Summary The Ambulatory Care Pharmacy Supervisor is responsible for providing pharmaceutical care to patients in ambulatory care settings as assigned within the VA Loma Linda Healthcare System (VALLHCS). The ambulatory care pharmacy supervisor functions at the highest level of clinical pharmacy practice to provide pharmaceutical care to patients and optimizes patient care outcomes, working independently under their scope of practice as defined by the medical center to directly care for patients. Responsibilities Pharmacy Supervisor (Ambulatory Care) duties include but are not limited to: Represents facility efforts to improve medical care and must have excellent communication and interpersonal skills. Maintains, monitors and corrects problems of workflow within assignment areas. Performs patient care activities to include planning and implementation of drug therapy pertinent to the specialized pharmacy service line, monitoring and follow-up of therapy. Develops policies and procedures leading to the safe and cost-effective use of medications in the specialized pharmacy program, Coordinates and manages utilization of resources and operates the Pharmacy Programs within allocated budgets. Manages an effective quality assurance and quality control program affecting patient care and reports results. Documents recommendations, concerns and potential medication related issues. Serves as a member of committees and task forces as assigned. Consults and advises management. Provides drug information, observations on patient response to therapy, and appropriate recommendations. Establishes and promotes an atmosphere of unity; a high level of productivity; patient and staff satisfaction; strong communication channels between the service lines. Supports effective drug usage criteria approved by the national VHA/PBM (pharmacy benefits manager), VISN PBM, and/or local Pharmacy and Therapeutics Committee (P&T) which help ensure quality patient care in a cost-effective manner. Ensures appropriate utilization of the VHA formulary by health care providers. Completes (approves/disapproves) Non-Formulary/Restricted Drug Consults in pharmacy area of responsibility and other Pharmacy areas when assigned. Develop and maintain a system that aids pharmacists in identifying actual or potential drug-related problems at the initiation of the medication order to eliminate duplication of efforts, participates in the Adverse Drug Reaction (ADR) reporting program. 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 Scope of Practice including medication initiation, dose titration or adjustment, discontinuation, assessment and therapeutic monitoring, patient education and medication adherence enhancement. Responsible for carrying out assignments resolving conflicts that arise. 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. Provides medication management, as requested by provider consult that is consistent with their Scope of Practice, including, but not limited to, the management of anticoagulants, antibiotic stewardship, vaccinations, and discharge medication coordination. This includes dose 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. Follow-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 laboratory results. Provides prescription extension as appropriate and counseling relative to the patient's continuing medication needs. Reviews patient's being discharged to ascertain any medication issues requiring follow-up and coordinate with the provider, nurse/physician liaison and/or social worker as appropriate to arrange the appropriate follow-up. Provides direct patient care and medication management in accordance with established policy and procedures. Provides order verification when necessary. Work Schedule: Monday-Friday 8:00am to 4:30pm Telework: May be authorized based on needs of service. Virtual: This is not a virtual position. Functional Statement #: 000000 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. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details. Qualifications BASIC REQUIREMENTS: Citizenship: Citizen of the United States Education: Applicants must possess one of the following: 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/. (NOTE: Prior to 2005 ACPE accredited both baccalaureate and Doctor of Pharmacy terminal degree program. Today the sole degree is Doctor of Pharmacy.) 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. 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. Grade Determinations: In addition to the basic requirements above, applicants must possess the following grade requirements. GS-13 Pharmacy Supervisor: Applicants must have 1 year of experience equivalent to the next lower grade level. In addition, applicants must meet the following Knowledge, Skills, and Abilities (KSAs): Ability to effectively supervise subordinate staff. Ability to communicate orally and in writing to persuade and influence clinical and management decisions. Expert understanding of regulatory and quality standards pertaining to pharmacy. Skill in managing people or programs Assignment: Responsible for the professional and administrative management of an assigned area in pharmacy service, to include budgetary execution. Such individuals have responsibilities for supervising multiple pharmacists and technicians. Manages people, maintains effective interdepartmental relations, and cooperates with other services to accomplish the medical facility's mission and goals. Develops performance standards, assures that the program area is compliant with all regulatory and accrediting body requirements, designs and implements orientation and training programs for staff, and develops and maintains systems to monitor the performance of staff activities. Develops policies and procedures relative to their assigned area. References: VA Handbook 5005, Part II, Appendix G15 - Licensed Pharmacist Qualification Standards. Physical Requirements: Employees are typically expected to work forty hours per week. This may include days, evenings, nights, weekends and/or holidays as assigned. Principle duties require repetitive use of hands and fingers (for example, preparing IV admixtures, use of a computer keyboard, etc.). This may require lifting and carrying light loads, including boxes, equipment, unit-dose cassettes, and IV solutions; stooping or kneeling (for example, to pick up items from the floor, remove and replace items on lower shelves, and to file documents in lower file drawers, etc.); sitting, walking, or standing for long periods of time. Normal ranges of hearing and vision are required to perform work and communicate effectively; must have the visual ability to distinguish between basic colors and shades of color. An ability to perform tasks requiring rapid mental and muscular coordination functions simultaneously is necessary. Must be physically capable of operating various types of equipment used for the job. Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on 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: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Additional Information 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. Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.