Clinical Integration Pharmacist; Mount Sinai Health System; Full Time; Days

Mount Sinai Health System•New York, NY

2d•Onsite

About The Position

The Pharmacist Coordinator – Compounding and Regulatory Compliance manages daily sterile and non-sterile compounding operations at a centralized pharmacy location that services the health system. The role ensures adherence to USP <795>, <797>, and <800> standards, as well as FDA and Joint Commission requirements, by supporting safe, accurate, and compliant compounding practices. The Pharmacist Coordinator also monitors inventory levels based on utilization trends, oversees automation workflows, and provides regulatory compliance support related to both compounding and medication diversion monitoring. This position works closely with pharmacy operations, compliance, and quality teams to uphold high standards of safety and accountability.

Requirements

PharmD or Bachelor’s in Pharmacy from an ACPE-accredited institution.
Active, unrestricted pharmacist license in good standing with the state board.
Experience in sterile and non-sterile compounding in a hospital or health system setting.
Proficient in USP <795>, <797>, <800>, FDA guidance, and Joint Commission requirements.
Experience with compounding-related audits, technology implementation, and regulatory inspections.

Nice To Haves

Board Certification in Sterile Compounding (BCSCP).
Completion of ASHP sterile compounding certification or equivalent.

Responsibilities

Supervise sterile and non-sterile compounding activities using automated systems.
Coordinate sterility and stability testing with external laboratories; resolve discrepancies.
Monitor and adjust par levels of compounded medications and ingredients based on system utilization trends to ensure availability and minimize waste.
Participate in facility certification, equipment validation, and environmental monitoring processes.
Ensure documentation standards for batch records, cleaning logs, and environmental testing are met.
Maintain aseptic technique competency; ensure compliance with USP standards in daily operations.
Implement and maintain SOPs related to compounding, personnel qualification, and engineering controls.
Provide initial and ongoing training for pharmacists and technicians involved in automated compounding.
Support controlled substance monitoring, reconciliation, and investigation of discrepancies.
Collaborate with compliance, security, and clinical leadership on diversion prevention initiatives.
Implement and monitor compounding-related technologies (e.g., IV workflow systems, barcoding, gravimetric verification).
Contribute to quality dashboards and data analysis to drive process improvements and ensure patient safety.