Clinical Pharmacy Specialist (Pain Management)
The Clinical Pharmacy Specialist (CPS) functions at the highest level of clinical practice and responsibilities include, but are not limited to:
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 (e.g., establishing and progressing towards individualized function-related goals, improving quality of life, minimizing theoretical risk of drug-related harm) through direct and indirect interactions with patients, providers, and interdisciplinary teams in assigned areas; implementing risk mitigation strategies and ordering laboratory and other tests to help determine efficacy and toxicity of medication therapy. The CPS provider manages medication therapy by initiating, modifying and discontinuing medication both independently and in collaboration with other practitioners when needed (e.g. buprenorphine prescribing for Opioid Use Disorder, controlled substances when not part of scope). The CPS provider will follow patients in direct care setting to achieve therapeutic goal and make referrals as needed to optimize patient outcomes and treatment success. The CPS provider refers to the appropriate level of care for patients when needed and is responsible for providing and documenting care of assigned patients. The CPS provider has knowledge of VA/DOD clinical practice guidelines, The Joint Commission (TJC) standards, Veterans Affairs (VA) performance measures, VA Pharmacy Benefits Management (PBM) initiatives and will integrate these standards into practice. The Pain CPS provider may participate as a subject matter expert on pain-related committees at the local facility level (e.g., Opioid Safety Initiative committee) and as permitted at national and VISN levels. The CPS provider should assist with quality improvement projects related to pain. Indirect patient care activities include teaching/mentoring trainees, participating in quality assurance and improvement projects, supporting research, staff education, consultation and other duties as assigned. The CPS provider will perform their duties within PharmD Pain PACT clinics or may work virtually using telehealth technologies to extend access to pain care for rural veterans, or when logistics (e.g. available clinic space) or team requirements do not necessitate a full time CPS provider be physically present. The CPS provider will be given appropriate resources and physical space (i.e. treatment room) for the direct care of their patients. Work Schedule:
Based on the needs of the service (the specific tours of duty will be discussed during the interview). Financial Disclosure Report:
Not required 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. 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. (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. English Language Proficiency:
Pharmacists must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). Preferred
Experience:
1. Pharm. D. degree with PGY1 and PGY2 residency with a strong pain and/or mental health/comprehensive medication management experience but not post-residency experience. 2. Pharm.D. with no residency experience but with 5
years of continuous/extensive pain and/or mental health/comprehensive medication management. 3. Pharm.D. with PGY1 and/or PGY2 residency and multiple years of continuous or extensive pain and/or mental health/comprehensive medication management. Grade Determinations:
GS-13 (a) Experience. This position is above the full performance level for Licensed Pharmacists. 1-year of experience equivalent to the GS-12 level is required. This experience would allow you competently answer the following GS-12 level KSAs:
1. Knowledge of professional pharmacy practice. 2. Ability to communicate orally and in writing to both patients and health care staff. 3. Knowledge of laws, regulations, and accreditation standards related to the distribution and control of scheduled and non-scheduled drugs and pharmacy security. 4. Skill in monitoring and assessing the outcome of drug therapies, including physical assessment and interpretation of laboratory and other diagnostic parameters. (b) Assignment:
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. Pharmacists assigned to this position must 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, Part II, Appendix G15 LICENSED PHARMACIST QUALIFICATION STANDARD, GS-0660, Veterans Health Administration, Dated June 7, 2012. The full performance level of this vacancy is GS-13. Physical Requirements:
Applicants must be able to perform the following duties:
lifting (up to 50 lbs); carrying (up to 50 pounds). Applicants must have use of all fingers. Walking or standing for up to 8-hours. Kneeling intermittently multiple times for up to 8-hours. Use of both legs is required. Must possess visual acuity to read typed print. Keen hearing (aids permitted). Mental stability must be required to handle rigors of the position. The loss or impairment of a specific function may be compensated by satisfactory use of prosthesis.
Estimated Salary: $20 to $28 per hour based on qualifications.
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 (e.g., establishing and progressing towards individualized function-related goals, improving quality of life, minimizing theoretical risk of drug-related harm) through direct and indirect interactions with patients, providers, and interdisciplinary teams in assigned areas; implementing risk mitigation strategies and ordering laboratory and other tests to help determine efficacy and toxicity of medication therapy. The CPS provider manages medication therapy by initiating, modifying and discontinuing medication both independently and in collaboration with other practitioners when needed (e.g. buprenorphine prescribing for Opioid Use Disorder, controlled substances when not part of scope). The CPS provider will follow patients in direct care setting to achieve therapeutic goal and make referrals as needed to optimize patient outcomes and treatment success. The CPS provider refers to the appropriate level of care for patients when needed and is responsible for providing and documenting care of assigned patients. The CPS provider has knowledge of VA/DOD clinical practice guidelines, The Joint Commission (TJC) standards, Veterans Affairs (VA) performance measures, VA Pharmacy Benefits Management (PBM) initiatives and will integrate these standards into practice. The Pain CPS provider may participate as a subject matter expert on pain-related committees at the local facility level (e.g., Opioid Safety Initiative committee) and as permitted at national and VISN levels. The CPS provider should assist with quality improvement projects related to pain. Indirect patient care activities include teaching/mentoring trainees, participating in quality assurance and improvement projects, supporting research, staff education, consultation and other duties as assigned. The CPS provider will perform their duties within PharmD Pain PACT clinics or may work virtually using telehealth technologies to extend access to pain care for rural veterans, or when logistics (e.g. available clinic space) or team requirements do not necessitate a full time CPS provider be physically present. The CPS provider will be given appropriate resources and physical space (i.e. treatment room) for the direct care of their patients. Work Schedule:
Based on the needs of the service (the specific tours of duty will be discussed during the interview). Financial Disclosure Report:
Not required 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. 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. (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. English Language Proficiency:
Pharmacists must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). Preferred
Experience:
1. Pharm. D. degree with PGY1 and PGY2 residency with a strong pain and/or mental health/comprehensive medication management experience but not post-residency experience. 2. Pharm.D. with no residency experience but with 5
years of continuous/extensive pain and/or mental health/comprehensive medication management. 3. Pharm.D. with PGY1 and/or PGY2 residency and multiple years of continuous or extensive pain and/or mental health/comprehensive medication management. Grade Determinations:
GS-13 (a) Experience. This position is above the full performance level for Licensed Pharmacists. 1-year of experience equivalent to the GS-12 level is required. This experience would allow you competently answer the following GS-12 level KSAs:
1. Knowledge of professional pharmacy practice. 2. Ability to communicate orally and in writing to both patients and health care staff. 3. Knowledge of laws, regulations, and accreditation standards related to the distribution and control of scheduled and non-scheduled drugs and pharmacy security. 4. Skill in monitoring and assessing the outcome of drug therapies, including physical assessment and interpretation of laboratory and other diagnostic parameters. (b) Assignment:
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. Pharmacists assigned to this position must 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, Part II, Appendix G15 LICENSED PHARMACIST QUALIFICATION STANDARD, GS-0660, Veterans Health Administration, Dated June 7, 2012. The full performance level of this vacancy is GS-13. Physical Requirements:
Applicants must be able to perform the following duties:
lifting (up to 50 lbs); carrying (up to 50 pounds). Applicants must have use of all fingers. Walking or standing for up to 8-hours. Kneeling intermittently multiple times for up to 8-hours. Use of both legs is required. Must possess visual acuity to read typed print. Keen hearing (aids permitted). Mental stability must be required to handle rigors of the position. The loss or impairment of a specific function may be compensated by satisfactory use of prosthesis.
- Department:
0660 Pharmacist - Salary Range:
$128,518 to $152,125 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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