The Clinical Pharmacy Specialist (CPS) is a licensed pharmacist, and is responsible for providing pharmaceutical care to patients in ambulatory care clinics. Functions at the highest level of clinical pharmacy practice to provide pharmaceutical care to patients and optimizes patient care outcomes, works independently under their scope of practice as defined by the individual medical center to directly care for patients. The Clinical Pharmacy Specialist (CPS) is a licensed pharmacist, and is responsible for providing pharmaceutical care to patients in ambulatory care clinics. The CPS functions at the highest level of clinical pharmacy practice to provide pharmaceutical care to patients and optimizes patient care outcomes, 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 best evidence, 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 Duties include but are not limited to: The CPS functions independently under scope of practice as defined by the medical center, will have direct patient care responsibilities, and will be qualified and authorized to provide services in support of primary care, specialized ambulatory care clinics, inpatient clinical ward/units, or long-term care settings as outlined in their CPS Scope of Practice. Demonstrates the knowledge and ability to assess data reflective of the patient's status and interpret the information needed to identify each patient's requirements relative to their specific needs and to provide care needed to achieve positive patient outcomes. Provides medication management of chronic diseases as described in their CPS Scope of Practice including medication initiation, dose titration or adjustment, discontinuation, assessment and therapeutic monitoring, patient education and medication adherence enhancement. 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 for lab or test results to discuss the plan of therapy (i.e., changes in medication therapy, monitoring and evaluation, additional testing requirements, or referral to primary care or specialty care providers as appropriate). Chronic disease management includes, but is not limited to, diabetes, hypertension, hyperlipidemia, COPD, asthma, hypothyroidism, anticoagulation management, osteoporosis, smoking cessation, infectious disease, hepatitis C, and specialty clinics/populations such as Women's Health, Mental Health, Long-Term Care, Transgender Care, Geriatric Care, and Pain Management. Provides medication management, as requested by provider consult that is consistent with their CPS Scope of Practice including, but not limited to, the management of parenteral nutrition, anticoagulants, antibiotic stewardship, vaccinations, and discharge medications. This includes medication initiation, dose/rate adjustments, and discontinuation as applicable. 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 providers or other interdisciplinary staff to discuss the plan of therapy if necessary. Assists in meeting clinical performance goals with respect to medication management. Screens and assesses the patient's medication regimen for clinical effectiveness and therapeutic outcomes as required, allergies, drug selection, dosing, contraindications, side effects, drug interactions, duplication of therapy, compliance, weight, height, renal, hepatic function and other appropriate labs. Direct patient care is provided through pharmacy clinics as scheduled visits, walk-in or urgent visits, group visits, telephone or telehealth visits, and secure messaging. Additional assigned duties include non-formulary and prior-authorization drug adjudication, assisting with conversion to formulary agents, poly-pharmacy medication review and complex-regimen medication reconciliation. Provides prescription extension as appropriate and counseling relative to the patient's continuing medication needs. Patients should be counseled regarding their medications in compliance with standard of practice and OBRA 90 guidelines, including OTC medications. Offers extensive counseling for medical devices/injections such as diabetes insulin injections, biologic medication injections, meter-dose inhalers, and smoking cessation. Work Schedule: Monday - Friday 8:00am - 4:30pm Financial Disclosure Report: Not required
Internal Number: 599600700
About Veterans Affairs, Veterans Health Administration
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.