Clinical Pharmacy Specialist- Home Based Primary Care

Department of Veterans Affairs

This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.

• The primary responsibility of the Clinical Pharmacy Specialist - CPS in home based primary care is the provision of evidence-based pharmaceutical care services through both direct and indirect interaction with patients and providers. Serves as a physician extender/independent practitioner in a clinic setting, requiring the highest level of pharmacist clinical privileges with minimal supervision. Principal responsibilities include pharmacotherapy management, provision of drug information services, and the development and supervision of pharmacy programs in home based primary care. Duties Include, but are not limited to: Practices as the Clinical Pharmacy Specialist for the assigned team as determined by supervisor. The CPS manages pharmacotherapy to ensure that treatment guidelines and appropriate medication monitoring recommendations are being followed, in addition to adherence to National Formulary and local policy. The Clinical Pharmacy Specialist will independently manage pharmacotherapy patients not at disease-state goal in his/her pharmacotherapy clinic, improving the clinic system efficiency and quality. Fully utilizes the highest level of clinical privileges for CPS to manage assigned patients. With approved clinical privileges, assumes authority to direct therapy and order lab tests, as indicated, for appropriate patient monitoring. Authority to treat patients can be given either via consult, provider request, VA endorsed dashboard for population management or locally approved policy for automatic consult. Interfaces with providers, including physicians, PAs, ARNPs, other pharmacists in the design of the veteran's treatment regimen to achieve optimization of rational and cost-effective drug therapy. Serves as an authoritative information source on drugs and their utilization in therapy, with special emphasis on medications used in treatment of the assigned patients. Evaluates the drug literature by analysis of experimental design and methodology, in order to compare and contrast therapeutic regimens and roles for new drugs, with a special emphasis in medications used in referred patients. From a verbal or written patient presentation of signs, symptoms, laboratory tests and diagnoses, recognizes and lists important medical problems, disease states, symptoms or abnormal laboratory values that may necessitate altering the therapeutic regimen or which may be induced by drug therapy. Designs a therapeutic regimen or plan, based on patient-specific information that includes establishing a therapeutic endpoint, electing an appropriate drug and related therapy, and establishing an appropriate regimen and follow up. Monitors and assesses therapeutic and adverse effects of drug therapy (including drug interactions) through selection and evaluation of patient-specific and laboratory parameters. May propose additional programs or services that assist the pharmacy service in providing pharmacotherapy services, with review by Pharmacy Administration. Independently complete home visits for patients enrolled within the home based primary care program. Other duties as assigned Work Schedule: Monday-Friday, 8am to 4:30pm. Employees may be required to work days, evenings, nights, weekends, holidays and/or compressed, tours on a rotating schedule. The hours may vary per the needs of the service and will rotate, on a fair and equitable basis, to include weekends and holidays. Telework: Available, Ad-hoc Virtual: This is not a virtual position. Functional Statement #: 82553F Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact VHAV08ORLCCOE@va.gov, the EDRP Coordinator for questions/assistance. Learn more Permanent Change of Station (PCS): Not Authorized

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