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Duke University
Durham, North Carolina

OR Clinical Pharmacist (Evenings)

PharmacistIncludes callIncludes weekendsNo nightsFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting and time off.

Posted 41m ago · Verified live

Job Description

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke University Hospital Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States.

The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Working Hours:

40 hours/week

Rotating evening shifts

1:00 pm - 9:30 pm

2:00 pm - 10:30 pm

1 weekend per 4 week schedule

Locations:

  • Duke North OR Pharmacy
  • Duke Medicine Pavilion OR Pharmacy
  • Eye Center OR Pharmacy

Job Description:

The perioperative clinical pharmacist is responsible for oversight of the medication management process in perioperative services at Duke University Hospital(locations include the Operating Room (OR) Pharmacy Satellites operations in DukeNorth, Duke Medici nePavilion, the Duke EyeCenter, and all associated operating rooms and the post-anesthesia care unit (PACU).

The perioperative clinical pharmacist will be responsible for applying established medication management policies including drug distribution, inventory control, waste reduction, drug use optimization, formulary enforcement, clinical services, quality assurance, and involvement in education and training of learners.

The clinical pharmacist will serve as a resource to the surgery, nursing, anesthesia, and ancillary team members. They will strive to maintain the highest standards in customer service and foster positive and collaborative relation ships with the perioperative team members.

The clinical pharmacist must be able to display effective communication techniques, use strategic and critical thinking skills, and utilize effective clinical and operations skills to triage problems appropriately.

The pharmacist must have knowledge and understanding of: automated dispensing cabinets and their functionality, surgical care improvement projects (SCIP), electronic health records and the use of computerized physician order entry (CPOE), pain and controlled substance management in the inpatient critical care setting, USP 797, pharmacy inventory management, and an understanding of medication safety concepts.

Duties and Responsibilities of This Level

The following activities are components of the position to assist in meeting the major job responsibilities:

Review and monitor patient's medication therapy and orders written by appropriate caregivers for safety and efficacy considering specific patient conditions and health status; advise patient care team of issues with, or possible enhancements to, patient's medication therapy and document such interventions.

Prepare, label, and dispense medications for patients in accordance with physicians' prescriptions; ensure compliance with Federal, State, and local laws and regulations pertaining to the dispensing of drugs and narcotics and the maintenance of required records.

Responsible for being familiar and stay abreast of information related to all drugs used in the setting, including drugs for general and regional anesthesia, neuromuscular blockade, analgesia, preoperative management, hemodynamic control, diagnosis and manipulation during surgery, prevention of infection, treatment of intraoperative emergencies, control of bleeding, and postoperative nausea and vomiting (PONV).

Ensure compliance with controlled substance distribution and control system (including method of distribution, records maintenance, ordering, storage, access, reconciliation, disposal, reporting and management of discrepancies/variances)

Provide drug information and educate caregivers, patients, and students regarding medications and their proper use and monitoring.

Oversee and monitor all aspects of the medication process; collect data and present reports and recommendations regarding issues with the medication systems.

Ensure that appropriate medications are available for patients and properly procured, prepared, stored, and maintained.

Supervise the process and technical personnel who assist in preparation, maintenance, and dispensing of drugs and supplies. Provide guidance to technical personnel as needed to maintain best practices.

Participates in orientation, training and continuing education programs for clinical pharmacists and pharmacy technicians.

  • Demonstrate collaboration with inter and intra-departmental workgroups.
  • Serve as a mentor and preceptor for prospective students and residents.
  • Maintain current knowledge and critical thinking skills for managing drug shortages in the inpatient perioperative setting.
  • Communicate and inform leaders about acute critical drug shortages.
  • Demonstrate an understanding of regulatory standards that affects the role of a clinical pharmacist in the perioperative pharmacy setting.
  • Implement and monitor quality assurance activities in the pharmacy area.
  • Conduct, participate, or support clinical research in perioperative services.
  • Solicits/seeks performance feedback in order to enhance work culture.

Consistently works on self-awareness and development to enhance services and maintain positive professional relationships.

Knowledge, Skills, and Abilities:

  • Ability to communicate clearly in oral and written form.
  • Extensive knowledge of drug products, medical therapeutics, pharmacokinetics, and disease states.
  • Ability to work with information systems, automated and technical equipment.
  • Ability to establish and maintain working relationships with various members of health care teams

Distinguishing Characteristics of this Level

N/A

Minimum Qualifications

Education

Doctor of Pharmacy Degree OR BS Pharmacy Degree

Experience

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 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 (including pregnancy and pregnancy related conditions), sexual orientation or military 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 essential job 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.

Key Responsibilities

Oversee medication management across perioperative pharmacy locations, including reviewing medication therapy, preparing and dispensing medications, managing controlled substances and inventory, and supporting medication safety and quality assurance. Advise and educate perioperative care teams, supervise and train pharmacy personnel and learners, and collaborate on clinical services, research, and drug shortage response.

Requirements

Requires a Doctor of Pharmacy or Bachelor of Science in Pharmacy degree and a North Carolina pharmacist license or eligibility to practice in North Carolina. Applicants with a PharmD need no prior experience; applicants with a BS Pharmacy degree need two years of pharmacy practice experience, acceptable board certification, or an accredited residency and demonstrated ability to achieve positive patient outcomes in a similar environment.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)

Key Skills

Medication Therapy ReviewClinical CommunicationMedication Preparation and DispensingPharmacy SystemsTeam CollaborationLearner Training and MentoringDrug Shortage Management

Pharmacist Career Context

Of the 50 active Pharmacy listings this role was benchmarked against, 38% are remote, 42% have no call, 76% require no weekends.

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)). 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Pharmacy pay on WeekdayDoc is down 1.7% vs. the prior quarter (through Sep 2026).

Top Pharmacist Jobs

34 matches · ranked by pay

Salary Distribution33 jobs · 28 employers

7
<$145k
9
$145k-165k
11
$165k-185k
5
$185k-205k
1
$214k

Annual compensation range

Benefits & Perks26 jobs

401k / retirement match
88% this job
Sign-on bonus
19%
Loan repayment
8%
CME allowance
8% this job
PSLF eligible
8%

Share of similar jobs offering each benefit

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$75.03-$102.91/hr
#2

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$154k-$204k
#3

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$120k-$202k
#4

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+ 32 more · ranked by pay

Work-life snapshot

median 2.8this job 5.1
Better work-life than 70% of Pharmacy listings

Listing-based score, 0–10, across 10,058 comparable listings. Shaded area = the share scoring below this one.

  • No nights
  • Includes call
  • Includes weekends

Living in Durham

Typical 3-bedroom home value
$363k
Typical market rent
$1,659/mo
Residents’ average commute
22 min
Metro price indexU.S. average = 100
97.6
State income tax
Up to 4.8%
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Durham-Chapel Hill, NC metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.