Veterans Affairs, Veterans Health Administration Pharmacist (Clinical Specialist) Mental Health in Anchorage, Alaska
Summary Clinical Practice Area: The clinical pharmacy specialist (CPS) will be assigned to Mental Health. Mental Health teams are located in the main facility and domiciliary in Anchorage and CBOCs in Fairbanks, Homer, Juneau, Kenai and Mat-Su. The primary responsibility of the CPS is the provision of evidence-based pharmaceutical care services through direct care with patients and consultation with other providers on their team. Responsibilities General Description of Position: The CPS functions at the highest level of clinical practice, works independently under their individual scope of practice to directly care for patients. A CPS functions as a member of their assigned team(s) and serves as a mid-level provider 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. The duties of the GS13 Pharmacist (Clinical Specialist) include but are not limited to: Scope of Practice (SOP): The individual SOP will be dependent upon the incumbent's education, training, and experience required to perform the functions of the position. All VHA pharmacists with a SOP that includes prescriptive authority must participate in a professional practice evaluation program. Supervisory Controls: The incumbent is administratively accountable to the Associate Chief, Clinical Pharmacy Services. The incumbent is also accountable to the Chief, Pharmacy Service, or their designee, for professional licensure, competency and continuing education. Functions of the Position A. Customer Service 1) Treats patient, team members, other facility employees and visitors with respect. 2) Responds to the needs of the Veteran and staff in a courteous and timely manner. 3) Demonstrates appropriate and proactive interpersonal skills to achieve the goals of the service. 4) Acts as a team member and is supportive of the group's efforts at all times. 5) Demonstrates an ability to work under a variety of circumstances to maximize group productivity and quality. B. Clinical - Direct Patient Care Activities that require a SOP 1) Core functions include face-to-face, virtual (VVC) and telephone encounters with referred patients, for comprehensive medication management in practice areas identified in their individual SOP. 2) Functions as a mid-level provider to design, implement, and monitor therapeutic drug plans to achieve definite outcomes through direct interactions with patients and providers in assigned areas. 3) Orders, performs, reviews, and analyzes appropriate laboratory tests and other diagnostic studies necessary to monitor and support the patient's drug therapy. 4) Follows-up with patients on lab or test results to discuss the plan of therapy, i.e. changes in medication therapy, monitoring, and additional testing requirements. 5) CPSs will determine if a referral to the physician is necessary when disease progression occurs or adverse drug events require treatment interventions outside of the CPS SOP. C. Clinical - Indirect Patient Care Activities 1) Identify patients who may benefit from comprehensive medication management through population management reports and during team huddles 2) Review patient medication regimens for clinical effectiveness, drug selection, dosing, contraindications, side effects, potential drug interactions, and therapeutic outcomes as required. Communicates findings with prescribers and provides appropriate alternatives to current treatment plans as needed. 3) Monitor and report drug errors, adverse drug reactions, allergies, and patient compliance issues. Documents findings per facility procedures. 4) Apply knowledge of normal laboratory values in the evaluation of patient care, recognizes significant abnormalities, and makes dose adjustment recommendations based on objective laboratory findings. 5) Reviews and evaluates requests for non-formulary and restricted drugs for appropriateness and compliance with established criteria where applicable. 6) Assists Pharmacy and Therapeutics committee with medication use evaluations and other safety initiatives. 7) Promotes and monitors compliance for established drug therapy policies. 8) Works with providers to ensure compliance with national, VISN, and local initiatives. D. Education and Research 1) Participates in the training and in-servicing of pharmacists, pharmacy technicians, pharmacy students, pharmacy residents, and other staff on assigned teams. 2) Is skilled at using both written and verbal communication techniques in teaching others. Work Schedule: Monday-Friday: 8:00am to 4:30pm Telework: Not Available Virtual: This is not a virtual position. Position Title/Functional Statement #:Pharmacist (Clinical Specialist) Mental Health/PD000000 Relocation/Recruitment Incentives: Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required Requirements Conditions of Employment Qualifications 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: 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. Verification of approved degree programs may be obtained from the Accreditation Council for Pharmacy Education at https://www.acpe-accredit.org/ (TRANSCRIPT REQUIRED) 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). (TRANSCRIPT REQUIRED) 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. (COPY OF LICENSE 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). Preferred Experience: Candidates for the Mental Health CPS should possess the skills outlined above with specific experience in the area of mental health chronic disease management, including depression, anxiety, insomnia, PTSD, bipolar, schizophrenia and substance abuse disorders. Candidates should have recent experience in a current or previous job (including residency training) that includes direct patient care and comprehensive medication management responsibilities. Preferred candidates will have an advanced pharmacy degree (Pharm.D), board certification (BPS), PGY2 Pharmacy Practice Residency, or equivalent experience or mentorship. Grade Determinations: GS-13: Experience: Must have 1 year of experience equivalent to the next lower grade level (GS-12), OR Completion of an accredited VA PGY-1 or PGY-2 program, OR Are on track to complete an accredited VA PGY-1 or PGY-2 program by the time of hire/appointment. Demonstrated Knowledge, Skills, and Abilities (KSAs): In addition to the basic requirements and experience, Pharmacist assigned to this position must also 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, June 7, 2012. The full performance level of this vacancy is GS-13. Physical Requirements: Light lifting & carrying (under 15 lbs.), reaching above shoulder, use of fingers, both hands required, walking, standing, repeated bending, ability for rapid mental and muscular coordination, near vision correctable at 13" to 16" to Jaeger 1 to 4, and hearing (aid permitted). Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Additional Information Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. VA may offer newly-appointed Federal employee's credit for their job-related non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. As required by Executive Order 14043, Federal employees are required to be fully vaccinated against COVID-19 regardless of the employee's duty location or work arrangement (e.g., telework, remote work, etc.), subject to such exceptions as required by law. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required exception from this requirement using the reasonable accommodation process. If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.