The Clinical Pharmacy Specialist (CPS) will assist primary care providers in co- managing "high risk" patients treated with opioids for chronic, non-malignant, pain. "High risk" patients are those who present with multiple or recurrent aberrant drug-related behaviors and/or history of substance abuse. This position will be located in Loveland CO or Cheyenne WY. PMOP Coordinator: The Facility Pain Management, Opioid Safety, and Prescription Drug Monitoring Program (PMOP) Coordinator will support Facility Pain POC/Clinical Leads in the coordination of pain management, opioid safety, and prescription drug monitoring program (PDMP)-related initiatives and implementation of VHA and the Joint Commission standards. The PMOP Coordinators will work in close collaboration with the VISN PMOP Coordinator, Facility Pain POC/Clinical Lead, Facility Primary Care (PACT) Pain Champion, Academic Detailing pharmacists and other facility stakeholders to ensure implementation of PMOP initiatives in compliance with national policy, clinical practice guidelines, and regulatory requirements. The PMOP Coordinators will also support review of community provider opioid prescribing practices as required by the MISSIO Clinical Practice Area: The Clinical Pharmacy Specialist (CPS) will assist primary care providers in co- managing "high risk" patients treated with opioids for chronic, non-malignant, pain. "High risk" patients are those who present with multiple or recurrent aberrant drug-related behaviors and/or history of substance abuse (as defined by DSM) requiring close monitoring and ongoing assessment to evaluate substance misuse, substance abuse, pseudo addiction, and addiction. The CPS will provide comprehensive medication management of complex patients with chronic, nonmalignant pain by face-to-face, virtual and telephone encounters, indirect care and chart review Clinical Functions - Indirect Patient Care Activities: The Facility PMOP Coordinator will provide professional consultation to VA medical facility management concerning planning and coordination of the programmatic responsibilities related to policy and services in pain management, opioid safety, and prescription drug monitoring programs (PDMPs). Developing processes/procedures to ensure implementation and compliance with national policy related to pain management, opioid safety and risk mitigation strategies, Overdose Education and Naloxone Distribution (OEND), management of Opioid Use Disorder (OUD), initiatives in compliance with national policy, clinical practice guidelines, and regulatory requirements. Clinical Functions - Direct Patient Care Activities: The Facility PMOP Coordinator is expected to be involved in clinical pain care delivery at their facility equivalent to 20% of their time. Core functions include face-to-face, virtual and telephone encounters with patients for comprehensive medication management. 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. Orders, performs, reviews, and analyzes appropriate laboratory tests and other diagnostic studies necessary to monitor and support the patient's drug therapy. 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. CPS will determine if a referral to the physician is necessary when disease progression occurs or adverse drug events require treatment interventions. Assists in total quality improvement activities by participating in health care system process assessment and action teams and continually seeks to improve Pain Management services. Represents the Cheyenne VA Health Care System at professional/program community group/events and committees. c. Additional duties may be assigned by the Chief, Pain Management as necessary