Pharmacist – Adult Internal Medicine Focused – Overnight Rotation
Listed compensation
$57-$87.5/hr
The week · per this posting · weekdays assumed
Ask the employer about the work setting, call expectations, weekend coverage and time off.
Job Description
Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.
Work Shift
10 Hours - Rotating Shifts (United States of America)
Scheduled Weekly Hours
40
Compensation
Salary Range: $57.00 - $87.50
Union Position
No
Department Details
This position includes an overnight rotation every sixth week. The overnight rotation runs Tuesday through Monday for seven consecutive 10-hour shifts, from 8:30 p. m. to 6:30 a. m. Following the overnight rotation, the pharmacist is off until the subsequent Monday. The remaining four weeks of the rotation consist primarily of 8-hour day shifts, with occasional evening shifts.
Summary
During the overnight rotation, the pharmacist works closely with pharmacy technicians to provide operational oversight. The pharmacist also partners with the pediatric overnight pharmacist to provide timely medication order verification and comprehensive clinical pharmacy care throughout the hospital.
Review prescriptions to assure accuracy, to ascertain the needed ingredients, and to evaluate their suitability. Provide information and advice regarding drug interactions, side effects, dosage, and proper medication storage.
Job Description
In a medical center or institutional setting, the Pharmacist reviews and interprets provider orders, provides drug information, assists in problem solving, and provides other aspects of pharmaceutical care.
Duties may consist of unit dose dispensing, IV Admixtures, outpatient prescriptions, navigating the electronic medical record, compounding, and working with automated dispensing devices.
The Pharmacist utilizes appropriate age-related patient information to assess the pharmaceutical needs of patients, which may include provision of pharmaceutical care to neonatal, pediatric, adolescent, adult, and geriatric patients.
The Pharmacist follows all established regulations and standards that govern the practice of pharmacy. May be required to act as a shift supervisor under direct or indirect supervision by department managers. Demonstrates good written and verbal communication skills.
Must be able to learn and utilize new technology as the profession of pharmacy evolves. Provides oversight and clinical supervision for pharmacy services and pharmacy support personnel.
Pharmacy services at Sanford Health may include involvement in acute care surgery, neurology, cardiology, pediatrics, oncology, infusion services, intensive care, general medicine, dialysis, transplant, antimicrobial stewardship, and medication reconciliation.
May include decentralized clinical functions, such as direct patient interaction/interdisciplinary team rounding, chart reviews, customer or patient counseling, collecting accurate medication list.
May also include centralized clinical functions, such as checking and dispensing medications and overseeing the clinical functions of the IV room.
Qualifications
In a retail/community pharmacy setting: Graduate of an accredited School of Pharmacy. Must have a thorough knowledge of drugs and their actions; knowledge of state and local regulations. In a medical center or institutional setting: Graduate of an accredited School of Pharmacy. Must have a thorough knowledge of drugs and their actions; knowledge of state and local regulations. Hospital experience or residency preferred.
License must be in good standing by the State Board of Pharmacy in state(s) of practice and/or possess multi-state licensure privileges as required by position.
Sanford is an EEO/AA Employer M/F/Disability/Vet.
If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-949-5678 or send an email to talent@sanfordhealth.org.
Key Responsibilities
The pharmacist provides operational oversight and clinical pharmacy care, including medication order verification and drug information services. They work closely with pharmacy technicians and interdisciplinary teams to ensure accurate and safe pharmaceutical care across various hospital departments.
Qualifications
- Experience
- 2+ years of experience
Key Skills
Internal Medicine — Pharmacist Career Context
Of the 40 active Pharmacist listings this role was benchmarked against, 55% are remote, 55% have no call, 63% require no weekends.
The cost-of-living index for South Dakota is 88.6 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$150k midpoint carries the purchasing power of roughly $170k in an average-cost state. 58.2% of South Dakota clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
Location & Logistics
South Dakota has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$150k midpoint, that is roughly $6k–$11k a year versus a typical 4–7% state rate.
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