Registered Nurse

Posted 11/05/2026 · Full-time · DaVita SNF Dialysis Services (DSD) – Titan Division · 1945 Roanoke Blvd, Salem, VA 24153 (near LewisGale Medical Center). Predictable 12‑hour day shifts with no on‑call, no overnight hospital calls, and no scheduled Sunday treatments.

About the Role

DaVita is pioneering a better way to care for kidney patients. In our specialized Skilled Nursing Facility (SNF) Dialysis Dens, we bring the clinic directly to the resident. This intimate, state‑of‑the‑art 6‑chair dialysis suite is built inside a post‑acute rehabilitation facility. As a New‑to‑Dialysis (NTD) Registered Nurse, you will deliver high‑touch, autonomous chairside hemodialysis care without high hospital patient loads, grueling 16‑hour on‑call shifts, or chaotic ER turnover. You will build meaningful, long‑term relationships with a consistent census of residents while benefiting from our industry‑leading paid nephrology training program.

Training

Never worked in nephrology? No problem. DaVita provides an intensive 9‑ to 12‑week paid dialysis training curriculum tailored for registered nurses transitioning into the specialty:

• Classroom & simulation: in‑depth training on kidney disease, fluid and electrolyte management, hemodialysis principles, and machine technology.
• 1:1 preceptorship: side‑by‑side chairside mentorship with experienced lead dialysis nurse preceptors at our regional hub den (Highland Ridge).
• Vascular access mastery: hands‑on competency in cannulation techniques, central venous catheter (CVC) care, sterile dressing changes, and emergency access protocols.
• Water treatment & safety: complete training on reverse osmosis (RO) systems, water testing standards, and CMS/AAMI infection control compliance.

Responsibilities

• Serve as the clinical lead for the 6‑chair den, overseeing treatment delivery, patient stability, and care coordination alongside skilled patient care technicians (PCTs).
• Conduct pre‑, intra‑, and post‑dialysis assessments; calculate and adjust fluid removal (ultrafiltration goals); administer IV/dialysis medications, blood products, and saline rinses per physician orders.
• Initiate and terminate hemodialysis treatments via arteriovenous (AV) fistulas, AV grafts, and central venous lines (CVCs) using strict aseptic technique.
• Collaborate daily with facility nursing staff, attending nephrologists, physical/occupational therapists, and dietitians to ensure dialysis aligns seamlessly with resident rehabilitation goals.
• Monitor vital signs and hemodynamic responses continuously, rapidly respond to complications (hypotension, cramping, access flow issues), and ensure thorough EMR documentation.

Qualifications

• Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) from an accredited school of nursing.
• Current, active, unrestricted Virginia RN license or valid multi‑state compact RN license.
• Minimum 6–12 months of direct bedside nursing experience (Med/Surg, ICU, Stepdown, Telemetry, ER, Sub‑Acute, SNF/LTC, or Rehab). No prior dialysis experience required.
• Current Basic Life Support (BLS) certification from the American Heart Association (AHA) or equivalent.
• Strong physical assessment capabilities, sharp communication skills, attention to detail, and a desire to work in an intimate, autonomous clinical environment.

Benefits

• Structured daytime schedules with no overnight on‑call and predictable days off.
• Competitive compensation and comprehensive benefits: medical, dental, vision, 401(k) matching, paid time off (PTO), tuition assistance, and clear clinical ladder advancement opportunities.
• Supportive village culture: dedicated team environment where leadership is committed to your professional development and career growth.

Pay

Wage range: $35.00 – $48.00/hour. Compensation depends on qualifications, skills, competencies, and experience. DaVita offers a competitive total rewards package including 401(k) match, healthcare coverage, and a broad range of other benefits.