Full Job Description
The clinical pharmacy specialist (CPS) in emergency medicine is the provision of evidence-based pharmaceutical care services through direct and indirect interaction with patients and providers. Emergency Medicine Clinical Pharmacy Specialists (EMCPS) are highly trained medication management experts and consultants in highly complex, clinical scenarios, collaborating with healthcare providers to ensure safe, appropriate, and cost-effective use of medications in the Emergency Department (ED).
The incumbent for this position may be eligible to apply for the Education Debt Reduction Program, depending on the type of employment, schedule, amount/type of qualifying debt, and funding availability. The employee will begin to receive the benefit upon acceptance into the program - not backdated to the date employment begins
The primary function of the clinical pharmacy specialist (CPS) in emergency medicine is the provision of evidence-based pharmaceutical care services through direct and indirect interaction with patients and providers. Emergency Medicine Clinical Pharmacy Specialists (EMCPS) are highly trained medication management experts and consultants in highly complex, clinical scenarios, collaborating with healthcare providers to ensure safe, appropriate, and cost-effective use of medications in the Emergency Department (ED). The EMCPS serves as a provider with prescriptive authority as outlined in the individual's Scope of Practice. The EMCPS has full responsibility to develop and manage necessary pharmacy programs and services such as consultation services for acute and chronic disease state management, patient therapeutic drug monitoring, patient and staff education; and comprehensive medication management (CMM) within the emergency department setting. As the medication expert, the EMCPS is a champion for ED quality improvement (QI) efforts involving medication safety initiatives. The EMCPS promotes and manages drug therapy based on current clinical knowledge that is consistent with policies established at the national, VISN, and local levels. EMCPS are employees of their medical center's Pharmacy Service, to ensure they receive all professional guidance, policy and communications, along with department missions and goals, especially regarding the VA National Formulary, VISN and local medical center Pharmacy and Therapeutic Committee objectives for formulary management activities and patient safety.
The scope of these duties include, but are not limited to, Clinical Functions, Distributive Functions, Educational Functions, Administrative Functions, and Interpersonal Relations Element :
Provides CMM for chronic disease state management on an interim basis for transitions of care: new diagnosis, traveling Veterans, Veterans transferring care (private sector, DOD or another VA facility).
Participates in post discharge care coordination to ensure appropriate transitions of care from the emergency department setting to the Patient Aligned Care Team (PACT) clinical pharmacy or other appropriate care when needed.
Manages and monitors anticoagulation therapy for new and established patients within the parameters of individual's scope of practice. The EMCPS provides recommendations for reversal strategies.
Reviews electronic medical record to monitor for appropriateness of drug therapy, including evaluation for adverse drug reactions, drug-drug and dug food interactions, disease due to iatrogenic cause, drug duplication, and unnecessary polypharmacy.
Performs patient interviews including medication histories and provides education and counseling, specifically addressing compliance, instructions on how to take medications, indications for use and what to expect, including adverse effects.
Serves as a consultant for therapeutic dosing and monitoring of anticoagulation therapy, vancomycin & aminoglycoside antibiotic therapy, adjustments for renal & hepatic insufficiency, and other medications which may require more intensive medication management. Independently operates within clinical scope of practice and/or consults with physicians regarding dosing changes when indicated.
Verifies computer prescriptions (with provider order entry) for patients in his/her assigned clinic area.
For non-emergent medications, prescriptions will be entered for mail-out from CMOP (90-day supplies will be encouraged for maintenance medications).
Coordinates medication orders with central pharmacy or CMOP when necessary.
Directs pharmacy technician support, where applicable.
Participates with the pharmacy management in formulation and implementation of policies and procedures to assure accurate compounding and dispensing of all therapeutic and diagnostic agents and other supplies furnished by Pharmacy Service to beneficiaries through the various inpatient and outpatient functional areas.
Inputs and/ or verifies all prescription orders via CPRS per assigned area. Ensures orders are processed and filled in a timely, accurate manner, including point-of-care drug distribution, where applicable.
Precepts pharmacy students and PGY-1 and PGY-2 pharmacy residents.
Provides patient education through direct consultation, handouts, and special medication groups
Work Schedule: 7-days-on-7 days off schedule working, Monday-Friday 1000-2200 and Saturday and Sunday 1000-2200
Financial Disclosure Report: Not required
Job family (Series)
Conditions of Employment
You must be a U.S. Citizen to apply for this job
Designated and/or random drug testing may be required
Selective Service Registration is required for males born after 12/31/1959
You may be required to serve a probationary period
Subject to a background/security investigation
Must be proficient in written and spoken English
Selected applicants will be required to complete an online onboarding process
Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.
United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
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, 20 North Clark Street, Suite 2500, Chicago, Illinois 60602-5109; phone: (312) 664-3575, or through their Web site at: http://www.acpe-accredit.org/.
Licensure: A full, current and unrestricted license to practice pharmacy in a State, Territory, Commonwealth of the U.S. (i.e., Puerto Rico), or the District of Columbia.
English Language: Proficient in basic spoken and written English.
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: Completion of ASHP- accredited PGY-2 Emergency Medicine or Critical Care Pharmacy Residency OR at least three years of Clinical emergency medicine or critical care experience
GS-13 (a) Experience. In addition to the GS-12 requirements, must have 1 year of experience equivalent to the next lower grade level.(b) Assignments. Candidates at this grade level are to be in one of the assignments listed below. For all assignments above the full performance level, the higher level duties must consist of significant scope, administrative independence, complexity (difficulty) and range of variety as described in this standard at the specified grade level and be performed by the incumbent at least 25% of the time.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 5005/15, Part II, Appendix G28, Qualification Standards, dated June 7, 2012.
Physical Requirements: Moderate lifting, 15-44 pounds; moderate carrying, 15-44 pounds; straight pulling, 1 hour; pushing, 2 hours; reaching above shoulder; use of fingers; walking, 8 hours; standing, 8 hours; near vision correctable at 13' to 16' to Jaeger 1 to 4; far vision correctable in one eye to 20/50 to 20/100 in the other; ability to distinguish basic colors; ability to distinguish shades of colors; hearing, aid permitted.
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.
This job opportunity announcement may be used to fill additional vacancies.
It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.
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.
Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.
If you are unable to apply online view the following link for information regarding an Alternate Application.
How You Will Be Evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, résumé, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Background checks and security clearance
Drug test required
Position sensitivity and risk
Non-sensitive (NS)/Low Risk
Trust determination process
To apply for this position, you must provide a complete Application Package which includes:
VA form 10-2850c, Application for Associated Health Occupations
VA Form 10-2850c Application for Associated Health Occupations can be found at: http://www.va.gov/vaforms/search_action.asp?FormNo=2850&tkey=&Action=Search. REQUIRED
The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), etc.
DD-214/ Statement of Service
Disability Letter (VA)
VA form 10-2850c, Application for Associated Health Occupations
Separation Notice (RIF)
SF-50/ Notification of Personnel Action
Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit http://www.fedshirevets.gov/job/vetpref/index.aspx.
A career with the U.S. Government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Learn more about federal benefits.
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Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time, or intermittent. Contact the hiring agency for more information on the specific benefits offered.
This job is open to
U.S. citizens, nationals or those who owe allegiance to the U.S.
Federal employees - Excepted service
Current excepted service federal employees.