Consultative and Infusion Pharmacist

The Consultative & Infusion Pharmacist serves as a hybrid clinical and sterile-compounding specialist supporting hospice patients. This role combines responsibilities as a clinical consultant to hospice care teams and as an infusion/sterile compounding pharmacist. The pharmacist prepares, verifies, and oversees sterile compounded medications-including IV infusions, symptom-management therapies, PCA preparations, and other hospice-specific CSPs – while also providing expert medication therapy consultations to optimize comfort, reduce symptom burden, and ensure alignment with hospice goals of care. The position collaborates remotely and/or onsite with interdisciplinary teams to promote safe, effective, and compassionate pharmaceutical care.

Essential Functions

Note: The essential duties and primary accountabilities below are intended to describe the general content and requirements of this position and are not intended to be an exhaustive statement of duties. Incumbents may perform all or most of the primary accountabilities listed below. Specific tasks, responsibilities or competencies may be documented in the incumbent’s performance objectives as outlined by the incumbent’s immediate supervisor or manager.

1. Provide expert hospice medication therapy consultation, including symptom-management recommendations, deprescribing guidance, formulary support, and medication selection aligned with goals of care.

2. Evaluate drug therapy plans, document clinical findings, and communicate recommendations to prescribers, hospice nurses, and interdisciplinary care teams.

3. Respond to hospice medication management consults from caregivers and clinicians, offering timely evidence-based guidance for symptom control and comfort-focused therapy.

4. Prepare, verify, and supervise sterile compounded medications, including IV infusions, PCA, antibiotics, and other hospice-appropriate CSPs, ensuring compliance with USP <797>/<800>.

5. Perform final product checks and release CSPs, ensuring accuracy, sterility, appropriate beyond-use dating, and adherence to organizational quality standards.

6. Collaborate with hospice clinicians and participate in IDG meetings, supporting interdisciplinary care planning and ensuring appropriate pharmaceutical interventions.

7. Demonstrate advanced competency in equianalgesic conversions, therapeutic substitution, opioid management, and other hospice-specific pharmacologic strategies.

8. Maintain complete and accurate patient medication profiles, updating records for admissions, transfers, discharges, and ongoing consultations.

9. Educate hospice clinical staff on medication therapy, regulatory requirements, safe prescribing, symptom-management strategies, and formulary use.

10. Support sterile compounding operations, including technician oversight, aseptic technique monitoring, cleanroom compliance, and safe hazardous drug handling using PPE and CSTDs. Ensure regulatory compliance with federal/state pharmacy laws, USP standards, DEA regulations, and internal SOPs; participate in environmental monitoring, quality assurance, and continuous improvement processes.

11. Coordinate operational and administrative pharmacy tasks, including inventory oversight, documentation, billing-related communication, and maintaining excellent customer service for hospice partner agencies.

Marginal or Additional Functions

1. Protects company’s intellectual property and the privacy of customers’ and patients’ data

2. Performs other related duties as assigned to support achievement of Pharmacy goals and objectives.

Supervisory and Managerial Responsibility

• This position does not have supervisory or managerial responsibility.

Knowledge, Skills & Abilities

Education, Licensure or Certification:

• R.Ph required, PharmD preferred

• Full, current, and unrestricted license to practice pharmacy in the state of Ohio and in the state in which incumbent resides

• Additional licensure may be requested pursuant to the needs of the organization

• Board certification in a relevant specialty certified by the Board of Pharmaceutical Specialties preferred

Work Experience or Related Experience:

• Experience in sterile compounding, infusion pharmacy, or hospital IV room required.

• Experience in hospice, palliative care, or pain management strongly preferred.

• Completion of a PGY-1 or PGY-2 Residency in Palliative Care or Pain Management or equivalent experience preferred.

• Experience in collaborative development and launch of new pharmacy or patient care services, including development of policies, procedures, tools and metrics preferred

• Multidisciplinary team leadership experience in a variety of settings preferred

• Experience with various web browsers (Google Chrome / Firefox), Google Docs, Google Sheets, Microsoft, or similar software required

• Proficiency with pharmacy information systems, compounding software, EMRs, and collaboration platforms (Zoom, Teams, GoogleMeet).

Specialized Knowledge, Skills & Abilities:

• Strong knowledge of sterile compounding processes and infusion pharmacotherapy.

• Advanced clinical knowledge of hospice and end-of-life medication management.

• Proficient typing and computer skills are paramount to employee satisfaction and success while fulfilling responsibilities

• Excellent listening skills

• Excellent communication skills (written, verbal, and electronic)

• Exceptional attention to detail and accuracy in both clinical and compounding duties.

• Proven ability to manage multiple projects simultaneously while paying strict attention to detail

• Ability to maintain confidentiality, and to exercise discretion and sound clinical judgment.

Equipment:

• Working knowledge of a PC, business and communications software (MS Office, Google) and web-based tools are required

Travel Requirements and Conditions

• Limited travel may be required

Work Environment, Conditions and Demands

• Work is performed in a combination of sterile cleanroom/IV room and professional office/virtual settings.

• Requires gowning, PPE usage, and adherence to cleanroom standards.

Physical Requirements and Demands

Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described.

• This position entails a high level of work performed at a computer terminal using multiple monitors and telephone or headset equipment throughout the day

• Regular eye-hand coordination and manual dexterity is required to operate office equipment

• May require standing for extended periods and performing repetitive aseptic tasks.

Additional Position Information

• No additional information is applicable