Clinical Pharmacy Specialist - Hospital in Home

Veterans Health Administration•Mather AFB, CA
•Onsite

About The Position

The Clinical Pharmacy Specialist serves as a mid-level provider for an assigned healthcare team, such as Home Based Primary Care, Home Care Coordination, or Hospital in Home. The specialist initiates, modifies, or discontinues medication therapy within an approved scope of practice and consults on medication therapy management. Patient interactions may take place by telephone, video telehealth, or home visits. The role includes designing, implementing, and monitoring therapeutic drug plans; ordering and interpreting laboratory tests and other diagnostic studies; following up with patients about results and treatment plans; and providing comprehensive medication management. The specialist documents relevant histories, assessments, and pharmaceutical care plans in the electronic medical record, coordinates care, and determines when referrals may be appropriate. The specialist also reviews medication regimens, identifies patients who may benefit from medication management, communicates recommendations to the healthcare team, performs medication reconciliation, and monitors drug errors, adverse reactions, allergies, and adherence concerns. The position supports approved drug-use criteria, non-formulary and prior-authorization processes, and pharmaceutical care support services. The schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m.; telework is ad hoc only, and the position is not virtual. The role is eligible for the Education Debt Reduction Program, subject to program requirements and approval.

Requirements

  • U.S. citizenship, subject to the stated exception for non-citizens when qualified citizens cannot be recruited under VA policy.
  • Proficiency in spoken and written English.
  • A baccalaureate degree in pharmacy or Doctor of Pharmacy degree from an ACPE-accredited college or school of pharmacy; foreign pharmacy graduates must provide the specified FPGEC certification.
  • A full, current, and unrestricted pharmacist license in a U.S. state, territory, commonwealth, or the District of Columbia.
  • For the GS-13 grade determination, one year of experience equivalent to the next lower grade or completion of an ACPE-accredited Pharm.D. program, in addition to GS-12 requirements.
  • Ability to communicate orally and in writing to persuade and influence clinical and management decisions.
  • Expert understanding of regulatory and quality standards for the program area.
  • Ability to solve problems, coordinate, and organize responsibilities to maximize outcomes in the program area or clinical specialty.
  • Expert knowledge of a specialized area of clinical pharmacy practice or pharmacy specialty.
  • Advanced skill in monitoring and assessing drug therapy outcomes, including physical assessment and interpretation of laboratory and other diagnostic parameters.
  • Must meet VA pre-employment conditions, including applicable drug screening, background/security investigation, physical examination, onboarding, and seasonal influenza vaccination requirements.
  • Must complete all application requirements detailed in the announcement's Required Documents section.
  • Must serve a one- or two-year trial period, subject to the stated evaluation and certification conditions.

Nice To Haves

  • Completion of a pharmacy residency.

Responsibilities

  • Design, implement, and monitor therapeutic drug plans to achieve defined outcomes through direct interaction with patients and providers.
  • Initiate, modify, or discontinue medications under an approved scope of practice and provide appropriate follow-up monitoring.
  • Order, perform, review, and analyze laboratory tests and other diagnostic studies needed to monitor medication therapy.
  • Follow up with patients about laboratory and test results and discuss treatment plans.
  • Provide comprehensive medication management and document relevant history, assessment, and pharmaceutical care plans in the electronic medical record in a timely manner.
  • Coordinate care and determine whether referral to another provider or service is necessary.
  • Identify patients who may benefit from comprehensive medication management using population management reports, initiatives, and team activities.
  • Review medication regimens for effectiveness, drug selection, dosing, contraindications, side effects, interactions, and therapeutic outcomes.
  • Communicate clinical findings, recommendations, and plans to the healthcare team.
  • Obtain medication histories, perform medication reconciliation using patient and collateral sources, and document significant findings.
  • Monitor and report medication errors, adverse drug reactions, allergies, and patient compliance issues according to facility procedures.
  • Attend and actively participate in required pharmacy, interdisciplinary, and assigned team meetings.
  • Support effective drug-use criteria approved by national and regional VHA pharmacy benefits management and local pharmacoeconomics programs.
  • Assist with non-formulary and prior-authorization medication processes for assigned teams as needed.
  • Participate in pharmaceutical care support services, including drug distribution, drug information, and database management.

Benefits

  • Education Debt Reduction Program (EDRP), subject to eligibility and approval, with an award amount up to $200,000 and an eligibility period of one to five years.
  • Federal employee benefits package; specific benefits depend on position eligibility.
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