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Clinical Pharmacist-Lung Transplant Clinic

Requisition Number::  134711
Date:  Oct 7, 2021

Durham, NC, US, 27710

Personnel Area:  DUKE HOSPITAL

Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 957 inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 51 operating rooms; an endo-surgery center; an Ambulatory Surgery Center with nine operating rooms and an extensive diagnostic and interventional radiology area. In fiscal year 2018, Duke University Hospital admitted 42,916 patients and had 1,085,740 outpatient visits in fiscal year 2017.


U.S News & World Report named Duke University Hospital #1 in North Carolina and #1 in the Raleigh-Durham area in 2018-19.


Duke University Hospital is ranked in the top 20 nationally for seven adult specialties, including cardiology and heart surgery, nephrology, ophthalmology, orthopedics, pulmonology, rheumatology, and urology.


In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.


Location: Hospital Based Clinic-Durham, North Carolina 


General Summary

This clinical pharmacist will maintain a transplant clinical practice and actively contribute to the continuity of care for the lung transplant patient population in the pre-transplantation phase and as they transition into the post-transplantation phase in the ambulatory setting.


Work Hours:  8am-5pm Monday-Friday, No weekends or holidays 


Duties and Responsibilities

Clinical Practice and Medication Management:

  • Participates in clinic and provide clinical pharmacy services and oversight for safe use of medication. This includes prescribing, dispensing, administering, and monitoring of medications. This may include, but is not limited to:


                    -Completes/Reviews medication reconciliation

                    -Provides medication counseling/education

                    -Interprets pharmacokinetic/therapeutic drug monitoring data

                    -Screens for drug interactions, therapeutic duplications, omissions, etc.

                    -Monitors patients for therapeutic and/or toxic response to medication

                    -Coordinates patient care with inpatient transplant team

                    -Ensures continuity of care and access with all medications

  • Document transplant pharmacy services provided in accordance with regulatory requirements based on policies developed in accordance with CMS Conditions of Participation and UNOS policy
  • Participate in the multidisciplinary selection committee and assess pharmacologic risks to transplant and provide recommendations on post-transplant immunosuppression and infection prophylaxis regimens
  • Provides support to improve safety and to reduce risk to patients treated in the transplant program. Reports events and/or concerns via the safety reporting system.
  • Provides oversight of cost-effective use of medications and treatments. This includes risk reduction and correct utilization of resources to optimize care.
  • Provides coordination and oversight of high-acuity patients from inpatient to ambulatory.
  • Provides leadership in developing guidelines, order forms, and critical pathways to improve the care and safety of patients.
  • Provides leadership to maintain TJC accreditation standards within the realm of medication use within the Program.
  • Coordinates with Duke Retail pharmacies and patient assistance teams to provide seamless medication access to all patients. Participates in Specialty Pharmacy on-call coverage
  • Facilitates prescription fulfillment through Duke Retail pharmacies.
  • Serves as a resource for Duke retail pharmacies staff on transplant related medication issues.
  • Proactively assesses and ensures medication adherence and makes appropriate documentation on the inquiry
  • Collaborates with Infusion Pharmacy staff to provide continuity of care on medication infusion related issues as necessary
  • Develop and participate in pharmacy-related research projects and quality improvement initiatives
  • Provides oversight of transplant staff education for critical elements of medication use in patient care and clinical research.
  • Educates medical, nursing, and pharmacy staff about the management, prescribing, and monitoring of transplant therapies.
  • Participates in the education of pharmacy students and pharmacy residents.
  • Provides leadership support for research efforts in patient care areas.
  • Provides back fill to the other ambulatory transplant pharmacists
  • Presents scholarly materials at educational conferences for the transplant program and pharmacy professional meetings and organizations (Duke, State/Local, National)
  • Understands and actively participates in the achievement of division and departmental financial goals
  • Maintains familiarity with all departmental programs and works as integral part of the pharmacy team.
  • Models behaviors that exemplify Duke's guiding principles, including trustworthiness, respect, diversity, learning, and teamwork.
  • Takes responsibility for personal and professional growth.
  • Pursues Clinical Pharmacist Practitioner (CPP) designation within a year of hire


Knowledge, Skills and Abilities

  • 3-5+ years of clinical practice experience or experience in managing transplant patient populations preferred
  • PGY2 transplant residency and BCPS preferred, and a demonstrated ability to achieve positive patient outcomes in a similar environment.


Minimum Qualifications




Doctor of Pharmacy Degree OR BS Pharmacy Degree




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.


Degrees, Licensures, Certifications


Licensed Pharmacist or eligible to practice pharmacy in North Carolina


Duke is an Affirmative Action/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, sexual orientation, or veteran 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.


Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob 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