Advance Practice Provider

About the role

Southwest Kidney Institute (SKI) is seeking Advanced Practice Providers — Nurse Practitioners and Physician Assistants — to join our expanding team in Tucson. This role offers the opportunity to work in both our clinic and dialysis center settings as part of a collaborative, patient-focused practice.

Locations include:

• SKI Tucson Clinics:
  • 1845 W Orange Grove Rd, Bldg 4, Ste 111, Tucson, AZ 85704
  • 1645 N Swan Road, Tucson, AZ 85712
• Dialysis Centers:
  • DaVita Tucson Central: 2901 E Grant Rd, Tucson, AZ 85716
  • DaVita Tucson South Central: 2024 E Irvington Rd Ste 7, Tucson, AZ 85714
  • DaVita Tucson Northwest: 2945 W Ina Rd Ste 105, Tucson, AZ 85741
  • Fresenius Safford: 1250 S 20th Ave, Safford, AZ 85546
  • Fresenius West: 100 W Grant Rd, Tucson, AZ 85705
  • Fresenius Northwest: 6261 N La Cholla Blvd Ste 181, Tucson, AZ 85741
  • Fresenius Tangerine: 3600 W Tangerine Rd #120, Marana, AZ 85658
  • DCI North Tucson: 2022 E Prince Rd, Tucson, AZ 85719

Unparalleled in its approach, the Panoramic Health network places providers at the center of care, ensuring patients receive the highest quality treatment and support. This opportunity is open to candidates at all experience levels, though those with dialysis or nephrology backgrounds are strongly encouraged to apply. Comprehensive training will be provided to support a smooth transition into nephrology for candidates new to the specialty.

Pay

Earn $120,000+ in your first year, guaranteed $100,000 base salary plus lucrative productivity incentives tied to office and LV visits. High-performing APPs average $30,000+ in additional annual incentive compensation. Early success is rewarded, with no penalty for ramping up productivity ahead of schedule.

Benefits

• Paid Time Off (PTO)
• Full-time benefits including Medical, Dental, and Vision
• 401(k)

Schedule

• No weekend or call coverage is expected

Responsibilities

• Authorized to prescribe and dispense medication when granted authority in accordance with State licensure.
• Collect, order, and interpret lab work and diagnostic studies under agreed-upon protocols.
• Obtain comprehensive health histories and perform complete physical examinations, develop differential diagnoses, develop and implement plans of care, evaluate and document client’s response to plan of care.
• Provide client and/or family education.
• Organize referrals and/or consultations when appropriate.
• Participate in research as requested.
• Promote cost-effective delivery of care.
• Determine compliance with established processes and procedures; provide guidance and direction in a variety of areas.
• Oversight, management, and supervision of clinical and office functions involving patient care, office operations, facilities, and other assigned areas.

Outpatient Dialysis Units

• Manage the hemodialysis and/or peritoneal dialysis patient per Kidney Dialysis Outcome Quality Indicators (KDOQI) guidelines.
• Assess, diagnose, and manage systems-related complications of end-stage renal disease (ESRD) therapy including anemia, hypertension, bone disease, fluid and electrolyte imbalances, and vascular access.
• Diagnose and manage episodic health problems of clients with ESRD.
• Evaluate the client’s progress and appropriateness of the plan of care.
• Encourage each client’s maximal rehabilitation through education and counseling.
• Use an interdisciplinary team approach to plan comprehensive health care for the client.
• Support the client and family in decisions regarding termination of treatment.
• Perform annual physicals including health maintenance and preventative health counseling.
• Provide leadership to the clinical staff through education and consultation by serving as a role model and expert clinical resource in the nursing care of clients with ESRD.
• Assist the staff in preventing and treating complications of dialytic therapies.
• Coordinate continuity of care between the outpatient dialysis unit and other healthcare settings.
• Provide leadership for the establishment of nurse-driven protocols.

Clinic Responsibilities

• Manage patients with chronic kidney disease, focusing on care that promotes health and prevents further decline in renal function.
• Follow established guidelines for Nurse Practitioner/Physician clinic model.
• Coordinate a pre-ESRD client education program.
• Develop or evaluate educational materials that will allow the patient to become an active participant in his/her care and foster decision-making abilities regarding treatments.
• Perform other duties and responsibilities as required, assigned, or requested.

Responsible for capturing dialysis unit patients (billed under the physician). May have own panel of clinic patients, but the majority will be collaborating with physicians to alternate care. Large Hispanic patient population; bilingual is helpful but not required.

Qualifications

• Master’s degree program in nursing or physician assistant studies with nationally recognized course content, formal clinical preparation with minimum hour standards per program requirements.
• Competencies in advanced health assessment, physical examination, diagnosis, planning, and managing care including pharmacotherapeutics.
• Provide nursing expertise in diagnosis and treatment to prevent, remediate, or alleviate illness and promote health, resulting in improved patient outcomes.
• Knowledge of patient assessment techniques including taking medical histories, performing physicals, evaluating health status including state of wellness, and compliance with care recommendations.
• Knowledge of diagnosing and treating medical problems and developing care plans.
• Knowledge of medical records documentation in a confidential manner.