Pharmacist - PRN

Nexus Health Systems; Dallas (TX); On-site; USD 110,000 - 160,000; Full time

Job summary

Nexus Children’s Hospital – Dallas is seeking a Pharmacist to oversee hospital pharmacy operations for pediatric inpatients. You will manage medication orders, ensure safety and compliance with DNV, CMS, and state regulations, and work closely with physicians, nurses, and families to optimize therapy.

The role emphasizes medication safety, regulatory adherence, and team collaboration to support high-quality pediatric care in an inpatient setting.

Qualifications

• Pharmacist licensed in Texas (or eligible).
• Hospital or pediatric pharmacy experience preferred.
• IV Certification preferred.

Responsibilities

• Review, interpret, and process physician medication orders accurately.
• Prepare, dispense, and monitor therapies in compliance with laws and best practices.
• Monitor drug therapy and adjust as needed based on labs and patient needs.
• Complete medication reconciliation and MAR documentation.
• Maintain Pyxis system accuracy and drug database data.
• Collaborate with physicians and nursing staff on therapy optimization.

Skills

Clinical Pharmacy

Regulatory Knowledge

Communication

Education

PharmD or Bachelor of Pharmacy

Hospital pharmacy residency (preferred)

Tools

Pyxis system

MAR documentation

Drug database management

Job description

Nexus Children’s Hospital – Dallas

About Nexus Children’s Hospital – Dallas. Nexus Children’s Hospital – Dallas provides specialized inpatient care for children with complex medical and behavioral health needs. Our interdisciplinary team is dedicated to bridging the gap from hospital to home, delivering compassionate, high-quality care that helps every child reach their fullest potential. At Nexus, we are committed to clinical excellence, innovation, and making a meaningful difference in the lives of the patients and families we serve.

Position Summary

Under the supervision of the Director of Pharmacy, the Pharmacist is responsible for overseeing all pharmacy operations within the hospital, ensuring compliance with DNV, CMS, state, and federal regulations. This role plays a critical part in medication management, clinical collaboration, and patient safety while supporting high-quality pediatric care in an inpatient setting.

JOB SPECIFIC RESPONSIBILITIESClinical & Operational Excellence

• Review, interpret, and process physician medication orders accurately and efficiently
• Prepare, dispense, and monitor medication therapies in accordance with applicable laws and best practices
• Monitor drug therapy, including lab values and levels; recommend or implement appropriate adjustments
• Conduct medication reconciliation and ensure accurate documentation in the Medication Administration Record (MAR)
• Ensure all medication charges and reports are completed accurately and daily
• Maintain pharmacy operations, including Pyxis system management and drug database accuracy

Collaboration & Communication

• Collaborate with physicians and nursing staff to optimize medication therapy and formulary use
• Communicate drug-related information clearly to patients, families, and interdisciplinary team members
• Partner with providers to identify cost-effective medication alternatives when appropriate
• Actively participate in team conferences and interdisciplinary care planning

Patient & Staff Education

• Provide medication education to patients and families and document all interactions
• Deliver in-services and ongoing education to nursing and clinical staff
• Support orientation, training, and competency validation of pharmacy and nursing personnel

Regulatory Compliance & Quality Improvement

• Ensure compliance with DNV, CMS, state, and federal pharmacy regulations
• Maintain a clean, organized, and inspection-ready pharmacy environment
• Participate in Performance Improvement (PI) initiatives to enhance service quality and efficiency
• Attend and contribute to monthly department and staff meetings

Process & Systems Management

• Follow established protocols, including:
  • Automatic therapeutic substitutions
  • IV to PO/PT conversions
• Manage Pyxis system functions, including:
  • Adding medications
  • Ensuring accurate medication descriptions
  • Adding and maintaining nursing user access
• Reconcile reports including discrepancies and overrides

Professional Responsibilities

• Provide on-call pharmacy coverage as needed
• Communicate effectively with vendors and external partners
• Address and resolve concerns from patients, families, and staff professionally
• Support departmental goals and perform additional duties as assigned

POSITION QUALIFICATIONS

Education

• Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy from an accredited College of Pharmacy
• Advanced degree or completion of an accredited hospital pharmacy residency preferred

Experience

• Experience in a hospital or pediatric setting preferred
• Strong knowledge of DNV, CMS, and state regulatory requirements

Licensure & Certification

• Current, active license as a Registered Pharmacist in the state of Texas
• IV Certification Preferred