Total 128 job vacancies by Veterans Health Administration

The Operating Room RN applies the nursing process (assessments, diagnosis, outcome identification, planning, implementation, and evaluation) to systems or processes at the unit/teamwork group level to improve care.
The Operating Room RN will be responsible for acquiring knowledge and skills to maintain expertise in your area of practice and participate in educational activities to improve clinical knowledge and enhance role performance.
RN duties will require you to intervene when untoward or unsafe changes occur the surgical suite. Primary duties and responsibilities include but are not limited to:
Demonstrates grade-appropriate and consistent critical thinking skills consistent with a fast-paced High Reliability and Just Culture environment
Performs pre- and post-procedure nursing assessments, patient education and to include side effects of medications and what to expect.
Recognizes subtle abnormal signs and symptoms and/or changes in patient's condition and respond appropriately in providing nursing interventions in the management of surgical and medical complications and initiate nursing actions to prevent and/or intervene in life threatening emergencies.
Ensure accurate and timely OR count.
Provides safe methods of patient transfer/transport by assessment of patient needs, selection of appropriate methods and personnel and the provision for the emotional needs of the patient/family during transport.
Provides psychosocial support, while identifying the patient and ensuring that the patient and planned surgical intervention and operative site correspond.
Responsible for reducing the potential for patient infection by the application of principles of aseptic techniques and the direction and supervision of the health care team in the operating room.
Accomplishes ongoing patient, situational and environmental assessments, prioritizes, procures and coordinates supplies and equipment.
The incumbent assesses, prioritizes and intervenes in the peri-operative arena to prevent life threatening situations, and provides life support activities in an emergency by executing appropriate actions and/or providing direction/assistance to healthcare team members.
Provides safe methods of patient transfer and transport by assessment of patient needs, selection of appropriate methods and personnel and the provision for the emotional needs of the patient and family during transport.
Required to cross-cover and scrub for OR cases.Is flexible and adaptable to the work environment are necessary to perform the required duties.
You may be required to rotate to other units/duties as needed to include Charge Nurse, Preceptor, etc.
May be required work weekends.

VA offers a comprehensive total rewards package: VA Nurse Total Rewards

Pay: Competitive salary, regular salary increases, potential for performance awards
Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Licensure: 1 full and unrestricted license from any US State or territory

Work Schedule: 6:30AM-3PM; 9:30AM-6PM; Call Shift: 11:30AM-8PM Rotating Weekend Call 7AM-7AM
Telework: Not Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required
Bargaining Unit: This position is part of the Bargaining unit.

VA Careers - Medical Support Assistant: https://youtube.com/embed/EE9c4XkaELo

Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf

Medical Support Assistant: vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-MSA-VA-Career-Flyer.pdf

Work Schedule: 8:00am to 4:30pm(Monday to Friday)
Recruitment Incentive (Sign-on Bonus): Not Authorized
Pay: Competitive salary and regular salary increases.
Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience.
Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.
Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66.
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Telework: Adhoc-Available-(Employees who telework on an occasional, episodic, or short-term basis, and have completed required telework training and telework agreement.) (Portion of day acceptable)
Virtual: This is not a virtual position.
Functional Statement #: 000000
Permanent Change of Station (PCS): Not Authorized

Major duties include but are not limited to:

• patient medical assessment (ie. medical/dental history, social history, vital signs, full periodontal charting and assessment),
• disease and treatment management recommendations,
• denture care,
• scaling, root planing, and curettage,
• radiograph/image acquisition & interpretation,
• patient education (ie. post-procedure, tobacco cessation, caries & perio disease prevention, behavior management),
• management of stable medically compromised patients - including risk factors,
• instrument sharpening and sterilization,
• inter-service communication - warm hand offs,
• aid in access to care by entering leave into VATAS,
• creating LEAFs for clinic closure/opening requests in a timely manner,
• customer assistance/service recovery,
• set up operatory and cleaning dental unit,
• perform full mouth probing,
• clean dental prosthesis - fixed and removable,
• patient referrals,
• desensitizing and sealant material application,
• fluoride carrier tray impressions,
• administration of topical anesthetic agents,
• scheduling appointments and filling scheduling gaps,
• administers anesthesia and/or nitrous oxide if licensed to do so.

Work Schedule: Monday - Friday 8:00 am - 4:30 pm
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 000000
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Travel: You may be expected to travel for this position to local clinics for patient care coverage as needed.

Major duties and responsibilities include:

• Receives, stores and ships bin and bulk supplies, materials and equipment;
• Prepares shipping and inventory documents for manual or automated inventory systems;
• Selects specific storage locations within framework of general warehousing plan;
• Rotates stock, check for outdated materials and maintains the appropriate safeguards and temperature controls;
• Handles delivering and warehousing materials including hazardous, flammable and temperature sensitive products;
• Participates in conducting inventory of stock on hand and communicates discrepancies;
• Ensures products and shelving are marked with corresponding identification numbers;
• Load and unload shipments from trucks and other material conveyances;
• Makes off-site deliveries in motor vehicles typically with a gross weight of less than 4500 pounds;
• Performs other related duties as assigned.

- Uses the nursing process and evidence-based practice to collaborate with the Teamlet and larger Team (family/caregiver, internal and community-based services involved in providing care to the patient) in developing and patient -driven holistic care plan for life.
- Provides patient and family health education with a focus on self-management, prevention, and wellness, based on the patient's goals.
- Follows the patient's personalized health care plan as designated by the patient and Patient Aligned Care Team (PACT).
- Demonstrates advanced clinical knowledge in assessing planning, implementing, documenting, and evaluating care for a designated group of patients across the continuum of care
- Triages and applies a collaborative team approach in identifying, analyzing, and resolving patient care problems.
- Time management skills and excellent communication skills which enhance the nurse's ability to effectively work with others to facilitate the day-to-day mission of the clinic.
- Patients are to be triaged in a timely manner within 45 minutes of check in time and appointment is to be completed within 30 minutes.
- Provides indirect patient care in collaboration with the interdisciplinary team; serves as clinical resource expert; and functions as an educator for the team and patient.
- Functions as a systems coordinator; monitors progress and intervenes as necessary to ensure that patient outcomes are achieved within anticipated timeframes. Monitors progress along clinical pathways, analyzes variations and initiates appropriate actions.
- Is a role model in the provision of excellent customer service.
- Reviews Message Manager and assist Team to address/complete pending alerts communicated throughout tour of duty to facilitate care and address needs of the caller within 48 hours.
- Completes and documents Nursing Notes in CPRS, as applicable, in a timely manner and closes the Encounter Notes for patients not seen by a provider. Notes will be closed by the end of tour of duty daily. Areas to be addressed include: Encounters: reasons for visit-Service Connection; Primary assignment-Service connected conditions under the Diagnosis tab; Procedures, ACSC conditions, etc.
- Completes all clinical reminders that may be completed by the RN or LVN prior to the due date.
- Provides Care Management to patients with Ambulatory Care Sensitive Conditions (ACSCs) including reviewing the patient record, decide if the patient needs more in-depth education (formal and/or informal); nursing visits and/or telephone calls between provider visits to assist in care management. Collaborates with the High Risk Care Coordinators, Home Telehealth, social work, and/or dieticians for referrals and care management.
- Complete the Blood Glucose meter check daily, as applicable. After completing quality check, if applicable, and entering correct patient information for testing.
- Completes and documents secure messaging within 72 hours. Surrogate is identified at all times. Escalation of secure messaging must be maintained at 10% or less.

VA offers a comprehensive total rewards package: VA Nurse Total Rewards

Pay: Competitive salary, regular salary increases, potential for performance awards
Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Licensure: 1 full and unrestricted license from any US State or territory

Work Schedule: 8 - 4:30pm, Monday thru Friday
Telework: Not Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized

Major duties include but are not limited to:

• patient medical assessment (ie. medical/dental history, social history, vital signs, full periodontal charting and assessment),
• disease and treatment management recommendations,
• denture care,
• scaling, root planing, and curettage,
• radiograph/image acquisition & interpretation,
• patient education (ie. post-procedure, tobacco cessation, caries & perio disease prevention, behavior management),
• management of stable medically compromised patients - including risk factors,
• instrument sharpening and sterilization,
• inter-service communication - warm hand offs,
• aid in access to care by entering leave into VATAS,
• creating LEAFs for clinic closure/opening requests in a timely manner,
• customer assistance/service recovery,
• set up operatory and cleaning dental unit,
• perform full mouth probing,
• clean dental prosthesis - fixed and removable,
• patient referrals,
• desensitizing and sealant material application,
• fluoride carrier tray impressions,
• administration of topical anesthetic agents,
• scheduling appointments and filling scheduling gaps,
• administers anesthesia and/or nitrous oxide if licensed to do so.

Work Schedule: Monday - Friday 8:00 am - 4:30 pm
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 000000
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Travel: You may be expected to travel for this position to local clinics for patient care coverage as needed.
Physical Requirements: Moderate lifting, 15-44 pounds, Moderate carrying, 15-44 pounds, Reaching above shoulder, Use of fingers, Both hands required, Walking (6 hours), Repeated bending (2-4 hours), Ability for rapid mental and muscular coordination simultaneously, Near vision correctable at 13" to 16" to Jaeger 1 to 4, Specific visual requirement (Far Vision: 20/30), Ability to distinguish basic colors, Hearing (aid may be permitted), Emotional and Mental Stability, Sit for extended periods, Performs Independently, Cognitive Stability

Duties include, but are not limited to:

• Performs a variety of accounting duties involving FMS and CASCA accounting that includes obligating, disbursement and costing functions.
• Receives, analyzes, obligates and records all source documents pertaining to construction (CASCA) appropriations, medical care appropriation, General Post Fund (GPF), Compensated Work Therapy (CVVT), Medical Care Cost Recovery (MCCR), etc.
• Reviews documents for validation, budget availability, completeness and correctness of accounting data.
• Establishes undelivered orders and determines what dollar amounts are to be accrued.
• Receives and analyzes documentation selecting correct general ledger entries for accounting input.
• Maintains subsidiary ledger and reconciles to control accounts.
• Prepares miscellaneous accounting reports i.e., project reports, GPF report, accounts receivable, etc.
• Prepares various journal vouchers, standard vouchers and expenditure transfers.

The Acute Critical Care Advanced Nurse Practitioner practices as a Certified Nurse Practitioner (CNP) to provide a full range of services emphasizing quality, timeliness, and the advancement of the VA mission. The Acute Critical Care CNP provides advanced clinical practice, consultation, and management.

The Acute Critical Care CNP practices to the full extent of their education, training, and
certification. Core functions are outlined in the clinical privileges that correspond with this
position. The CNP has prescriptive authority for a panel of patients or program as indicated by
their position.

Major duties and responsibilities of the position
- Independently manages a panel of patients with acute and chronic health conditions with an emphasis on health promotion and disease prevention using evidence-based practice
- Develops and implements an individualized plan to achieve optimal population health and disease management
- Demonstrates leadership and works collaboratively with Primary Care Team and other interdisciplinary team members
- Orders and interprets diagnostic studies
- Prescribes pharmacologic and non-pharmacologic interventions.
- Initiates referrals/consults to specialty services
- Provides education to patients and their families
- Assesses and adjusts the plan of care as needed to achieve optimal patient outcomes
- Exemplifies the ICARE core values of-Integrity, Commitment, Advocacy, Respect, and Excellence

VA offers a comprehensive total rewards package: VA Nurse Total Rewards

Pay: Competitive salary, regular salary increases, potential for performance awards
Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Licensure: 1 full and unrestricted license from any US State or territory

Work Schedule: Monday - Friday; 7:30 to 4:00 pm
Telework:
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
EDRP Authorized: Contact , the EDRP Coordinator for questions/assistance. Learn more
Permanent Change of Station (PCS): Not Authorized

Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf

Major duties include, but not limited to:

• Work independently without supervision, performing 2-D ultrasound examinations of the neck, chest, abdomen, pelvis, scrotum, and extremities by the proper selection and manipulation of ultrasound transducers and appropriate adjustments of a variety of ultrasound parameters.
• Utilize pulse-wave, color-flow or power Doppler technique during the evaluation of vascular structures, when appropriate.
• Assist in the performance of ultrasound guided core needle biopsy or fine needle aspiration procedures.
• Understand the proper use of all ultrasound equipment and be able to operate the equipment in accordance with manufacturer's instructions.
• Follow established hospital and service procedures for confirming patient identification and correct patient examination.
• Select appropriate ultrasound machine setup parameters depending on the specific organ system being interrogated.
• Instruct and assist the patient in assuming the proper position for examination.
• Appropriately assess the patient for any pain during the procedure and provides this information to the attending radiologist in a timely manner.
• Select an appropriate transducer and adjust all equipment parameters according to the organ system being imaged and patient body habitus.
• Demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his or her assigned service areas.
• The equipment used is a very sophisticated gray scale real time digital diagnostic ultrasound system with color flow doppler and power doppler. The coordination of the manipulation of the transducer and the digital converter must be precise if the optimum shades of gray and color doppler are obtained on the sonogram.
• Standard operating procedure covers the basic ultrasonic examination. However, the technician must use judgment to deviate from standard procedures to compensate for patient injuries, illness or physical disabilities in accordance with established precedent.
• The incumbent will have knowledge of the processes for Reusable Medical Equipment (RME) as required by this position. The incumbent will be required to maintain current knowledge of the Standard Operating Procedures (SOPs) which document the processes and procedures for cleaning, disinfection, sterilization and preparation of RME appropriate to this position.

Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf

Medical Support Assistant: vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-MSA-VA-Career-Flyer.pdf

The Supervisory Medical Support Assistant position serves as the direct line supervisor for the Lead Medical Support Assistant(s) and all Medical Support Assistant staff and is a foundational role within the VHA Patient Aligned Care Team (PACT).

The primary duties of the Supervisory Medical Support Assistant (SMSA) may include but are not limited to:

• Planning and directing programs at medical centers and/or satellite outpatient clinics and has full supervisory responsibility for supervising at least one subordinate team leader or supervisor.
• Assigning and evaluating the work of subordinate staff; resolving complex problems to ensure patient services are met.
• Evaluating new products, equipment, and systems in order to make recommendations for improved operations.
• Assisting with clinic access contingency plans by adjusting appointment times, location, or dates as well as shift patients to other healthcare providers as conflict with staffing and/or coverage occurs.
• Ensuring that all necessary health/administrative information are integrated into Computerized Patient Record System (CPRS) by sending the documents to the appropriate department for scanning.
• Participating in the daily teamlet huddles and weekly team meetings where patient care planning and management occur.
• Utilizing knowledge of VA regulations, Systems Redesign Principles, local Medical Center Memoranda/policies, and standard operating procedures.
• Extracting and analyzing data in order to provide reports in support of performance measures to senior management.
• Providing information about VA Medical Care Cost Recovery Program to patients regarding insurance data collection and revenue collection.
• Compiling readily available data from prescribed sources; knowledge of the organization to search records, files, or electronic data banks to locate information needed, and to verify information given.
• Applying policies and procedures associated with operational activities that affect workload data.
• Providing supervisory medical administrative support to one or more outpatient clinics and is an integral member of the outpatient clinic team to effectively carry out day-to-day administrative operations of the clinic.
• Assuring accurate appointment management and the coordination of all administrative information between the professional staff and the patient.
• Assuring appointment schedules are maintained by MSA staff for one or more outpatient clinics.
• Updating and verifying demographic information, scheduling appointments, collecting insurance information, data entry, administratively managing consultation requests and the electronic waiting list, and notifying the patient of his/her scheduled appointment.
• Orienting medical staff to basic administrative policies and procedures dealing with outpatient scheduling and other administrative topic.
• Providing administrative support to Physicians, Physician's Assistants, Nurses, Advanced Registered Nurse Practitioners, Dietitians, Social Workers, and other administrative and professional staff throughout the Service area.
• Scheduling and coordinating appointments for diagnostic testing, and consultative appointments for many clinical services.
• Conducting individual quality assurance/process improvement checks/studies.
• Assisting staff with a variety of clerical duties in one or more outpatient clinics that provide a variety of medical services.

• Responsible and accountable for all elements of the discharge process including patient teaching.
• Collaborates with the nurse and other team members to assure effective, timely discharge of patients throughout the continuum of inpatient care.
• Monitors admissions for anticipated length of stay (LOS) and discharge date.
• Identifies and anticipates needs for teaching, caregiving support, and details regarding discharge prescriptions and or transportation needs on the day of discharge, initiates and helps to complete all discharge related paperwork and documentation in the Electronic Health Record (EHR), participates in the daily interdisciplinary team (IDT) huddles and facilitates discussion of patient and family needs, ensuring frequent contact with case manager and social worker and other disciplines with identified needs requiring intervention, i.e. housing, transportation, medications, nutrition, prosthetics.

Major Duties (To include but not limited to):

• Leads the provision of nursing care to patients with complex care needs utilizing the nursing process in alignment with the ANA Standards of Nursing Practice.
• Improves Veteran/patient driven care by resolving experience issues such as coordination of care, timeliness or process issues, common themes of dissatisfaction, or environment of care concerns for the immediate practice setting.
• Serves as an advocate for patients, families, and caregivers, improving outcomes for the immediate practice setting.
• Leadsthe implementation of high reliability principles and I CARE valuesto increase consistency of care delivered and improve patient outcomes.
• Demonstrates the ability to improve the effectiveness of communications and interactions with others, to inspire their cooperation and confidence to ensure safe and effective outcomes in the current practice setting.
• Considers alternative courses of action. Respectsthe opinions, abilities, and contributions of others. Encourages individual growth and development.
• Expands knowledge base and practice evaluation through mentoring, precepting, and/or teaching to improve outcomes in the immediate practice setting.
• Takesresponsibility for personal and professional career goals. Supportsthe professional growth of others.
• Applies evidence-based practice/research resulting in improved outcomesin the immediate practice setting.
• Leads patient care improvement through monitoring, analyzing, and evaluating care outcomes in the immediate practice setting.

• Responsible for receiving and processing samples into the Laboratory; and ensuring samples have the correct UID (Universal Identification) accession number label as appropriate and that label is placed so bar codes are instrument ready.
• Receive, routes and stores specimens noting labeling, contamination, hemolysis, shortage or errors in sampling, recognizing common environmental or other considerations that could affect the results.
• Responsible for selecting the correct and appropriate method of resolution for problem samples and orders, informs supervisor/ work leader of problems that cannot be resolved.
• Maintains Laboratory Records: records information pertaining to blood draws, unacceptable specimens, receiving or accessioning of specimens, reagents, Lab procedures, related documents and completes appropriate tracking/inventory system information.
• Responsible for following all agency Fire and Safety, OSHA, Blood-Borne Pathogens policies; wears appropriate Personal Protective Equipment (PPE); follows Information Security, Path and Laboratory Medicine Service Policies and Procedures (Collection of Specimen, Accessioning Procedures and etc.).
• Responsible for correctly identifying patients using at least two valid, acceptable patient identifiers as required by regulatory agencies, while maintaining patient confidentiality (HIPPA).
• Labeling each and every tube as required and instructed with all necessary identifiers and information in the presence of the patient before proceeding.
• Requires direct patient contact and must treat all patients with the utmost courtesy and respect; while providing professional customer service.
• Responsible for correctly routing of clinical samples to Laboratory sections, informing other staff of sample urgency as necessary.
• Perform computer search for past and future lab test orders for all patients presenting to the outpatient's Blood Lab to assure all appropriate testing is done.
• Ability to add, delete and cancel tests from existing orders as necessary and according to policy. Performs manual procedures as required during computer down time.
• Must meet competency levels and training for phlebotomy tasks/ procedures in order to perform duties and tasks.
• Performs additional duties in Chemistry and/or Hematology sections; may include assisting a Supervisor or Technologist with duties trained to perform, providing recurring technical support or assistance.
• Knowledge of performing Glucose Tolerance Test (GTT), Bleeding Time and other specialized blood collections.
• Knowledge and skills to identify supplies and equipment used to collect blood samples and other fluids from patients; ability to correctly route clinical samples to Laboratory sections, informing other staff of sample urgency as necessary.
• Performs and processes a wide variety of complex specimens from hospital patients and patients from outpatient and community based clinics.
• Adhere to turn-around times, performs tasks/assignments, technical duties and procedures with timelessness and accuracy; performs assignments independently with efficiencies and proficiencies.
• Performs organizing, prioritizing and coordinating multiple competing concurrent time sensitive tasks, such as drawing blood for routines, time sensitive studies (some coagulation tests, cardiac enzymes, therapeutic drug monitoring or etc.), receiving and accessioning STAT and ROUTINE specimens that been included in a heavy workload.
• Knowledgeable of technical methods, techniques, procedures, and preparation; deploys aseptic technique and follows guidelines used in performing venipuncture or blood collection on all patients according to doctor's orders; interprets orders proficiently on inpatients and outpatients. Identifies acceptable venipuncture sites (for bleeding time); deploys technical methods, techniques, procedures, and preparation.
• Ability to draw the appropriate number of tubes and type of tubes; ensuring the tubes meet quality, acceptability, integrity and volume standards required for optimum clinical sampling; with awareness of collections requiring special handling.
• Must assure venipuncture site has ceased bleeding and also bandages the site before leaving the patient.

If you are not a current, permanent VA employee or Federal employee from another agency, you should apply CBST-12621008-25-JA.

The Clinical Pharmacy Specialist (CPS) has prescribing privileges as outlined in the individual's Scope of Practice. The Domiciliary (DOM) CPS delivers evidenced-based comprehensive medication management (CMM) through direct patient care and as part of the interdisciplinary team. This includes, but is not limited to, the following: designing, implementing, assessing, monitoring and documenting therapeutic plans utilizing the 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 assessments; implementing risk mitigation strategies and ordering laboratory and other tests to help determine efficacy and toxicity of medication therapy.

The CPS has full time responsibility for providing expert pharmacotherapy services for patients and professional staff to optimize patient response and resource utilization. Within the basic framework the CPS assumes the following duties and responsibilities:

• Be directly involved in the design, implementation, and monitoring of therapeutic drug plans to achieve definite outcomes through direct interactions with patients and providers in assigned areas.
• Be actively involved in reviewing patient medication regimens for clinical effectiveness, drug selection, dosing, contraindications, side effects, potential drug interactions, and therapeutic outcomes as required. Communicates findings with prescribers and provides appropriate alternatives to current treatment plans as needed.
• Be able to apply knowledge of normal laboratory values in the evaluation of patient care and recognizes significant abnormalities.
• Has expertise in the principles of clinical pharmacokinetics and pharmacodynamics and is knowledgeable and able to make dose adjustment recommendations based on objective laboratory findings.
• Reviews and implements pharmacotherapy and treatment guidelines, during direct patient care or via recommendations to other providers.
• Documents clinical interventions in CPRS in a timely and professional manner as appropriate.
• Collaborates with clinical staff to provide pharmaceutical care to selected patients as outlined by best evidence, VHA and MEDVAMC clinical practice guidelines. Clinical activities include histories, evaluations, outlining and executing, and monitoring pharmacotherapeutic treatment plans utilizing the most effective, least toxic, and most economical medication treatments.
• Completes medication reconciliation 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.
• Performs drug use evaluations on behalf of national, VISN and local medical center initiatives as needed.
• Provides Pass medication review and counseling in accordance with the VHA Handbook 11620 and local facility SMM policy.
• Manages out-of-stock situations by substituting alternate dosage strengths and instructions of the same medication equal to the prescribed dose and schedule as approved by the Pharmacy and Therapeutic Committee, including patient education as necessary.
• Implementing VA medical facility policies including therapeutic interchanges and automatic substitutions.
• Reviews and evaluates requests for non-formulary and restricted drugs for appropriateness and compliance with established criteria where applicable.

Current permanent VA employees and Federal employees from other federal agencies should apply under CBST-12621009-25-JA.


The Clinical Pharmacy Specialist (CPS) has prescribing privileges as outlined in the individual's Scope of Practice. The Domiciliary (DOM) CPS delivers evidenced-based comprehensive medication management (CMM) through direct patient care and as part of the interdisciplinary team. This includes, but is not limited to, the following: designing, implementing, assessing, monitoring and documenting therapeutic plans utilizing the 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 assessments; implementing risk mitigation strategies and ordering laboratory and other tests to help determine efficacy and toxicity of medication therapy.

The CPS has full time responsibility for providing expert pharmacotherapy services for patients and professional staff to optimize patient response and resource utilization. Within the basic framework the CPS assumes the following duties and responsibilities:

• Be directly involved in the design, implementation, and monitoring of therapeutic drug plans to achieve definite outcomes through direct interactions with patients and providers in assigned areas.
• Be actively involved in reviewing patient medication regimens for clinical effectiveness, drug selection, dosing, contraindications, side effects, potential drug interactions, and therapeutic outcomes as required. Communicates findings with prescribers and provides appropriate alternatives to current treatment plans as needed.
• Be able to apply knowledge of normal laboratory values in the evaluation of patient care and recognizes significant abnormalities.
• Has expertise in the principles of clinical pharmacokinetics and pharmacodynamics and is knowledgeable and able to make dose adjustment recommendations based on objective laboratory findings.
• Reviews and implements pharmacotherapy and treatment guidelines, during direct patient care or via recommendations to other providers.
• Documents clinical interventions in CPRS in a timely and professional manner as appropriate.
• Collaborates with clinical staff to provide pharmaceutical care to selected patients as outlined by best evidence, VHA and MEDVAMC clinical practice guidelines. Clinical activities include histories, evaluations, outlining and executing, and monitoring pharmacotherapeutic treatment plans utilizing the most effective, least toxic, and most economical medication treatments.
• Completes medication reconciliation 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.
• Performs drug use evaluations on behalf of national, VISN and local medical center initiatives as needed.
• Provides Pass medication review and counseling in accordance with the VHA Handbook 11620 and local facility SMM policy.
• Manages out-of-stock situations by substituting alternate dosage strengths and instructions of the same medication equal to the prescribed dose and schedule as approved by the Pharmacy and Therapeutic Committee, including patient education as necessary.
• Implementing VA medical facility policies including therapeutic interchanges and automatic substitutions.
• Reviews and evaluates requests for non-formulary and restricted drugs for appropriateness and compliance with established criteria where applicable.