Clarification from the agency

This position is open to current, permanent federal employees of Veterans Health Administration and Past/Current/Upcoming VHA HPT Graduates. First area of consideration is Facility. NOTE: The 2-page Resume requirement does not apply to this occupational series. For more information, refer to Required Documents below.

VA Careers - Pharmacy: https://youtube.com/embed/Fn_ickNBEws

Clinical Pharmacy Specialists 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 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). Duties include but are not limited to the following:

• Collaborates with ED providers to develop, implement, and maintain systems that promote desirable clinical outcomes through use of safe, cost-effective drug therapies.
• Reviews and evaluates medication regimens for clinical effectiveness, drug selection, dosing, contraindications, side effects, potential drug interactions, and therapeutic outcomes.
• Utilizes motivational interview skills with patient, family, caregiver and other healthcare professionals to collect patient-specific data to identify problems and individualize care to complement patient's medication therapy history and identify additional data needed as part of medication review assessment.
• Designs pharmaceutical care plans if needed and documents interventions performed in electronic health record, allowing for seamless transitions of care and effective communication within the patient's healthcare team.
• Makes dose adjustments and recommendations based on objective laboratory findings, expertise in the principles of clinical pharmacokinetics and pharmacodynamics.
• Orders, reviews and analyzes appropriate laboratory tests and other diagnostic studies necessary to monitor and support the patient's drug therapy.
• Manages acute and chronic disease states under Scope of Practice.
• Reports and assists in medical emergencies and high risk procedures such as resuscitations, intubations, acute coronary syndromes, stroke, anticoagulation reversal, toxicologic emergencies, disaster management.
• Reviews culture results and susceptibility profiles and initiates changes in antimicrobial therapy when indicated.
• Participates in the training and orientation of pharmacy students, pharmacy residents, pharmacy staff and allied healthcare professionals.
• Responsible for coordinating and supervising the activities of postgraduate residents in the emergency department, as preceptor.
• Serves as an authoritative information source on medication and their uses.
• Engages in drug information services to healthcare providers informally and via formal requests.
• Effectively instructs patients and family members in the appropriate use of medications and medical devices. EMCPS is able to adjust communication and tracking methods based on age and developmental considerations, accurately assess and document patient comprehension, refer patients to educational programs provided within the healthcare system by multidisciplinary teams.
• Maintains and improves professional competency by keeping up with information on new medications, new medication therapies, and innovations in pharmacy practices. The EMCPS continually applies current drug information and program techniques in their daily practices.
• Obtains and maintains Basic Cardiac Life Support Certification (BLS) and Advanced Cardiopulmonary Life Support (ACLS)
• Responsible for the daily operation status of various aspects of the pharmacy programs.
• Participates in quality improvement committees and regulatory compliance activities designed to evaluate and improve patient safety, quality measures/metrics and outcomes in the ED included but not limited to creation of order sets or other techniques to aid in expedited, safe and proper selection of evidence-based and/or guideline-directed therapies in the ED.
• Serves as pharmacy liaison with ED team and stakeholders, representing pharmacy service in a professional manner.

Work Schedule: Variable - Will be required to work variable tours of duty including evenings, weekends and holidays.
Telework: Not authorized
Virtual: This is not a virtual position.
Functional Statement #: 21809F
Relocation/Recruitment Incentives: Not authorized
EDRP Authorized: Former EDRP participants ineligible to apply for incentive.Contact Contact VISN8CCoE@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 dentification 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.

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.

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-Transcripts Required

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 or on track to complete advanced degree from an accredited program by the time of hire. 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.)
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-Documentation Required. 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 licens e 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.

Grade Determinations. The following is used to determine if you meet the grade requirements for a GS-13 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. GS-13 grade requirements include the following:

• Experience. In addition to the GS-12 requirements, must have 1 year of experience equivalent to the next lower grade level. Experience at this level includes: reviewing, interpreting, and verifying medication orders for appropriateness; processing and filling medication orders; interacting with and making recommendations to other clinical staff regarding medication therapy ordered to ensure safe and effective care; reviewing the patient's medications, allergies, labs, and other pertinent information from the medical record to identify and solve medication-related problems; contacting providers as appropriate; documenting recommendations and interventions; providing refill extensions and partial medication supplies; taking health and medication histories; performing medication reconciliation; providing drug information; assisting in formulary management including therapeutic substitutions, nonformulary reviews and medication usage evaluations; documenting and assessing adverse drug events (ADEs); assisting in medical emergencies; providing oversight of technical staff in all aspects of medication distribution.
• Demonstrated Knowledge, Skills, and Abilities. In addition to the 1 year of experience at the next lower grade level listed above, 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.

Preferred Experience:

• Completion of PGY1 Pharmacy Residency
• Current prescribing privileges in an Emergency Management setting
• Board Certification (BCPS, BCCP, BCGP)

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

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

Physical Requirements: Moderate lifting, 15-44 pounds; light lifting, under 15 pounds; moderate carrying, 15-44 pounds; pushing up to 4 hours; reaching above shoulder; use of fingers, good dexterity (both hands required); walking up to 4 hours; standing, 6 hours prolonged; kneeling; repeated bending; climbing, use of legs and arms; operation of vehicle; ability for rapid mental and muscular coordination simultaneously; near vision correctable at 13" to 16" to Jaeger 1 to 4; far vision correctable in one eye to 20/20; specifically visual requirement, ability to read fine print on labels; depth perception; ability to distinguish basic colors; ability to distinguish shades of colors; hearing (aid permitted); clear speech; and emotional stability.

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, resume, 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.

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

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.

Area of Consideration - Eligible applications will be reviewed and referred in the following order:
1. Current permanent VA employees of the facility.
2. All other VHA employees.
3. All other applicants

To apply for this position, you must provide a complete Application Package which includes:

• 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.
• Resume
• SF-50/ Notification of Personnel Action
• Transcript

• REMINDER Current, permanent federal employees must submit recent SF-50 from the past 12 months which clearly shows current, permanent federal eligibility. Examples of appropriate SF-50's include:
  • General adjustment/Cost of living Increase
  • Within grade increases at the highest grade held
  • Promotions SF-50's at the highest grade held within the past year
  • Cash Award, benefit changes or time off Awards 50's do not provide sufficient information and will not be accepted.
• Please check your electronic official personnel folder (eOPF) for your most recent SF-50. HR will not contact you for more info or documents. You can attach more than 1 SF50. All current, permanent federal employees applicants must ensure that they have included one or more SF50's showing current, permanent employment status in the past 12 months.

Special Note for Applications: To complete your application, please use the following link https://vacareers.va.gov/wp-content/uploads/sites/5/Resume.docx to download the standard Clinical Resume Document. This one-page document does not need to be modified and must be uploaded into the two-page restricted 'Resume' document upload field.

Your full resume/CV may be uploaded without page limitation into the 'Other' document upload field.


The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please 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.

• Cover Letter
• License
• Your full resume may be uploaded without page limitation into the 'Other' document uploaded field.
• 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.
• Professional Certification
• Resume
• SF-50/ Notification of Personnel Action
• Transcript

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 Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference.

Veterans' preference does not apply for internal or other current permanent Federal agency employees.

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