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

Conditions of employment

• You must be a U.S. Citizen to apply for this job.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• Must be proficient in written and spoken English.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical examination.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• Complete all application requirements detailed in the "Required Documents" section of this announcement.

As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:

• your performance and conduct;
• the needs and interests of the agency;
• whether your continued employment would advance organizational goals of the agency or the Government; and
• whether your continued employment would advance the efficiency of the Federal service.

Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.

Qualifications

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.
• English Language Proficiency. Pharmacists must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d).
• 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. NOTE: Prior to 2005 ACPE accredited both baccalaureate and Doctor of Pharmacy terminal degree program. Today the sole degree is Doctor of Pharmacy. Verification of approved degree programs may be obtained from the Accreditation Council for Pharmacy Education through their Web site at: http://www.acpe-accredit.org
  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. 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.

NOTE: Individuals who have or have had multiple licenses and had any such license revoked for professional misconduct, professional incompetence or substandard care, or who surrendered such license after receiving written notice of potential termination of such license by the State for professional misconduct, professional incompetence, or substandard care, are not eligible for appointment to the position unless such revoked or surrendered license is fully restored (38 U.S.C. § 7402(f)). Effective November 30, 1999, this is a requirement for employment. This requirement does not apply to licensed pharmacists on VA rolls as of that date, provided they maintain continuous appointment and are not disqualified for employment by any subsequent revocations or voluntary surrenders of State license, registration or certification. 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 below criteria).

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.

Grade Determinations:GS-13:

1. Experience. In addition to the GS-12 requirements, must have 1 year of experience equivalent to the next lower grade level
2. Pharmacists assigned to this position must demonstrate the following knowledge, skills and abilities (KSAs):
   1. Ability to communicate orally and in writing to persuade and influence clinical and management decisions.
   2. Expert understanding of regulatory and quality standards for their program area.
   3. Ability to solve problems, coordinate and organize responsibilities to maximize outcomes in their program area or area of clinical expertise.
   4. Expert knowledge of a specialized area of clinical pharmacy practice or specialty area of pharmacy.
   5. Advanced skill in monitoring and assessing the outcome of drug therapies, including physical assessment and interpretation of laboratory and other diagnostic parameters.

Preferred Experience: PGY2 in an applicable area and board certification in pharmacy or other related area.

References: See VA Handbook 5005/55, Part II, Appendix G-15.

The full performance level of this vacancy is GS-13.

Physical Requirements: See VA Directive and Handbook 5019.