Clinical Pharmacist - Oncology Sterile Compounding

About the role

Reports to the Pharmacy Manager, Oncology and Sterile Compounding. Under the supervision of a Pharmacy Supervisor, this role is responsible for the interpretation, evaluation, preparation, and dispensing of medications pursuant to legitimate orders in compliance with established policies, procedures, and standards of practice. The position serves inpatient and outpatient oncology, hematology, and other patients at Rhode Island Hospital, Hasbro Children’s Hospital, and affiliate clinics (e.g., Brown University Health Cancer Institute (BUHCI), Tomorrow Fund Clinic, and Brown University Health Infusion Centers).

Collaborates with multidisciplinary teams to monitor, assess, and intervene to ensure safe, appropriate, and cost-effective medication use. Reviews, monitors, and verifies orders for oral and parenteral chemotherapy and other medications for appropriateness of drug, dosage, route of administration, completeness, and potential incompatibilities. Verifies chemotherapy and adjuvant medication orders against therapy plans, treatment protocols, and standards of care.

Performs sterile compounding and maintains compliance with regulatory boards and regulations, including Rhode Island Department of Health, Rhode Island Board of Pharmacy, USP Chapter Pharmaceutical Compounding - Sterile Preparations, USP Hazardous Drugs, NIOSH, and The Joint Commission (TJC).

Employees are expected to role model Brown University Health’s values of Compassion, Accountability, Respect, and Excellence, while demonstrating core Success Factors: Instill Trust and Value Differences, Patient and Community Focus, and Collaborate.

Responsibilities

• Act in accordance with Brown University Health Corporate Compliance Program and Code of Conduct.
• Serve as a liaison and resource for interdisciplinary teams managing care for oncology, hematology, and other patients.
• Maintain working knowledge of compounding, sterile preparation principles, stability, and compatibility (e.g., USP , USP , USP ).
• Perform non-sterile compounding in compliance with USP, NIOSH, and organizational policies.
• Review, monitor, and verify orders for chemotherapy and other medications for appropriateness, completeness, and potential incompatibilities.
• Verify chemotherapy orders against therapy plans, protocols, and standards of care; clarify unclear orders with prescribers.
• Ensure pharmacy clinical services meet patient care quality standards and consider developmental stages of patient populations.
• Comply with procedures for dispensing chemotherapy when prescribed doses exceed defined limits.
• Reference investigational drug protocols and follow procedures for preparing, dispensing, and documenting investigational drugs.
• Perform detailed in-process medication checks for drug, diluent, volume, base solution, beyond-use date, storage, and labeling.
• Maintain knowledge of safe handling, administration, and disposal of hazardous drugs; provide guidance on extravasation treatment.
• React appropriately to hazardous medication exposures or spills using Safety Data Sheets (SDS).
• Provide input on safety events to minimize risk of recurrence in oncology and sterile compounding services.
• Counsel patients on treatment regimens, precautions, and adverse reactions using health literacy skills.
• Oversee daily operations related to oncology and sterile compounding, including aseptic processing, garbing, and cleaning procedures.
• Mentor oncology and sterile compounding technicians, residents, and students.
• Participate in orientation and training of pharmacists, residents, students, and technicians.
• Utilize LifeChart reporting and inventory management systems effectively.
• Collaborate with pharmacy teams to procure oncology medications and supplies.
• Operate and calibrate ancillary compounding equipment (e.g., pumps) and follow downtime procedures.
• Contribute to the development of policies, procedures, and quality improvement initiatives for oncology and sterile compounding services.
• Maintain professional competence through staff development programs, independent study, and professional organization participation.
• Perform duties of other Pharmacist job categories as required.

Requirements

• Bachelor of Science in Pharmacy or Doctor of Pharmacy degree from an accredited college of pharmacy.
• Current unrestricted licensure as a pharmacist in Rhode Island (or 90-day temporary license prior to start date).
• Successful completion of Post Graduate Year 1 (PGY-1) Residency from an accredited program and/or Board Certification in Pharmacotherapy preferred.
• Post Graduate Year 2 (PGY-2) Residency in a specialty area strongly preferred, if applicable.
• Clinical experience, knowledge, and development may be considered in lieu of formal training.
• Effective interpersonal, communication, organizational, and presentation skills.
• Proficiency with pharmacy information systems, automated dispensing technology, MS Word, Excel, Outlook, and web browsers.
• Ability to multi-task, reprioritize, and maintain accuracy and service standards.
• Obtain and maintain internal IV and oncology credentialing within 2 months of hire, renewed semi-annually.

Work Environment

• Extended periods of standing and walking.
• Visual and manual dexterity required for computer operation.
• Occasional travel between facilities or sites.

Pay

$110,302.40 - $182,000.00

Schedule

• Alternate 3/4 days per week, Monday–Friday (variable 7:00 AM–5:30 PM).
• Every other weekend and holiday.
• 1 week per month on-call.