Clinical Pharmacist Specialist - Ambulatory Care (PACT/...

Summary The Ambulatory Care Clinical Pharmacy Specialist (CPS) works independently at the highest level of clinical practice within Home-Based Primary Care (HBPC) and Ambulatory Care areas within VA Ann Arbor Healthcare System as an integral part of the interdisciplinary healthcare team. Responsibilities may include the provision of both direct and indirect patient care, professional consultations, drug information services and other clinical pharmacy services. Responsibilities VA Careers - Pharmacy: The Ambulatory Care Clinical Pharmacy Specialist: Promotes the appropriate, economical, safe, and effective use of medication therapy through maintaining independent Ambulatory Care Clinical Pharmacy practice sites. Practice sites may include but are not limited to: Anticoagulation Management Clinics Primary Care/PACT Clinics Specialty Care Clinics Home Based Primary Care Community Living Center Maintains collaborative and comprehensive medication therapy management clinics and services in designated areas of practice, under a scope of practice. This shall include physical assessment, ordering laboratory and diagnostic tests necessary to manage medication therapy, referring patients to appropriate health care providers as needed, performing patient triage functions and independently initiating, adjusting and discontinuing medications. Delivers direct care to patients through a variety of modalities which may include but are not limited to: Face-to-face, telephone, video/telemedicine, e-consults, chart reviews, shared medical appointments, drop-in group medical appointments, group education classes and/or secured messaging interactions. Documents encounters and clinical decisions in Electronic Health Record (EHR) progress notes. Utilizes Pharmacists Achieve Results with Medication Documentation (PhARMD) Tool to track disease state and other clinical interventions. Responds to alerts sent by other members of the health care team. Maintains a collaborative case management relationship with registered nurse case/care managers and nurse practitioners within designated practice areas. The CPS provides appropriate independent medication changes including initiation, adjustment, and discontinuation for patients seen and evaluated and/or presented to the CPS and deemed to be within the CPS scope of practice for disease state management. Provides medication extensions when prescribing provider is not available. Critically reviews prior authorization drug requests according to criteria for use, appropriateness, safety, cost-effectiveness and utilizing evidence-based decision making. Provides professional consultative services related to their designated area of practice. Professional consultative services include but are not limited to extensive drug information services, formulary management, and medication recommendations. Works as part of an interdisciplinary team within the CPS practice site to help achieve positive patient centric outcomes. Solves complex drug related problems or clinical patient care issues; coordinates and organizes responsibilities to maximize outcomes in their program area or area of clinical expertise. Attends and participates in interdisciplinary rounds, team meetings, huddles, conferences, and other meetings as required for the purpose of providing consultation in all pharmacy and medication-related matters. Functions independently in day-to-day clinical and administrative duties associated with the position, consulting with higher level ambulatory care and pharmacy supervisors only when required. Uses a high degree of professional judgment to solve complex problems which routinely arise throughout the workday. Keeps abreast of advances and changes in ambulatory medicine by participating in programs that provide continuing education and training. Understands the medication use systems in the health system and their impact on the care of patients. Other duties may be assigned within the general qualifications to support distribution of pharmacy services and the delivery of healthcare Work Schedule: Monday-Friday (7:30 a.m. to 4:00 p.m.) TBD Telework: Ad-hoc Virtual: This is not a virtual position. Functional Statement #: Relocation/Recruitment Incentives: 94275-A Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): 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. 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, driver's licenses or state-issued dentification 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

Created: 2026-03-30