Clinical Pharmacist

Pharmacy Operations/Processing:

1. Workflow should be organized to complete the workload as accurately timely and efficiently as possible.
2. Prescription/order processing will be performed in accordance with The Joint Commission accreditation standards ASHP pharmacy practice standards and VHA requirements.
3. Reviews all medication orders for appropriateness drug selection dosage route of administration and the amount prior to dispensing.
4. Ensures all medication orders are entered into the electronic patient medical record.
5. Provides medication counseling to patients

Quality and Patient Safety:

1. Performs a thorough review of all prescriptions/orders processed checked and dispensed uses clinical judgement when making recommendations.
2. Processes all orders in -drug drug-nutrient drug-laboratory and drug-disease state interactions. Assessment for clinical relevance should be performed and dealt with appropriately.
3. Performs continuous evaluation of prescribed medications to assure optimal drug therapy.
4. Assesses drug safety and efficacy including evaluation of physical symptoms.
5. Reports adverse drug events (ADE) near misses and medication errors in alignment with VA ADERS JPSR and any other pertinent reporting programs.
6. Provides patient-specific therapeutic drug monitoring and communicates relevant findings and/or recommendations to other health care providers in charge of the patient both orally and in writing.

Clinical Activities:

1. Provides and documents continuity of care by extending refills (per policy) for patients without refills or refers patient to appropriate healthcare provider.
2. Demonstrates a working knowledge of VHA directives VHA national formulary Cincinnati VA policies and protocols including activity of the Pharmacy and Therapeutics (P&T) Committee to provide appropriate and cost-effective drug therapy recommendations. Implements and monitors cost-effective drug regiments (protocols promoting positive patient outcomes).
3. Documents patient care activities (medication reconciliation clinical interventions etc.) and communicates with healthcare providers consistent with Medical Center policy and procedures and Joint Commission standards.
4. Performs medication reconciliation at all transitions of care including updating the medication profile to reflect an accurate active list of VA and non-VA medications. This may include adding non-VA medications or discontinuing duplicate medications or those the patient is not taking.

Administration/Project Management:

1. Assumes full and complete responsibilities of the pharmacy operations in the absence of a supervisory pharmacist and works independently with minimal supervisory controls.
2. Directs and inspects the work of technicians and/or aides involved in technical functions for Pharmacy Service in the area in which assigned.
3. Attends participates and contributes as an active member of various Medical Center Committees as determined by Pharmacy Service supervisory personnel.
4. Assesses plans and evaluates the scope and quality of the pharmacy program(s) to which assigned to ensure proper coordination between the delivery of pharmacy services and the overall delivery of healthcare to the patient.

Stock Control and Environmental Safety/Security:

1. Manages recalls and medication shortage situations by substituting alternate dosage strengths and instructions of the same medication to equal the prescribed dose and schedule.
2. Maintains adequate drug stock inspects drug storage areas supervises prepacking and the operation of automated dispensing equipment.

Educational Activities:

1. Serves as a role model and preceptor to pharmacy students and residents. Assumes an active role in the overall pharmacy-training program consisting of students interns residents and professional and non-professional staff members. Conducts on-the-job training and provides guidance through designated programs.
2. Assumes an active role in staff development of peers and provides educational in-services to nursing medical staff or to other ancillary services as appropriate.

Work Schedule: 3rd shift (2100-0700)rotating holidays and weekends
Compressed/Flexible:Not Authorized
Telework: Ad Hoc only supervisors discretion.
Virtual: This is not a virtual position.
Functional Statement #: 91139-A
Relocation/Recruitment Incentives: Not Authorized.

• 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.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements ( Effective May 7 2025 drivers licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• 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).
• Complete all application requirements detailed in the Required Documents section of this announcement.

As a condition of employment for accepting this position you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public determining if your employment advances the public interest we may consider:

• your performance and conduct;
• the needs and interests of the agency;
• whether your continued employment would advance organizational goals of the agency or the Government; and
• whether your continued employment would advance the efficiency of the Federal service.

Upon completion of your trial period your employment will be terminated unless you receive certification in writing that your continued employment advances the public interest.

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:

• Citizenship. Citizen of the United States. (Noncitizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3 section A paragraph 3g this part.)
• English Language Proficiency. Pharmacists must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d).
• 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. 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: or through their Web site at: (NOTE: Prior to 2005 ACPE accredited both baccalaureate and Doctor of Pharmacy terminal degree program. Today the sole degree is Doctor of Pharmacy.) (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 1Based 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.

NOTE: Individuals who have or have had multiple licenses and had any such license revoked for professional misconduct professional incompetence or substandard care or who surrendered such license after receiving written notice of potential termination of such license by the State for professional misconduct professional incompetence or substandard care are not eligible for appointment to the position unless such revoked or surrendered license is fully restored (38 U.S.C. 7402(f)). Effective November 30 1999 this is a requirement for employment. This requirement does not apply to licensed pharmacists on VA rolls as of that date provided they maintain continuous appointment and are not disqualified for employment by any subsequent revocations or voluntary surrenders of State license registration or certification.

. 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.
to Obtain all cases pharmacists must actively pursue meeting state prerequisites for licensure starting from the date of their appointment. At the time of appointment the supervisor will provide the unlicensed pharmacist with the written requirement to obtain licensure the date by which the license must be acquired and the consequences for not becoming licensed by the deadline. Failure to become licensed within 2 years from date of appointment will result in removal from the GS-0660 Pharmacist series and may result in termination of employment.

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).

Grade Determinations:
GS-12 Clinical Pharmacist (Full Performance Level)
(a) Experience or Education. In addition to the basic requirements candidates must meet one of the following:

1. 1 year of experience equivalent to the next lower grade level or
2. Completion of an ACPE-accredited Pharm.D. program.

(b) Assignment. A pharmacist in this assignment handles routine medication-related activities in accordance with local Veterans Integrated Service Network (VISN) and national policies and regulations. These include but are not limited to: reviewing interpreting and verifying medication orders for appropriateness; processing and filling medication orders; interacting with and making recommendations to other clinical staff regarding medication therapy ordered to ensure safe and effective care; reviewing the patients medications allergies labs and other pertinent information from the medical record to identify and solve medication-related problems; contacting providers as appropriate; documenting recommendations and interventions; providing refill extensions and partial medication supplies; taking health and medication histories; performing medication reconciliation; providing drug information; assisting in formulary management including therapeutic substitutions nonformulary reviews and medication usage evaluations; documenting and assessing adverse drug events (ADEs); assisting in medical emergencies; providing oversight of technical staff in all aspects of medication distribution. Pharmacists assigned to this position must demonstrate the following knowledge skills and abilities (KSAs):

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.

Preferred Experience: Inpatient pharmacy operations experience preferred.

Reference: For more information on this qualification standard please visit Requirements: See VA Directive and Handbook 5019.

The full performance level of this vacancy is GS-12. The actual grade at which an applicant may be selected for this vacancy is GS-12.