The VA St. Louis Healthcare System is seeking a Pharmacogenomics Clinical Pharmacy Practicioner Provider. The Clinical Pharmacy Practicioner serves as an advanced practice provider working independently, but collaboratively, to deliver evidence-based comprehensive medication management through direct patient care and as part of the interdisciplinary team providing PGx management. This position serves as an SME for PGx-related care, education, and integration for patients and providers. 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: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. 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/. 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. Pharmacists must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). Grade Determinations: To be considered at the GS-13 grade you must meet the basic requirements and the requirements listed below: Experience: You must have 1 year of specialized experience equivalent to the next lower grade level, GS-12. You must possess the following knowledge, skills and abilities, (KSAs): Knowledge of professional pharmacy practice. Ability to communicate orally and in writing to both patients and health care staff. Knowledge of laws, regulations, and accreditation standards related to the distribution and control of scheduled and non-scheduled drugs and pharmacy security. Skill in monitoring and assessing the outcome of drug therapies, including physical assessment and interpretation of laboratory and other diagnostic parameters. Ability to communicate orally and in writing to persuade and influence clinical and management decisions. Expert understanding of regulatory and quality standards for their program area. Ability to solve problems, coordinate and organize responsibilities to maximize outcomes in the program area. Expert knowledge of specialized program area. Advanced skill in monitoring and assessing the outcome of drug therapies, including physical assessment and interpretation of laboratory and other diagnostic parameters. Preferred Experience: Candidates must be eligible for scope of practice. Preferred qualifications are completion of a PGY-2 residency in applicable specialty care area and/or 2 years of similar clinical experience within the last 5 years. Experience with pharmacogenomic practices and/or education. Experience with implementation/facilitation of program initiatives, clinic and clinical practice development. Other preferred credentials include Board of Pharmaceutical Specialties or other comparable certification from recognized educational source. References: VA Handbook 5005/55 Physical Requirements: Moderate Lifting (15-44 lbs); Moderate Carrying (15-44 lbs); Reaching above shoulder; Use of fingers; Both hands required; Walking (8 hours); Standing (8 hours); Kneeling (1 hours); Repeated bending (4 hours); Both legs required; Near vision correctable at 13" to 16" to Jaeger 1 to 4; Specific visual requirement: DVA correctable to 20/40; Both eyes required; Ability to distinguish basic colors; Hearing (aid permitted). ["Major Duties and Responsibilities Provides PGx-based comprehensive medication management. Designs patient-specific medication and dosage regimens based on a person's PGx profile and other pertinent factors, such as pharmacokinetic and pharmacodynamic properties of a medication, drug-drug, and drug gene interactions, comorbidities, patient demographics, and laboratory data to optimize patient outcomes. Prescribes, monitors, and adjusts medications (including discontinuation) related to PGx management. Accounts for drug-gene, drug-gene-disease, drug-drug-gene and other pertinent interactions. Practice is consistent with evidence based guidelines and appropriate algorithms, initiatives. Monitors, orders, and interprets pharmacogenomic results and other needed labs; implements follow up on treatment actions as clinically indicated. Completes limited external physical assessment as needed for patient care. Reviews 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 recommendations for alternatives to current treatment plans as needed. Utilizes population management resources to identify/provide PGx related care, recommendations, and/or risk mitigation. Provides patient resources and education to empower patients to make informed healthcare decisions related to PGx testing and results. Documents clinical interventions, direct patient care, consults and recommendations consistent with facility requirements and policy. Advocate for rational and ethical use of PGx testing as part of routine care. Facilitates integration, implementation, and evaluation of national/regional/local PGx related programs and initiatives. In addition to PGx management, provides CMM for complex patients with chronic diseases; orders and interprets labs or other needed tests pertinent to CMM and makes needed referrals. Facilitate the creation of pharmacist-led specialty PGx services using either consult, e-consult, or care coordination agreement (CCA) functionality. Provides input and recommendations as the PGx subject matter expert during routine patient care planning or targeted complex or high-risk reviews. Educate healthcare professionals using academic detailing frameworks about PGx principles and appropriate indications and contra-indications for costeffective PGx testing. Lead diffusion of the PGx pharmacist train the trainer program to offer training to pharmacy leaders, clinical pharmacists, clinical pharmacy practitioners, clinical pharmacy Practitioners, and pharmacy residents. Participates in the appropriate, effective, and safe use of pharmaceuticals by contributing to criteria development, data collection, quality assurance and drug use evaluation and other quality improvement activities for core practice area(s) medication use and PGx. Facilitates creation, implementation, and evaluation of workflows for testing and utilization of PGx information. Maintains effective interdepartmental relationships by committee membership, barrier resolution, active problem resolution skills, and close cooperation with other services in accomplishing the medical center mission and goals. Participates in design and/or completion of research studies and/or quality improvement projects involving drug therapy, clinical pharmacy functions, or improvements in patient care. Work Schedule: Full-Time, Day Shift, Monday-Friday Telework: Ad hoc may be authorized Virtual: This is not a virtual position. Functional Statement #: 00000 Financial Disclosure Report: Not required"]

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