The Clinical Pharmacy Specialist functions at the highest level of clinical practice and works independently and collaboratively under an individual scope of practice to directly care for patients. This position coordinates all clinical pharmacy functions for Montana VA Home Based Primary Care program and works with other team members in solving medication-related problems. 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: 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. 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. English Language: Pharmacists must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). 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: GS-13 Experience: In addition to the GS-12 requirements, must have 1 year of experience equivalent to the next lower grade level. Assignments: Candidates at this grade level are to be in one of the assignments listed below. For all assignments above the full performance level, the higher level duties must consist of significant scope, administrative independence, complexity (difficulty) and range of variety as described in this standard at the specified grade level and be performed by the incumbent at least 25% of the time. 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 in monitoring and assessing the outcome of drug therapies, including physical assessment and interpretation of laboratory and other diagnostic parameters. References: VA HANDBOOK 5005/55 PART II APPENDIX G15 Physical Requirements: May require prolonged periods of sitting, walking and/or standing. Must be able to life between 1-15 pounds. Visual acuity for reading electronic medical record. ["The Clinical Pharmacy Specialist will act as a core member of the HBPC interdisciplinary team. They would consult with clinical staff to develop and implement patient treatment plans, provide medication guidance and education to HBPC staff, patients and/or caregivers, and complete quality management and improvement activities. 1. In collaboration with other HBPC team members, assist in the development of an individualized treatment plan which is intended to achieve medication-therapy outcomes that improve the patient's quality of life. Makes recommendations or changes to optimize drug therapy, prevent and manage adverse drug events, and reduce medication errors through consultation and/or retrospective chart review. 2.Performs comprehensive medication management as part of the patient care process which includes comprehensive medication assessments, specific disease state and medication management, curbside consults, drug information and active participation and attendance of interdisciplinary team meetings. 3.Functions under a broad, practice-area based scope of practice (to include various disease states seen in geriatric patients e.g., diabetes, hypertension, hyperlipidemia), implements and monitors therapeutic medication plans through direct interactions with HBPC team members, patients and/or caregivers. This includes establishing a therapeutic endpoint, selecting appropriate medication therapy, making adjustments as indicated and ordering lab tests to ensure appropriate monitoring and assessment for therapeutic and adverse effects. 4.Provides guidance to HBPC providers to promote adherence to all national, VISN and local criteria-for-use treatment algorithms. Ensures compliance with the selection of the most cost effective, evidence-based regimen for a particular patient. 5.Performs medication reconciliation across the continuum of care and medication counseling for high risk and geriatric patients, their families and/or caregivers via consultation. Work Schedule: Monday - Friday, 8:00 AM - 4:30 PM Telework: Available Virtual: This is not a virtual position. Functional Statement #: 436-50966-A Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]

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