Clinical Nurse Specalists questions

[RNBSNPHARMD, BSN]

It seems that the pharmacy school is training the pharmacist in the same specialties as the Clinical Nurse Specialist (ICU, ED, pediatric, geriatrics, cardiac, others).  They have the same board certifications and what they are teaching the students seems like the same job as the CNS (research, educator, policy and procedure writer, expert, resource).  Are CNS being replaced by clinical pharmacist where you work?  Is there really in increase in CNS as we shift from fee for service to value based care.  I see that independent prescribing and practice in spreading rapidly for the CNS per the map but I do not see where pharmacist can bill for services to medicare like the CNS.  I have read multiple articles in pharmacy magazines such as Drug Topics and Pharmacy Times and it appears that pharmacist are going to be competing with nurses for jobs and CNS in ACO and PCMHs .  I will be happy to share these references on here if someone would like to see if it is allowed on all nurses.  I am licensed as a RN, BSN and PharmD.

[RNBSNPHARMD, BSN]

References:
Expanding the primary care patient-centered medical home through
new roles for registered nurses

https://www.gvsu.edu/cms4/asset/777A03CA-E5D1-90B3-8FF97B7EA6E9ECB3/nursing_d.n.p_article_3.pdf

Pharmacists in ACOs, Part 1: Accountable Care Basics Every Pharmacist Should Know

https://www.pharmacytimes.com/view/pharmacists-in-acos-part-1-accountable-care-basics-every-pharmacist-should-know

Pharmacists in ACOs, Part 2: Medication Therapy Management and Annual Wellness Visits

https://www.pharmacytimes.com/view/pharmacists-in-acos-part-2-medication-therapy-management-and-annual-wellness-visits

Pharmacists in ACOs Part 3: Chronic Care Management, Chronic Disease State Management, and Transition of Care

https://www.pharmacytimes.com/view/pharmacists-in-acos-part-3-chronic-care-management-chronic-disease-state-management-and-transition-of-care

Empowering Pharmacist-physician collaboration

https://www.drugtopics.com/view/empowering-pharmacist-physician-collaboration

Webinar Series: Implementing Nurse-Run Hypertension Care

https://www.careinnovations.org/resources/nurse-run-hypertension-care/

Registered Nurses: Partners in Transforming Primary Care

https://macyfoundation.org/assets/reports/publications/macy_monograph_nurses_2016_webpdf.pdf

Medicare Payment for Registered Nurse Services and Care Coordination

https://www.nursingworld.org/~498582/globalassets/practiceandpolicy/health-policy/final_carecoordination.pdf