PACT Clinical Pharmacist- Lexington Park CBOC
Examples of Clinical Care duties included but not limited to:
1) Practices as the Clinical Pharmacy Specialist for the assigned Community Based Outpatient Clinic (CBOC). The Clinical Pharmacy Specialist supervises all pharmacotherapy provided by team providers to ensure that National Treatment Guidelines are being followed in addition to adherence to National Formulary and local policy. The Clinical Pharmacy Specialist will independently manage unstable pharmacotherapy patients in his/her pharmacotherapy clinics, improving the clinic system efficiency and quality. 2) Utilizes the highest level of clinical privileges for Clinical Pharmacy Specialists to manage assigned patients. 3) Interfaces with providers, including physicians, PAs, ARNPs in the design of the veteran's treatment regimen to achieve optimization of rational and cost-effective drug therapy. 4) 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. 5) Evaluates the drug literature by analysis of experimental design and methodology, in order to compare and contract therapeutic regimens and roles for new drugs, with a special emphasis in medications used in referred patients. 6) 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. 7) Establishes and expands the patient data base through interpreting the drug history, medical history, physical examination and ongoing patient specific monitoring of therapy, with documentation in the formal patient medical record. 8) 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 dosage regimen. 9) Monitors and assesses therapeutic and adverse effects of drug therapy (including drug interactions) through selection and evaluation of physical and laboratory parameters. 10) Under appropriate supervision by a physician and with approved clinical privileges assumes authority to direct therapy, order lab tests as indicated for appropriate patient monitoring. 11) Provides consultation on selection of appropriate therapeutic regimens as a follow-up of non-therapeutic drug concentrations obtained from ambulatory care and inpatients. 12) Provides highly specialized education and training support to other professional services in the broad area of advanced pharmacotherapy, with special emphasis on Pharmacotherapy. 13) Works to develop, upgrade, and disseminate acceptable criteria for use of formulary and nonformulary medications and other high cost items directed at employing cost effectiveness without compromising the quality of patient care. 14) Provides physicians and other providers a focal resource for discussion of medical problems requiring a pharmaceutical intervention. 15) Interviews each patient conducting a medication history and formulating a pharmaceutical care plan. 16) 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. 17) Makes recommendations to the responsible physician for optimal management of drug-induced problems either verbally or in writing. 18) Evaluates the risk-benefit ratio of various therapeutic alternatives, develops a therapeutic plan utilizing the most efficacious, least toxic and most economical pharmacological treatment modalities available, and communicates these plans to the patients' physician. 19) Manages the medication programs of patients by writing verbal orders for appropriate medications, diagnostic studies, etc., in the patients' medical records, in consultation with the responsible physician. 20) Provides and promotes cost effective pharmacy services, offering reasonable, appropriate alternatives to high cost drugs. 21) When assessing or providing patient care the employee will evaluate the impact of the age of the patient as it relates to ability to understand directions, provide objective self assessment or any other medical milieu appropriate to the overall treatment plan. Other duty function included but not limited to are Education,Program Management, Quality Management, Research and Automated Information System. Work Schedule:
8:
00AM-4:
30PM Financial Disclosure Report:
Not required 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:
U.S. citizenship. Non-citizens may 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. 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. 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.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). Preferred
Experience:
Completion of a PGY-2 residency in ambulatory care and/or 2 years experience in ambulatory care in the last 3 years. Other preferred credentials include BCACP, BCPS, CDE, or BC-ADM certification. Grade Determinations:
Must have 1 year of experience equivalent to the next lower grade (GS-12). Examples of experience includes handling routine medication-related activities in accordance with local, and national policies, 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; and providing oversight of technical staff in all aspects of medication distribution. In addition, pharmacists must demonstrate the following knowledge, skills and abilities (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. References:
VA Handbook 5005 Part II, Appendix G15, Licensed Pharmacist Qualification Standards Physical Requirements:
The work requires regular and recurring physical exertion, involving standing/sitting for prolonged periods of time, lifting/carrying of pharmaceutical supplies weighing up to 50lbs, and bending/stooping. The work may entail repetitive wrist movement while using various size syringes, vial cap removal, and typing.
Estimated Salary: $20 to $28 per hour based on qualifications.
1) Practices as the Clinical Pharmacy Specialist for the assigned Community Based Outpatient Clinic (CBOC). The Clinical Pharmacy Specialist supervises all pharmacotherapy provided by team providers to ensure that National Treatment Guidelines are being followed in addition to adherence to National Formulary and local policy. The Clinical Pharmacy Specialist will independently manage unstable pharmacotherapy patients in his/her pharmacotherapy clinics, improving the clinic system efficiency and quality. 2) Utilizes the highest level of clinical privileges for Clinical Pharmacy Specialists to manage assigned patients. 3) Interfaces with providers, including physicians, PAs, ARNPs in the design of the veteran's treatment regimen to achieve optimization of rational and cost-effective drug therapy. 4) 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. 5) Evaluates the drug literature by analysis of experimental design and methodology, in order to compare and contract therapeutic regimens and roles for new drugs, with a special emphasis in medications used in referred patients. 6) 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. 7) Establishes and expands the patient data base through interpreting the drug history, medical history, physical examination and ongoing patient specific monitoring of therapy, with documentation in the formal patient medical record. 8) 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 dosage regimen. 9) Monitors and assesses therapeutic and adverse effects of drug therapy (including drug interactions) through selection and evaluation of physical and laboratory parameters. 10) Under appropriate supervision by a physician and with approved clinical privileges assumes authority to direct therapy, order lab tests as indicated for appropriate patient monitoring. 11) Provides consultation on selection of appropriate therapeutic regimens as a follow-up of non-therapeutic drug concentrations obtained from ambulatory care and inpatients. 12) Provides highly specialized education and training support to other professional services in the broad area of advanced pharmacotherapy, with special emphasis on Pharmacotherapy. 13) Works to develop, upgrade, and disseminate acceptable criteria for use of formulary and nonformulary medications and other high cost items directed at employing cost effectiveness without compromising the quality of patient care. 14) Provides physicians and other providers a focal resource for discussion of medical problems requiring a pharmaceutical intervention. 15) Interviews each patient conducting a medication history and formulating a pharmaceutical care plan. 16) 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. 17) Makes recommendations to the responsible physician for optimal management of drug-induced problems either verbally or in writing. 18) Evaluates the risk-benefit ratio of various therapeutic alternatives, develops a therapeutic plan utilizing the most efficacious, least toxic and most economical pharmacological treatment modalities available, and communicates these plans to the patients' physician. 19) Manages the medication programs of patients by writing verbal orders for appropriate medications, diagnostic studies, etc., in the patients' medical records, in consultation with the responsible physician. 20) Provides and promotes cost effective pharmacy services, offering reasonable, appropriate alternatives to high cost drugs. 21) When assessing or providing patient care the employee will evaluate the impact of the age of the patient as it relates to ability to understand directions, provide objective self assessment or any other medical milieu appropriate to the overall treatment plan. Other duty function included but not limited to are Education,Program Management, Quality Management, Research and Automated Information System. Work Schedule:
8:
00AM-4:
30PM Financial Disclosure Report:
Not required 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:
U.S. citizenship. Non-citizens may 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. 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. 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.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). Preferred
Experience:
Completion of a PGY-2 residency in ambulatory care and/or 2 years experience in ambulatory care in the last 3 years. Other preferred credentials include BCACP, BCPS, CDE, or BC-ADM certification. Grade Determinations:
Must have 1 year of experience equivalent to the next lower grade (GS-12). Examples of experience includes handling routine medication-related activities in accordance with local, and national policies, 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; and providing oversight of technical staff in all aspects of medication distribution. In addition, pharmacists must demonstrate the following knowledge, skills and abilities (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. References:
VA Handbook 5005 Part II, Appendix G15, Licensed Pharmacist Qualification Standards Physical Requirements:
The work requires regular and recurring physical exertion, involving standing/sitting for prolonged periods of time, lifting/carrying of pharmaceutical supplies weighing up to 50lbs, and bending/stooping. The work may entail repetitive wrist movement while using various size syringes, vial cap removal, and typing.
- Department:
0660 Pharmacist - Salary Range:
$124,048 to $161,267 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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