Demo

Advanced Clinical Pharmacist

Texas Orthopedic Hospital
Houston, TX Full Time
POSTED ON 9/13/2026
AVAILABLE BEFORE 10/20/2026
Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Advanced Clinical Pharmacist today with Texas Orthopedic Hospital.

Job Summary And Qualifications

The advanced clinical pharmacist practices the profession of pharmacy with the utmost code of ethics demonstrating the organization’s mission and values. The clinical pharmacist is responsible for the safe, effective, evidence-based, and cost-effective selection and utilization of medications for the patients in which they serve. The clinical pharmacist uses advanced knowledge, skills, and professional judgment in all aspects of his or her work. The clinical pharmacist serves as a patient advocate when planning and implementing pharmaceutical care within a multidisciplinary rounding team, collaborating with other healthcare professionals in a knowledgeable and professional manner. In addition, the advanced clinical pharmacist is expected to lead pharmacy services within the hospital by serving or chairing hospital committees, presenting at conferences and contributing to publications, and providing regular, formal education to pharmacy and interdisciplinary teams. The advanced clinical pharmacist is responsible for one or more specialty services within the hospital, such as infectious disease (ID), critical care, and pediatrics, among others. Adherence to all regulatory and medication safety guidelines are at the forefront of all actions and decisions made within the practice of the clinical pharmacist. What you will do in this role:

  • Leads committees responsible for establishing and implementing medication-related policies and procedures (e.g. Pharmacy & Therapeutics, Medication Safety, Antimicrobial Management Program)
  • Is primarily responsible for the direction of one or more service lines with respect to pharmacy service lines (e.g. cardiovascular, pediatrics, critical care, etc.)
  • Demonstrates leadership within the pharmacy department through a documented record of improvements in and contributions to pharmacy practice
  • Maintains ongoing commitment to advancing the profession in the area of pharmacy practice in which they serve
  • Provides regular, formal education to pharmacy and interdisciplinary teams in their field of expertise
  • Models, mentors, and encourages pharmacy students, residents, and colleagues in a manner that fosters highly professional pharmaceutical care and high personal standards of integrity
  • Performs all responsibilities of the clinical pharmacist as outlined below
  • Verifies Computerized Physician Order Entry (CPOE) orders for accuracy and appropriateness and intervenes when orders are unclear or potentially unsafe or inappropriate
  • Interprets medication orders (verbal and written), transcribes to computerized patient medication profiles accurately, follows facility practices and procedures for documentation in the patient’s medical record and trouble shoots/clarifies Centralized Order Entry (COE) orders as appropriate
  • Prepares and dispenses medications, including sterile, chemotherapy, and parenteral nutrition preparations safely and accurately using appropriate techniques, USP 797 & 800 guidelines
  • Evaluates Total Parenteral Nutrition (TPN) for appropriateness based on facility policies and guidelines or ASPEN guidelines or recommendations as appropriate
  • Issues controlled substances to patient care areas and maintains records as required by law and follows corporate policies and procedures related to the dispensing and monitoring of controlled substances
  • Ensures safe, appropriate, evidence-based, and cost-effective medication therapies for patients according to established policies, procedures, and protocols
  • Monitors medication therapy regimens for contraindications, drug-drug interactions, drug-food interactions, drug-laboratory test interactions, allergies, appropriateness of drug and dose, indications and therapeutic duplications
  • Based on knowledge and expertise, develops, assists, implements, and executes all drug therapy management protocols including, but not limited to; pharmacokinetics, anticoagulation dosing, IV to PO, pain management, antimicrobial stewardship, and pharmacy-directed dosing


  • Reviews/interprets culture and susceptibility data for antibiotic appropriateness and recommends changes, as needed for drug-bug mismatch, de-escalation and duration of therapy

    Reads, extracts, and interprets information in patient charts accurately

    Detects and reports suspected adverse drug reactions and medication errors accurately and in a timely manner, shares good catches and clinical outcomes to pharmacy leadership to elevate pharmacist interventions and services and reviews medication related events that have occurred to prevent recurrences

    Sustains the formulary by instituting drug therapy modifications for formulary compliance, SKU reduction and management of shortages as applicable

    Evaluates and responds to patient-specific drug information questions from clinicians

    Provides drug information to patients and their families and performs applicable medication reconciliation

    Ensures CPW rules/alerts are reviewed and completed in a timely manner, utilizes Vigilanz/CPW to document

    clinical interventions and ensures communication for consults, documentation for the permanent medical record or for other disciplines occurs in the permanent electronic health record

    Documents all required double checks per facility practice

    Participates in the quality improvement and medication-use review activities of the department and collects data; conducts quality monitors and inspections; and maintains logs, records, and other documentation as assigned

    Participates in rounds and/or direct follow up with providers. This may include interdisciplinary rounds, rounds with individual providers, onsite/in person follow up with providers, and via phone or written communication based on urgency/ability to meet with provider in person.

    Participates in the nursing, physician, or ancillary team onboarding and staff meetings as appropriate to explain clinical pharmacy services and educate on new drugs or updated clinical guidelines

    Supervises and directs pharmacy support personnel. Verifies the daily activities of pharmacy technicians.

    Participates in the performance appraisal of pharmacy support personnel

    Maintains current pharmacist licensure, and maintains competence required for current job title/position. Pursues board certification or other training/certification for clinical area of expertise based on job role

    Participates in local and/or national pharmacy organizations, and pursues research, publication and speaking opportunities

    Attends orientation, education, and training programs and reviews literature and other materials pertinent to the practice of pharmacy

    Maintains strict confidentiality of patient, visitor, and employee information and complies with HIPAA Privacy Rule Standards

    Is able to work with automated systems. Is granted Automated Dispensing System (ASDS-Pyxis) /Meditech access and privileges. Models and encourages use of technology safety functions for patient care and educates to avoid workarounds (e.g. Use of BCMA, CDSS in Meditech, Smart Pumps with guardrails, Use of Clinical Pharmacist Workflow)

    Performs other duties as assigned

    • Practices and adheres to the “Code of Conduct” and “Mission and Value Statement”

    What qualifications you will need:

    Education & Experience: (Required for new hires as of 6/01/2018)

    B.S. or Pharm D. degree in Pharmacy

    Required

    Graduate of an accredited PGY-1 residency program

    Preferred

    Graduate of an accredited PGY-2 residency program

    Preferred

    Five years’ inpatient hospital experience

    Preferred

    Three years’ HCA inpatient hospital experience

    Preferred

    Licenses, Certifications, & Training:

    Maintains current pharmacist licensure

    Required

    Pharmacist Board Certification

    Required

    Certifications in the specialties for the position as determined by facility needs. Potential

    certifications may include: SIDP, MAD-ID, CPPS, among others.

    Preferred

    Benefits

    Texas Orthopedic Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

    • Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
    • Wellbeing support, including free counseling and referral services
    • Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
    • Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
    • Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
    • Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

    Learn More About Employee Benefits

    Note: Eligibility for benefits may vary by location.

    Opened in 1995, Texas Orthopedic Hospital was developed to provide high-quality, cost-effective, specialized orthopedic care in a streamlined environment focused on wellness, mobility and quick recovery. As one of the only specialty hospitals in the country focusing solely on orthopedics, Texas Orthopedic Hospital is pleased to offer all services conveniently located within one building. Texas Orthopedic Hospital is partially physician-owned and partners with Fondren Orthopedic Group, L.L.P., the largest and most comprehensive association of private orthopedic surgeons in the Houston area and one of the largest in the nation. Our physicians are internationally renowned and as a result, patients at Texas Orthopedic Hospital receive precise diagnoses and the very latest in treatment options. Texas Orthopedic Hospital is affiliated with HCA Houston Healthcare, the most comprehensive family of hospitals in the region and part of the leading provider of healthcare in the country, HCA Healthcare.

    HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

    "The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.

    HCA Healthcare Co-Founder

    If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Advanced Clinical Pharmacist opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

    We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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