Pharmacist-Clinical Specialist PACT (Intermittent)

Allied Health ProfessionalClinical - Direct Patient Care (Independent Practice Under SOP)Conducts face-to-face, telephone, & telehealth/VVC encounters with patients referred or empaneled for CMM.Functions as a mid-level provider & independently initiates, titrates, adjusts, & discontinues medication therapy for chronic disease states to achieve definite outcomes through direct patient care & collaboration with providers in assigned areas.Independently orders, performs, reviews, & interprets laboratory tests & diagnostic studies necessary to monitor & support drug therapy, adjusting treatment plans based on resultsPerforms & documents relevant physical assessments to inform drug therapy decisions within the bounds of the SOP & clinical privileges.Follows up directly with patients on lab/test results to communicate & adjust the therapeutic plan, including changes in medication, monitoring frequency, & additional testing.Exercises independent clinical judgment to determine when referral to a physician or specialist is warranted due to disease progression, diagnostic uncertainty, or adverse drug events outside the CPP's scope.Manages transitions of care, including post-discharge medication reconciliation, identification & resolution of poly-pharmacy discrepancies, & coordination with non-VA & specialty care, as needed.Clinical - Indirect Patient Care ActivitiesIndependently reviews patient medication regimens for clinical effectiveness, appropriateness of drug selection, dosing, contraindications, adverse effect potential, & drug interactions; communicates findings & implements alternative treatment plans as clinically indicated.Obtains & documents comprehensive medication histories, summarizing significant findings in the electronic health record & to the responsible provider as appropriate.Monitors, documents, & reports medication errors, adverse drug reactions, allergies, & patient adherence concerns in accordance with facility procedures.Applies clinical knowledge of laboratory reference ranges to identify significant abnormalities & independently makes dose-adjustment decisions based on objective findings.Reviews & adjudicates requests for non-formulary & restricted medications against established clinical criteria, where applicable.Collaborates with providers & pharmacy leadership to ensure compliance with national, VISN, & local clinical initiatives.Reviews & verifies medication orders for appropriateness & safety, intervening to reduce risk of adverse drug events.Supports the Pharmacy & Therapeutics Committee with medication use evaluations, drug utilization reviews, & formulary safety initiatives.Drug Information & Patient EducationServes as a clinical authority on medication usage, drug interactions, overdose management, & adherence for medical staff, nursing staff, technicians, & trainees, using evidence-based references.Maintains current, working knowledge of pharmacotherapy literature & clinical decision-support resources.Provides timely, accurate responses to drug information inquiries from all customer groups.Independently educates patients & caregivers on appropriate medication & device use, adapting communication to age, health literacy, & developmental considerations; assesses & documents patient comprehension; refers to facility-based multidisciplinary education programs as indicated.Work Schedule: Monday-Friday, Intermittent (no holidays)Recruitment/Relocation Incentives (Sign-on Bonus): Not AuthorizedPermanent Change of Station (Relocation Assistance): Not AuthorizedPay: Competitive salary and regular salary increases.Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year).Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VAInsurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)Telework: Available (Ad-hoc based on service needs)Virtual: This is not a virtual position.Functional Statement #: 55073APermanent Change of Station (PCS): Not Authorized