Nephrology Nurse Practitioner

About the role

The Nephrology Nurse Practitioner (NP) provides advanced, patient-centered care to individuals with acute and chronic kidney disease across inpatient, outpatient clinic, and dialysis settings. The NP collaborates with nephrologists and interdisciplinary teams to optimize outcomes, manage complex renal conditions, and promote kidney health.

Responsibilities

Clinical responsibilities include:

• Perform comprehensive assessments, including history, physical exams, and risk evaluation for kidney disease.
• Diagnose and manage acute and chronic renal conditions, including but not limited to: Chronic kidney disease (CKD), End-stage renal disease (ESRD), Acute kidney injury (AKI), Glomerulonephritis and nephrotic syndrome, Electrolyte and acid-base disorders.
• Order, interpret, and analyze diagnostic studies (labs, imaging, biopsies).
• Develop and implement individualized treatment plans.
• Initiate and manage medications (e.g., antihypertensives, diuretics, immunosuppressants, SGLT2 inhibitors, etc.).

Dialysis management responsibilities include:

• Manage patients receiving hemodialysis and peritoneal dialysis.
• Monitor dialysis adequacy, tolerance, and complications.
• Collaborate with dialysis teams to adjust treatment prescriptions.
• Address access-related issues (AV fistula, grafts, catheters) in coordination with nephrology and vascular surgery teams.

Additional responsibilities include:

• Rounding on inpatient census in hospitals and rehab/SNF facilities for nephrology consults and follow-up.
• Providing consultations for renal-related conditions to hospital and rehab teams.
• Managing transitions of care, including discharge planning and communication with outpatient providers.
• Conducting outpatient clinic follow-ups and chronic disease management visits.
• Educating patients and families on disease progression and prevention, medication adherence, diet and fluid management, dialysis options and transplant considerations.
• Care coordination and collaboration with nephrologists, primary care providers, hospitalists, dietitians, social workers, and dialysis staff.
• Participating in quality improvement initiatives and ensuring adherence to regulatory standards and practice protocols.

Qualifications

Required qualifications include:

• Current Texas Nurse Practitioner license (or eligibility to obtain).
• Board certification as an NP or DNP (ANCC or AANP).
• DEA license and prescriptive authority in Texas (or eligibility).

Preferred experience includes:

• 1-3 years of nephrology or related experience (ICU, dialysis, internal medicine).
• Familiarity with ESRD quality measures and CMS regulations.
• Experience with EMR systems.

Skills

Required skills include:

• Strong clinical judgment and advanced diagnostic interpretation.
• Effective communication with patients, families, and interdisciplinary teams.
• Interdisciplinary collaboration across hospital, clinic, and dialysis settings.
• Strong organizational skills and attention to detail.

Work Environment

The work environment is a mixed practice across hospital, outpatient clinic, rehab/SNF, and dialysis unit settings with frequent travel between locations in the San Antonio area.

Schedule and Coverage

The schedule includes:

• Full-time position.
• Travel between multiple dialysis centers and practice locations in San Antonio and surrounding areas.
• Rotating weekend call schedule with supervising physician assistance.
• Rotational holiday coverage with supervising physician assistance.
• Participation in monthly CQI meetings with group providers.

Benefits

Benefits include:

• Competitive compensation with monthly productivity bonus.
• Travel stipend.
• CME allowance and PTO.
• BLS/ACLS certification support.
• Digital supplies provided: laptop and iPhone.
• Malpractice insurance.
• DEA license support.
• Retirement Plan (401K).
• Professional training program available through Interactive Nephrology and the American Nephrology Nurses Association (ANNA).