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Summary The 2-page Resume requirement does not apply to this occupational series. For more information, refer to Required Documents below. The Pharmacy service within the Medication Management section located at the VA Cheyenne Health Care System is looking to recruit for one (1) Clinical Pharmacy Specialist. The Pharmacist provides direct patient care utilizing a Scope of Practice relative to Disease State/Medication Management of complex patients within multiple interdisciplinary teams. . Responsibilities VA Careers - Pharmacy: https://youtube.com/embed/Fn\_ickNBEws Major Duties and Responsibilities: The CPP functions at the highest level of clinical practice, works independently under their scope of practice as defined by Cheyenne VA Health Care System to directly care for patients. Participates in face-to-face, telephone, and telehealth (e.g., VA Video Connect (VVC)) encounters with referred patients, for comprehensive medication management. Functions as a mid-level provider to design, implement, and monitor therapeutic drug plans to achieve definite outcomes through direct interactions with patients and providers in assigned areas. Orders, performs, reviews, and analyzes appropriate laboratory tests and other diagnostic studies necessary to monitor and support the patient's drug therapy. Follows-up with patients on lab or test results to discuss the plan of therapy, i.e., changes in medication therapy, monitoring, and additional testing requirements. Evaluates and utilizes professional judgment when determining service connection status, applicability of Agent Orange or combat veteran status, and co-pay status of outpatient. Prescriptions and resets incorrectly marked prescriptions appropriately. Utilizes pharmacy information systems to answer patient and facility staff questions related to status of their medication, completion date, package tracking, etc. Counsel's patients appropriately regarding their medication and documents this in the notes section of CPRS. CPP will determine if a referral to the physician is necessary when disease progression occurs, or adverse drug events require treatment interventions. Review patient medication regimens for clinical effectiveness, drug selection, dosing, contraindications, side effects, potential drug interactions, and therapeutic outcomes as required. Communicates findings with prescribers and provides appropriate alternatives to current treatment plans as needed. Provides comprehensive chart review for patients providing realistic and thorough recommendations to provider of record. Obtains medication histories from patients and summarizes significant findings in the medical record and/or to the provider as appropriate. Evaluates and documents adverse reactions according to facility policy within CPRS. Apply knowledge of normal laboratory values in the evaluation of patient care, recognizes significant abnormalities, and makes dose adjustment recommendations based on objective laboratory findings. Reviews and evaluates requests for non-formulary and restricted drugs for appropriateness and compliance with established criteria, where applicable. Complete electronic consults for clinical pharmacy services accurately and in a timely manner in accordance with VA and Pharmacy Service guidelines. Document all clinic activities (disposition, medication, follow-up visits, lab results, patient assessment/treatment/outcome, and cost containment) in progress notes in a timely and accurate/quality manner. Reviews and verifies medication orders for appropriateness and to reduce potential risk of adverse drug events. Serves as drug information resource by providing accurate and timely drug information and resolution of questions posed by physicians, consultants, and other health care providers regarding stability, indications, contraindications, compatibilities, dose, routes and schedules of administration, adverse effects, drug use criteria, and formulary alternatives. When requested, performs extensive literature searches on medications and therapies for physicians, patients, other health professionals, or the Pharmacy, Therapeutics, and Nutrition Committee (PT&N Committee). Responsible for the self-development, mandatory training, and education necessary to maintain licensure, stay current with the practice of pharmacy and regulatory body and accreditation standards, and meet facility training requirements. Collaborates with the Associate Chiefs, and Chief, Pharmacy Services to promote learning experiences and improve performance levels of Pharmacy personnel, specifically relative to primary Clinical Practice areas. Instructs or participates in the instruction of supervisors, pharmacy students, and pharmacy residents including developing appropriate rotation plans and completing required assessment forms in accordance with VA, ASHP, Pharmacy Service, and individual school of pharmacy requirements. Additional duties may be assigned as determined by the Chief, Pharmacy Service, Associate Chief, Clinical Pharmacy Services, or Associate Chief, Pharmacy Services (Operations) as necessary. Work Schedule: Monday - Friday; 7:30 a.m. - 4:00 p.m. Telework: Ad-hoc; Situational Ad-hoc as directed by agency policy Virtual: This is not a virtual position. Functional Statement #:60495-0 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Requirements 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 / evaluation. 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: Per VA Handbook 5005, Part II, Chapter 3, Section A, Paragraph 3j: No person will be appointed under authority of 38 U.S.C., chapter 73 or 74, to serve in a direct patient-care capacity in VHA who is not proficient in written and spoken English. 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/. Foreign Education: 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. 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). GS 13 Grade Specific Requirements:: GS 13 Experience: In addition to the GS-12 requirements, must have 1 year of experience equivalent to the next lower grade level. GS 13 Knowledge, Skills and Abilities (KSA's): In addition to meeting the experience for the GS-12 level, applicants must possess the following Knowledge, Skills and Abilities: 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: Prior VA Clinical experience/training in chronic disease state management, Healthcare Professional Trainee (HPT), or Clinical Pharmacy experience in medication management. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. This vacancy is being announced above the FPL at a GS-13 Physical Requirements: Physical movements involve completion of routine pharmacy functions which include but are not limited to: significant computer work/typing involving documenting patient encounters in the Computerized Patient Record System (CPRS), prescription order entry and processing, contact of patients (both face to face and via phone). Certain tasks are repetitive in nature and require multiple steps performed in succession for success. The incumbent should be able to lift and carry up to 45 pounds without significant difficulty. Incumbent must be able to stand or sit in one place including repeated bending for considerable time, reach above shoulders, use of fingers, both hands and legs required, during completion of complex tasks. Complexity of mental processes involved is extensive, demanding, and challenging thus requiring the ability for rapid mental and muscular coordination simultaneously for mental and emotional stability. Glasses are acceptable for vision correction per OF178 as employee needs the ability to read without strain of printed material the size of typewritten characters. 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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/. Additional Information Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions. This job opportunity announcement may be used to fill additional vacancies. 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. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.