The VA Central California Health Care System is currently recruiting for one full time Clinical Pharmacy Specialist (Rounding-Inpatient) position with Pharmacy Service located at the Fresno Division. The Clinical Pharmacy Specialist provides clinical coverage for Acute Care settings and special procedures such as OR, PACU, GI lab, Ambulatory Infusion/Oncology, Nuclear Medicine, ED as well as provides coverage as needed for inpatient operations, specialty care, mental health and CLC. 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. Basic Requirements: 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. 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/. (NOTE: Prior to 2005 ACPE accredited both baccalaureate and Doctor of Pharmacy terminal degree program. Today the sole degree is Doctor of Pharmacy.) [TRANSCRIPTS MUST BE SUBMITTED WITH APPLICATION] (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). [YOU MUST SUBMIT COPY OF FPGEC CERTIFICATION WITH THE APPLICATION PACKAGE]. 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. A pharmacist who has, or has ever had, any license(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status may be appointed only in accordance with the provisions in VA Handbook 5005, Part II, Chapter 3, section B, paragraph 16. Grandfathering Provision. All licensed pharmacists employed in VHA in this occupation on the effective date of this qualification standard are considered to have met all qualification requirements for the title, series and grade held, including positive education and licensure/certification/registration that are part of the basic requirements of the occupation. Physical Requirements. See VA Directive and Handbook 5019. English Language Proficiency. Pharmacists must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). 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). Grade Determinations:GS-13 Clinical Pharmacy Specialist Experience. In addition to the GS-12 requirements, must have 1 year of experience equivalent to the next lower grade level. 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: a. Ability to communicate orally and in writing to persuade and influence clinical and management decisions. b. Expert understanding of regulatory and quality standards for their program area. c. Ability to solve problems, coordinate and organize responsibilities to maximize outcomes in their program area or area of clinical expertise. d. Expert knowledge of a specialized area of clinical pharmacy practice or specialty area of pharmacy. e. Advanced skill in monitoring and assessing the outcome of drug therapies, including physical assessment and interpretation of laboratory and other diagnostic parameters. Preferred Experience: Completion PGY 1 Pharmacy residency preferred, or 3+ years inpatient pharmacy experience, or Board of Pharmacy Specialties (BPS) certified preferred but not required. References: VA Handbook 5005/55, Part II, Appendix G15, Licensed Pharmacist Qualification Standards, dated June 7, 2012. This can be found in the local Human Resources Office. The full performance level of this vacancy is GS-13. Physical Requirements: Work is generally sedentary. Typically, the Pharmacist sits comfortably to do the work. However, there may be some walking, standing, bending, carrying of light items such as papers, books, small pieces of equipment and supplies, or driving an automobile. No special physical demands are required to perform the work. ["The incumbent will carry a scope of practice and work directly with the acute care medical teams performing medication reconciliations, monitoring labs and pharmacokinetics, making therapeutic adjustments, providing discharge counseling, while also serving as a primary preceptor for our robust pharmacy education program, working with our interns and residents. Major duties include but not limited to: Provide direct patient care and will be qualified and authorized to provide services in inpatient clinical wards/units, Emergency department, long-term care and virtual care settings as outlined in the CPS scope of practice. Provide appropriate selection of drug therapy based upon the pharmaceutical principles of pharmacokinetics and pharmacodynamics; monitoring for efficacy, side effects and clinical outcome; and advises prescribers as appropriate. Recognize physical signs and clinical symptoms relevant to the patient's drug therapy. Follow-up with providers and or other interdisciplinary staff to discus the plan of therapy if necessary Provides patient-specific therapeutic drug monitoring and communicates relevant findings and/or recommendations to other health care providers in charge of the patient both orally and in writing. Monitoring will include prospective review and intervention in: Therapeutic appropriateness of a patient's drug regimen Therapeutic duplication in the patient's drug regimen Appropriateness of the route and method of administration Degree of patient compliance with the. prescribing regimen Drug-drug, drug-food, drug-laboratory, or drug disease interactions Clinical and pharmacokinetic laboratory data to evaluate the efficacy of drug therapy and to anticipate side effects, toxicity, or adverse effects Oversee pharmacotherapy to ensure best possible evidence based care is provided following national treatment guidelines in addition to adherence to national formulary and local policies. Document adverse drug events, medication errors, allergies, clinical interventions, drug information provided, patient therapy evaluations, and counseling in the electronic medical record (e.g., CPRS, VISTA, JPSR, and/or VADERs) May be required to assist in the operation in other areas of Pharmacy Service, including distribution and clinical work in other areas (i.e., medication order review and verification) as assigned Provide clinical support and expertise for pharmacy admissions/discharge medication reconciliations, including but not limited to care coordination with SNFs and other community providers Works as a team with providers, including physicians, PAs, ARNPs in the design and continued evaluation of the Veteran's treatment regimen to achieve optimization of rational and cost-effective drug therapy. Serves as an authoritative information source on medications and their utilization in therapy. Evaluates drug literature by analysis of experimental design and methodology, in order to compare and contrast therapeutic regimens and roles for new drugs. Performs other duties as assigned. VA Careers - Pharmacy: https://youtube.com/embed/Fn_ickNBEws Work Schedule: Variable Shifts including rotating coverage for nights, weekends and holidays Compressed/Flexible: Not Available Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: FS2623A Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized Financial Disclosure Report: Not required"]

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