, FDA, ASHP, OIG etc). Ensures that patients participating in drug studies have their medication needs met in a timely cost-efficient manner Work Schedule: Mon-Fri 0800-1630 Telework: This position requires the CPS to provide face-to-face, virtual and phone modalities to their patients, therefore onsite workdays are required. Regular Telework will be considered after successful first 90 days but will be limited to no more than 2 days per week. Virtual: This is not a virtual position. Recruitment Incentive: Authorized Financial Disclosure Report: Not required"]
About Veterans Affairs, Veterans Health Administration
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.