Pediatric Ambulatory Clinical Pharmacist - Oncology Services

Duke University; Durham (NC); On-site; USD 95,000 - 120,000; Full time

Job summary

Duke Health in Durham, NC is seeking a Pediatric Ambulatory Clinical Pharmacist to support Oncology Services and cell and gene therapy initiatives. The role emphasizes in-depth clinical pharmacy services for ambulatory pediatric patients, collaboration with physicians, and medication management across settings at Duke University Hospital.

Responsibilities include prescribing within agreements, patient counseling, and coordinating with Duke pharmacies to ensure access.

Qualifications

• Doctor of Pharmacy Degree or BS Pharmacy Degree required.
• With a BS Pharmacy degree, two years of pharmacy practice experience required; with PharmD, no experience required.
• Three plus years of oncology clinical practice preferred.
• PGY2 oncology residency or PGY2 Pediatric residency preferred.
• Licensed Pharmacist or eligible to practice pharmacy in North Carolina.

Responsibilities

• Provides in-depth clinical pharmacy services to ambulatory pediatric hematology/oncology and transplant patients.
• Prescribes and adjusts medications as permitted through collaborative practice agreements.
• Screens for drug interactions, therapeutic duplications, omissions, and monitors patient response.
• Coordinates with Duke specialty and retail pharmacies to ensure seamless medication access.
• Educates medical, nursing, and pharmacy staff about management of therapies in responsibility areas.
• Documents care in patient records and participates in care management activities.
• May provide discharge counseling and virtual services as determined by leadership.

Education

Doctor of Pharmacy Degree OR BS Pharmacy Degree

Job description

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Pediatric Ambulatory Clinical Pharmacist - Oncology Services

Work Arrangement: On-Site

Requisition Number: 275405

Regular or Temporary: Regular

Location: Durham, NC, US, 27710

Date: Oct 5, 2026

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke University Hospital

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

Working Hours:

• Weekdays
• Day Shift

Position Summary: This clinical pharmacist practitioner plays a key role in both Pediatric Oncology Services and Cell and Gene Therapy. While this position has many challenging responsibilities, the major areas are listed below:

• Provides in-depth clinical pharmacy services to new and existing pediatric cell and gene therapy patients
• Provides in-depth clinical pharmacy services to ambulatory pediatric hematology/oncology and pediatric transplant and cellular therapy patients at Duke Children's Hospital and Health Center.
• Participates in clinic and care management activities to provide clinical pharmacy services and oversight for safe use of medication. This may include prescribing and monitoring of medications within the scope of practice designed collaboratively with physician colleagues. This may also include, but is not limited to:
  • Completes/Reviews medication reconciliation.
  • Provides medication counseling.
  • Prescribes and adjusts medications as permitted through collaborative practice agreement.
  • Screens for drug interactions, therapeutic duplications, omissions, etc.
  • Monitors patients for therapeutic and/or adverse response to medication
  • Coordinates patient care and ensures appropriate follow-up, including laboratory monitoring, with other outpatient or inpatient teams.
  • Ensures continuity of care and access with all medications.
  • Facilitates prescription fulfillment through Duke specialty and retail pharmacies, as appropriate.
  • Coordinates with Duke specialty and retail pharmacies, including patient assistance and prior authorization teams, to provide seamless medication access to all patients. Coordinates with external retail pharmacies as needed. Coordination may include supporting prior authorization process as needed, among other activities.
  • Collaborates with infusion pharmacy staff to provide continuity of care on medication related issues as necessary
  • Documents the care provided in patients' records.
  • May provide discharge counseling and education for select high-risk patients, either face-to-face, virtually, or telephonically.
  • May provide both direct patient care and virtual services to patients as determined based on oversight from oncology, CGT, and pharmacy leadership.
• Provides clinical input, education and treatment plan/therapy plan development oversight for cellular and gene therapies for pediatric patients
• Maintains outstanding skills as a clinical pharmacy practitioner and consistently demonstrates the value of pharmacy services.
• Educates medical, nursing, and pharmacy staff about the management, prescribing and monitoring of therapies used in patient care area(s) of responsibility.
• Serves as a resource to the Department of Pharmacy for area(s) of expertise.
• Participates in departmental and hospital committees and initiatives related to practice areas.
• Contributes to student and resident education.
• Provides educational lectures and/or participates in research (Duke, State/Local, National).
• Works with peers to achieve division and departmental goals.
• Takes responsibility for personal and professional growth.
• Maintains familiarity with all departmental programs and works as integral part of the pharmacy team.

Minimum Qualifications Education

• Doctor of Pharmacy Degree OR BS Pharmacy Degree

Experience

• With a BS Pharmacy degree, two years of pharmacy practice experience, or acceptable board certification, or completion of an accredited residency program and demonstrated ability to achieve positive patient outcomes in a similar environment is required.
• With Doctor of Pharmacy degree, no experience is required.
• Three plus years of oncology clinical practice experience preferred
• PGY2 oncology residency or PGY2 Pediatric residency preferred
• Clinical Pharmacist Practitioner to be obtained within one year of hire.

Degrees, Licensures, Certifications

• Licensed Pharmacist or eligible to practice pharmacy in North Carolina

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas - an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas - an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions:

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Nearest Major Market: Durham

Nearest Secondary Market: Raleigh

Read more about Duke’s commitment to affirmative action and nondiscrimination at hr.duke.edu/eeo.