Clinical Pharmacy Specialist (Oncology and Research)
The Clinical Pharmacy Specialist serves with considerable independence in all areas of pharmacy activity under the general supervision of, Pharmacy Service Leadership, but will directly report to the Associate Chief of Inpatient Pharmacy, Pharmacy Service. Duties include but not limited to:
Interfaces with providers and clinical staff in the design and continued evaluation of the Veteran's treatment regimen to achieve optimization of rational and costeffective drug therapy. Recognizes 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 and documents a therapeutic regimen or plan, based on patient-specific information that includes establishing a therapeutic endpoint and stop criteria, electing an appropriate drug and related therapy, and establishing an appropriate dosage regimen. Provides physicians and other providers a resource for discussion of medical problems requiring a pharmaceutical intervention. Identifies all drug related problems that may be affecting the patient, to include drug side effects, allergic reactions, toxicities, improper dosage regimens, noncompliance, patient's age, etc. Maintains current knowledge in chronic disease state management in accordance with published guidelines and generally recognized standards of care to include, but not limited to anticoagulation, hypertension, diabetes, smoking cessation, hyperlipidemia, hepatitis C, osteoporosis, and pain management. Participates in the appropriate, effective and safe use of pharmaceuticals by contributing to criteria development, data collection and drug use evaluation and other quality improvement activities as assigned. Assist with meeting performance measures and budgetary management as directed by pharmacy leadership Will work as part of the facilities pain clinic and functions to initiate, modify, discontinue, and monitor medication therapy and acts as a consultant for medication therapy management services All oncology/hematology orders are evaluated, checked to include patient information, correct medication, dose, route, and frequency of administration. Orders are checked for patient allergies, drug interactions, incompatibilities, duplication, effectiveness, and priority and are communicated to provider, pharmacist, nursing and other disciplines as appropriate. Identifies, interprets, and resolves oncology medication therapy related issues including chart reviews, laboratory monitoring, nonformulary drug consult, and drug procurement. Appropriately renders care to Oncology Clinic and Infusion Center patients and other pharmacy clinics where oncology products are prepared including documentation in the computer with appropriate follow-up. All patients' interviews and assessment notes are completed appropriately in a manner consistent with current policy. Analyzes research protocols for potential adverse drug reactions, drug interactions, or contraindications; identifies any drug-related problems that may affect the patient or contribute to the need for utilization of health care resources (i.e., hospitalization, clinic visits, and additional drug therapies). Monitors drug flow (receipt, distribution, returns, and dispensing) for all studies to ensure that each facet of drug handling protocol is complied with current VA, FDA, NDA, IND and other governmental regulations governing the formulation, use, control and accountability of investigational drugs. Work Schedule:
Monday-Friday, 8:
00am-4:
30pm w/varying shifts as needed to meet staffing needs. Financial Disclosure Report:
Not required 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:
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). Preferred
Experience:
Previous work experience in oncology and/or PGY2 pharmacy residency in Oncology Pharmacy is highly preferred but not required. Grade Determinations:
GS-13 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. 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.
Estimated Salary: $20 to $28 per hour based on qualifications.
Interfaces with providers and clinical staff in the design and continued evaluation of the Veteran's treatment regimen to achieve optimization of rational and costeffective drug therapy. Recognizes 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 and documents a therapeutic regimen or plan, based on patient-specific information that includes establishing a therapeutic endpoint and stop criteria, electing an appropriate drug and related therapy, and establishing an appropriate dosage regimen. Provides physicians and other providers a resource for discussion of medical problems requiring a pharmaceutical intervention. Identifies all drug related problems that may be affecting the patient, to include drug side effects, allergic reactions, toxicities, improper dosage regimens, noncompliance, patient's age, etc. Maintains current knowledge in chronic disease state management in accordance with published guidelines and generally recognized standards of care to include, but not limited to anticoagulation, hypertension, diabetes, smoking cessation, hyperlipidemia, hepatitis C, osteoporosis, and pain management. Participates in the appropriate, effective and safe use of pharmaceuticals by contributing to criteria development, data collection and drug use evaluation and other quality improvement activities as assigned. Assist with meeting performance measures and budgetary management as directed by pharmacy leadership Will work as part of the facilities pain clinic and functions to initiate, modify, discontinue, and monitor medication therapy and acts as a consultant for medication therapy management services All oncology/hematology orders are evaluated, checked to include patient information, correct medication, dose, route, and frequency of administration. Orders are checked for patient allergies, drug interactions, incompatibilities, duplication, effectiveness, and priority and are communicated to provider, pharmacist, nursing and other disciplines as appropriate. Identifies, interprets, and resolves oncology medication therapy related issues including chart reviews, laboratory monitoring, nonformulary drug consult, and drug procurement. Appropriately renders care to Oncology Clinic and Infusion Center patients and other pharmacy clinics where oncology products are prepared including documentation in the computer with appropriate follow-up. All patients' interviews and assessment notes are completed appropriately in a manner consistent with current policy. Analyzes research protocols for potential adverse drug reactions, drug interactions, or contraindications; identifies any drug-related problems that may affect the patient or contribute to the need for utilization of health care resources (i.e., hospitalization, clinic visits, and additional drug therapies). Monitors drug flow (receipt, distribution, returns, and dispensing) for all studies to ensure that each facet of drug handling protocol is complied with current VA, FDA, NDA, IND and other governmental regulations governing the formulation, use, control and accountability of investigational drugs. Work Schedule:
Monday-Friday, 8:
00am-4:
30pm w/varying shifts as needed to meet staffing needs. Financial Disclosure Report:
Not required 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:
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). Preferred
Experience:
Previous work experience in oncology and/or PGY2 pharmacy residency in Oncology Pharmacy is highly preferred but not required. Grade Determinations:
GS-13 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. 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.
- Department:
0660 Pharmacist - Salary Range:
$125,895 to $149,502 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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