Pharmacist(Clinical Spec)

Pharmacy Clinical Pharmacist Practitioner

The Clinical Pharmacist Practitioner functions at the highest level of clinical practice and works independently under their individual scope of practice to directly care for patients. The primary responsibility is coordination and provision of medication management to patients at the Birmingham VA Health Care System and its Community Based Outpatient Clinics. This includes, but is not limited to, initiating, modifying, or discontinuing medication therapy; 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; and ordering laboratory and other tests to help determine efficacy and toxicity of medication therapy. Care may be provided through traditional clinic appointments or other modalities including, but not limited to, telehealth, videotelehealth, and shared medical appointments. Responsible for providing direct patient care and consultative care in complex patients needing therapy as outlined in the scope of practice. Responsible for serving as an integral member of the pharmacy team including evaluation of current programs and identification of gaps in patient care. Responsible for practicing in conjunction with available tools (PharmD Tool, Population Management Dashboards, Secure Messaging, Tele-health, etc.) Responsible for practicing in a manner that enhances access to care, clinical outcomes, and cost-effective therapy. Responsible for providing cross-coverage to pharmacy areas outside of usual assignment and schedule when necessary for patient care and appropriate competencies are in place (ie: Anticoagulation, subspecialty area, etc.). NOTE: Initially, the selected candidate will serve as a PACT pharmacist, with some coverage of oncology patients. As the oncology workload grows, it will transition to a full oncology position.

FUNCTIONS/SCOPE OF DUTIES:

A. Clinical--Direct Patient Care that requires a Scope of Practice

1. Responsible for providing direct patient-care medication management performed with the efficiency and depth of an experienced clinical pharmacist practitioner (CPP) in ambulatory care related conditions per approved scope of practice

2. Designs, implements, monitors, and evaluates patient-specific pharmacotherapy plans to achieve defined outcomes through direct interactions with patients and providers in assigned areas. Implements or recommends corrective actions to providers and documents in CPRS as appropriate for areas including but not limited to the following:

• Appropriate laboratory monitoring parameters.
• Drug-drug interactions and co morbidities.
• Duplication of therapy.
• Medication side effects.
• Appropriate dosing regimens.
• Absence of an essential medication.
• Drug allergies.
• Occurrence of adverse events.

3. Orders, performs, reviews, and analyzes appropriate laboratory tests and other diagnostic studies necessary to monitor and support the patient's drug therapy.

4. 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.

B. Clinical-Indirect Patient Care Activities

1. Coordinates and/or performs medication reconciliation for ambulatory care patients with scheduled face-to-face or telehealth appointments as related to medication management and/or transitions of care where required.

2. Provides formulary management support through consult review and team collaboration.

3. Provides e-consult support to various services for medication recommendations, Skilled Nursing Home transitions, etc.

4. Identifies patients via population management dashboards who may benefit from Comprehensive Medication Management Services

C. Education & Research

1. The pharmacist serves as adjunct instructor to approved schools of pharmacy. Individually precepts Doctor of Pharmacy advanced practice students and pharmacy residents.

2. The pharmacist provides lectures and educational material to medical students and residents, nurses, physicians, and other related healthcare professionals and trainees.

3. The pharmacist serves as pharmacy liaison for drug research activities for the medical center and associated clinics.

Work Schedule: 8 hr shift between 6a and 6p with rotating Weekend, Holiday, Evening and Night hours

Telework: AD-HOC

Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not Authorized

EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact View email address on click.appcast.io, the EDRP Coordinator for questions/assistance. Learn more

US Department of Veterans Affairs