Pharmacist - PRN

Nexus Health Systems; Texas City (TX); On-site; USD 83,000 - 117,000; Full time

Job summary

Nexus Children's Hospital in Shenandoah, TX is seeking a PRN Pharmacist to support pediatric medication management and clinical services across a complex patient population. You will collaborate with physicians, nurses, and other health professionals to ensure safe treatment and adherence to hospital standards and regulations.

The role emphasizes pediatric dosing, interdisciplinary teamwork, and education for patients and families.

Qualifications

• Pediatric hospital pharmacy experience strongly preferred.
• Three years of hospital pharmacy experience preferred.
• One year of pharmacy management or supervisory experience preferred.
• Knowledge of DNV, CMS, and applicable state regulatory requirements.
• Strong clinical judgment, attention to detail, communication skills and collaboration.

Responsibilities

• Review and interpret physician orders for accuracy, dosing and drug interactions.
• Evaluate pediatric regimens with weight-based dosing and appropriate routes.
• Review patient charts to ensure appropriateness for diagnosis and goals.
• Process orders, prepare and dispense medications, monitor use and administration.
• Monitor therapy and adjust within protocols or advise treating physician.
• Support formulary use and substitutions, IV-to-oral conversions when appropriate.
• Collaborate with physicians to identify cost-effective options.
• Educate patients and families and document counseling and interventions.
• Participate in interdisciplinary team conferences to coordinate care.

Skills

Pediatric hospital pharmacy experience

Interdisciplinary collaboration

Clinical judgment

Communication skills

Weight-based dosing awareness

Education

Doctor of Pharmacy or equivalent

Advanced degree or hospital residency preferred

Tools

Pyxis system

Job description

Pharmacist - PRN

Nexus Children's Hospital - Shenandoah, TX

Help Deliver Safe, Personalized Care to Pediatric Patients

Nexus Children's Hospital - Shenandoah is seeking a PRN Pharmacist to support medication management for pediatric and adolescent patients with complex medical, rehabilitation, and behavioral health needs. This opportunity is ideal for a hospital pharmacist who values interdisciplinary collaboration and understands the precision required when caring for children.

Pediatric pharmacy experience is strongly preferred

particularly experience reviewing weight-based dosing, evaluating age-appropriate therapies, and supporting patients with complex medication regimens.

Position Summary

Under the supervision of the Director of Pharmacy, the Pharmacist supports daily pharmacy operations and provides clinical pharmacy services that promote safe, effective, and appropriate medication use. This position collaborates with physicians, nursing staff, and other healthcare professionals while ensuring compliance with hospital policies, accepted standards of practice, and applicable DNV, CMS, state, and federal requirements.

What You'll Do

Pediatric Medication Safety & Clinical Care

• Review and interpret physician orders for accuracy, appropriateness, dosing, drug interactions, contraindications, and therapeutic duplication.
• Evaluate pediatric medication regimens with attention to weight-based dosing, age, organ function, formulation, and route of administration.
• Review patient charts to ensure prescribed medications are appropriate for each patient's diagnosis, condition, and treatment goals.
• Process medication orders; prepare and dispense medications; and monitor medication use and administration.
• Monitor drug therapy and medication levels, adjusting therapy within authorized protocols or communicating recommended interventions to the treating physician.
• Support formulary use, approved therapeutic substitutions, and IV-to-oral or feeding-tube conversions when clinically appropriate.
• Collaborate with physicians to identify clinically appropriate, cost-effective medication alternatives.
• Educate patients and families about medication therapy and document counseling, interventions, and clinical activities.
• Participate in interdisciplinary team conferences to support coordinated care.

Pharmacy Operations & Compliance

• Maintain a clean, organized pharmacy and support safe medication preparation, storage, distribution, and inventory practices.
• Support Pyxis operations, including nursing staff access, medication database maintenance, and resolution of unknown medication descriptions.
• Review and reconcile daily reports, including medication discrepancies and overrides.
• Ensure medication charges and related documentation are accurate and daily charge reports are generated.
• Follow hospital and department policies and applicable accreditation and regulatory requirements.
• Communicate operational concerns and resource needs to the Director of Pharmacy.
• Participate in performance improvement activities that strengthen medication safety and pharmacy efficiency.

Collaboration & Staff Education

• Serve as a medication information resource for physicians, nurses, patients, families, and other hospital staff.
• Support orientation, training, competency assessments, and ongoing medication-related education for pharmacy and nursing personnel.
• Provide educational in-services to clinical staff.
• Communicate professionally with colleagues, vendors, and patients' families.
• Participate in department meetings and perform other duties as assigned.

Qualifications

Education

• Graduate of an accredited College of Pharmacy.
• Advanced degree in a related field and/or completion of an accredited hospital pharmacy residency preferred.

Experience

• Pediatric hospital pharmacy experience strongly preferred.
• Three years of hospital pharmacy experience preferred.
• One year of pharmacy management or supervisory experience preferred.
• Knowledge of DNV, CMS, and applicable state regulatory requirements.
• Strong clinical judgment, attention to detail, communication skills, and ability to collaborate with an interdisciplinary team.

Licensure & Certifications

• Current Texas Pharmacist license.
• IV certification.
• Current CPR certification.

PRN Scheduling

This position provides coverage based on hospital and department needs. Availability for after-hours or on-call coverage may be required.