The Pain and Substance Use Disorder Management Clinical Pharmacy Practitioner (CPP) acts as a representative of the Pharmacy Service, in a variety of positions throughout the Healthcare System. The CPP functions at the highest level of clinical pharmacy practice and works independently under a scope of practice in practice area(s) based on their knowledge, competencies, clinical experience, and skills. 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. English Language Proficiency: In accordance with 38 U.S.C. 7402(d), no person shall serve in a direct patient care position unless they are proficient in basic written and spoken English. You must be proficient in basic written and spoken English in order to perform the duties of this position. 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. 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.) (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. Physical Requirements: Pre-employment physical is required. See VA Directive and Handbook 5019. 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. Examples of GS-12 level equivalent experience are 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; and skill in monitoring and assessing the outcome of drug therapies, including physical assessment and interpretation of laboratory and other diagnostic parameters.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.In addition to meeting the GS-12 KSA the Pharmacists assigned to this position must demonstrate the following KSAs at the GS-13: 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: PGY2 in Pain and/or Substance Use Disorder Treatment or at least 3 years experience in these settings. References: VA Handbook 5005/55, Part II, Appendix G15 dated June 7, 2012.The full performance level of this vacancy is GS-13. The actual grade at which an applicant may be selected for this vacancy is GS-13. ****All required documentation must be uploaded before the announcement closes, to support eligibility. **** Failure to submit documentation will constitute the application being categorized as incomplete and therefore ineligible for referral. ["The Pain and Substance Use Disorder Management Clinical Pharmacy Practitioner (CPP) is an advanced practice provider with a high level of autonomy and exercises independent decision making within their Scope of Practice (SOP). Comprehensive medication management (CMM) by the CPP is primarily through direct patient care activities. The CPP will be responsible for providing CMM in an outpatient pain management clinic and substance use disorder treatment clinic. Duties Include but not limited to:Clinical Practice Coordinates, develops, manages and controls the pharmacy practice programs for Behavioral Health Service Line Functions independently under an individual scope of practice as defined by the health care system for chronic disease states with comprehensive medication management to provide pharmaceutical care to patients. This includes but is not limited to the design, implementation, and monitoring of therapeutic drug plans to achieve positive, definite outcomes through direct interactions with patients and providers in assigned areas. Obtains medication histories from patients and summarizes significant findings in the medical record. Reviews patient medication regimens for clinical effectiveness, drug selection, dosing, contraindications, side effects, potential drug interactions, and therapeutic outcomes as required and communicates findings with other relevant staff when applicable. Monitors for and reports drug errors, adverse drug reactions, allergies, and medication adherence issues. Documents findings per facility procedures. Applies knowledge of normal laboratory values in the evaluation of patient care; recognizes and takes necessary and appropriate action on significant abnormalities. Reviews and evaluates requests for non-formulary and restricted drugs for appropriateness and compliance with established criteria where applicable. Reviews literature routinely to provide an evaluation of efficacy, safety, and cost effectiveness for routine patient care and projects as assigned. Maintains a current knowledge of therapeutics and disease management. Assists with Medication Use Evaluations (MUE) and other Pharmacy and Therapeutics (P&T) Committee related activities. Documents clinical interventions in a timely and professional manner as appropriate. Promotes and monitors compliance for established drug therapy policies in accordance with VHA/DoD guidance or latest evidence-based practice. Works with providers to ensure compliance with national, VISN, and local initiatives. Uses appropriate references to research drug information and serves as an expert on drug usage, interactions, over-dosages, and compliance to medical staff, nursing staff, technicians and students. Provides timely and accurate responses to drug information inquiries from all customers. Serves on medical center and/or VISN committees as requested. Education and Research Maintains a general knowledge of VHA, DEA and Joint Commission regulations. Responsible for maintaining and improving professional competency by keeping current with information on new medications, therapies, and innovations in Pharmacy practice. Responsible for maintaining all continuing education required for licensure, as well as all competency and training specific to area of practice. Responsible for keeping abreast of changes within Pharmacy Service (i.e., formulary additions and deletions, interdepartmental memoranda, relevant station memoranda, policies and procedures) Participates in the training and in-servicing of Pharmacists, Pharmacy Technicians, Pharmacy Students/Residents, and other medical center personnel as required. Includes development of educational material. Effectively instructs patients and family members in the appropriate use of medications and medical devices. Is able to adjust communication and tracking methods based on age and developmental considerations. Is able to accurately assess and document patient comprehension. When needed, is able to refer patients to educational programs provided at the medical center by multidisciplinary teams. Is skilled at using both written and verbal communication techniques in teaching others. Serves as preceptor for Pharmacy Students and Pharmacy Residents in accordance with established protocols and standards. Assists in new employee orientation process where applicable Assists in the development of proposals for improved and/or new clinical Pharmacy services. Work Schedule: Monday - Friday, 8:00 a.m. - 4:30 p.m.Telework: Yes - eligible based on facility needs, up to 2 days per week.Virtual: This is not a virtual position.Relocation/Recruitment Incentives: Not Authorized for this position.Financial Disclosure Report: Not required"]
The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.
