Clinical Pharmacist

Fresno, California, California, This position serves as a Pharmacogenomics Program Manager (PGx PM) for the Central California division. The incumbent’s roles and responsibilities relate to leading PGx implementation, local staff’s PGx education growth efforts, and delivery in patient care that incorporates PGx recommendations in a variety of practice areas both inpatient and outpatient with a global scope of practice (SOP), maintaining SOP and performs clinical functions independently. 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. 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). [TRANSCRIPTS MUST BE SUBMITTED WITH APPLICATION] (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).

YOU MUST SUBMIT COPY OF FPGEC CERTIFICATION WITH THE APPLICATION PACKAGE]. (3) NOTE: Current VA Employees grandfathered into the GS-660 occupational series may be reassigned, promoted up to and including the full performance (journey) level, or changed to lower grade within the occupation, but may not be promoted beyond the journey level or placed in supervisory or managerial positions]. 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. [YOU MUST SUBMIT A COPY OF CURRENT LICENSE WITH THE APPLICATION PACKAGE]. Exception: Non-licensed pharmacists who otherwise meet the eligibility requirements may be given a temporary appointment at the entry level as a Graduate Pharmacist under the authority of 38 U. S.

C. § 7405(c)(2)(B). The appointing official may waive the requirement of licensure for a period not to exceed 2 years for a pharmacist that provides care under the supervision of a licensed pharmacist. For grade levels above the GS-11, the candidate must be licensed. 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. For employees who do not meet all the basic requirements required in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following provisions apply: (1) Employees grandfathered into the GS-660 occupational series may be reassigned, promoted up to and including the full performance (journey) level, or changed to lower grade within the occupation, but may not be promoted beyond the journey level or placed in supervisory or managerial positions. (2) Employees who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed, on a temporary or permanent basis, until they fully meet the basic requirements of the standard. Employees initially grandfathered into this occupation, who subsequently obtain additional education and/or licensure/certification/registration, that meet all the basic requirements of this qualification standard must maintain the required credentials as a condition of employment in the occupation. (3) If a licensed pharmacist who was retained under this provision leaves the occupation, the employee loses protected status and must meet the full VA qualification standard requirements in effect at the time of reentry to the occupation.

Physical Requirements. See VA Directive and Handbook 5019. English Language Proficiency. Pharmacists must be proficient in spoken and written English in accordance with 38 U. S. C. 7402(d) and 7407(d). 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). Preferred Experience: Grade Determinations: GS-13 Clinical Pharmacist Experience In addition to the GS-13 requirements, must have 1 year of experience equivalent to the next lower grade level. Assignment.

Manages all aspects of a distinct program to include policy development, quality resources and specialty functions unique to the program to optimize cost effectiveness (budget) and patient outcomes. Coordinates a single program area of a complex pharmacy operation, or multiple program areas within a facility to develop, organize, manage, and control complex pharmacy programs. Develops, organizes, coordinates and manages single or multiple program areas within the medical facility; this may include a single program area at multiple facilities. The Program Manager title is reserved for those individuals who have one or more of the following: supervisory responsibilities for various sections within Pharmacy Service; a complex program requiring coordination of multiple locations such as medical center care facilities, Community Based Outpatient Clinics (CBOCs), rural health, telemedicine, etc; specialized areas of a complex nature such as nuclear pharmacy, quality assurance, pharmacy informatics, clinical applications coordinator, Home Based Primary Care, pharmacoeconomist or liaison pharmacist duties requiring the coordination of processes with other medical facilities or VISNs. Pharmacists assigned to this position must demonstrate the KSAs as identified 1. Knowledge of professional pharmacy practice. 2. Ability to communicate orally and in writing to both patients and health care staff. 3. Knowledge of laws, regulations, and accreditation standards related to the distribution and control of scheduled and non-scheduled drugs and pharmacy security.

4. Skill in monitoring and assessing the outcome of drug therapies, including physical assessment and interpretation of laboratory and other diagnostic parameters. References: VA Handbook 5005/55, Part II, Appendix G15, dated June 7, 2012, VA Licensed Pharmacist Qualification Standards, GS-660. This can be found in the local Human Resources Office. The full performance level of this vacancy is GS-13. Physical Requirements: Moderate lifting, 15-44 pounds; Use of fingers; Both hands required; Walking (3 hours); Standing (4 hours); Ability for rapid mental and muscular coordination simultaneously; Depth perception; Ability to distinguish basic colors; Hearing (aid permitted). [“The Clinical Pharmacy Program Manager–Pharmacogenomics serves as the subject matter expert on behalf of the Pharmacy Service regarding Pharmacogenomics specialty, devising, assessing, monitoring, and documenting therapeutic plans utilizing the most effective, least toxic, and most economical medication treatments based on the Veteran’s PGx results. The PGx PM serves to help achieve positive patient-centric outcomes (e. g. , establishing and progressing towards individualized function-related goals, improving quality of life, minimizing the theoretical risk of drug- related harm) through direct and indirect interactions with patients, providers, and interdisciplinary teams where applicable; performing physical assessments; implementing risk mitigation strategies and ordering laboratory (e.

g. , PGx panels, single gene tests, phenotype tests, therapeutic drug monitoring, etc. ) and other tests to help maximize efficacy and prevent the toxicity of medication therapy. The incumbent has knowledge of VA/DOD clinical practice guidelines, The Joint Commission (TJC) standards, Veterans Affairs (VA) performance measures, and VA Pharmacy Benefits Management (PBM) initiatives and will integrate these standards into practice. The PGx PM is responsible for adjudicating prior authorization requests for pain medications, ensuring cost-effective drug utilization, and enforcing compliance with VHA, VISN and local formulary guidance; will participate as a subject matter expert on PGx-related committees at the local facility level (e. g. , PGx Steering Committee) and as permitted at national and VISN levels. The PGx PM should assist with quality improvement projects related to PGx. Indirect patient care activities include teaching/mentoring trainees, participating in quality assurance and improvement projects, participating in PGx-based education programs, supporting research, staff education, and consultation. VACCHCS is a 800 bed multi-division Health Care System with specialties in Medicine, Surgery, Intensive Care, Psychiatry, Spinal Cord Injury, Sub Acute, Hospice, Nursing Home Care, and Polytrauma Medicine.

This Health Care System is a teaching facility affiliated with Stanford University, School of Medicine, and University of the Pacific, School of Pharmacy. Functions: Exhibits effective interpersonal skills through the establishment and maintenance of collaborative relationships within and outside the section, resolution of conflicts and successful negotiations. The manager displays empathy, empowers others, and possesses effective written and oral communication skills. This includes the provision of fair, principled, and decisive leadership to section employees which inspires a climate of productivity, effectiveness, and high morale. An environment that recognizes all employees as leaders is provided and the concepts of shared leadership and accountability are promoted within the section. Exhibits systems thinking skills through the ability to understand the pieces as a whole and appreciation of the consequences of actions on other parts of the system. The manager thinks in context, knows how to link actions with others in the organization and demonstrates awareness of the process, procedures, and outcomes with a global view of the world. This includes the development and implementation of section business plans in a timely manner, support of VHA and Network initiatives, and the identification of unique opportunities to expand quality, access, and timeliness of care to veterans. Exhibits flexibility and adaptability through the ability to quickly adapt to change, handle multiple inputs and tasks simultaneously and accommodate new situations and realities. The manager works well with all levels and types of people, welcomes divergent ideas, and maximizes limited resources.

This includes the allocation of resources (staff, equipment, space) in an effective manner responding to changes in budget plan, construction issues, VHA and Network priorities; utilization of contracts and sharing agreements to achieve desired outcomes; and the provision of various stakeholder needs (patients, staff, affiliates, Labor Partnership and Veterans Service Organizations) to optimize outcomes. VA Careers – Pharmacy: https://youtube. com/embed/Fn_ickNBEws Work Schedule: Variable Telework: Ad-hoc Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized Financial Disclosure Report: Not required”]

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