Nephrology Nurse Practitioner

South Texas Renal Care Group Nephrology Nurse Practitioner

Location: San Antonio, TX and surrounding areas JobType:Full-time

Job Summary

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.

Key Responsibilities

Clinical Care

• Perform comprehensive assessments, including history, physical exams, and risk evaluationforkidneydisease.
• 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, SGLT2inhibitors,etc.).

DialysisManagement

• Manage patients receiving hemodialysis and peritoneal dialysis.
• Monitor dialysis adequacy, tolerance, and complications.
• Collaboratewithdialysisteamstoadjusttreatmentprescriptions.
• Address access-related issues (AV fistula, grafts, catheters)in coordination with nephrology andvascularsurgeryteams.

Inpatient & Outpatient Rounding

• Round on inpatient census in hospitals and rehab/SNF facilities for nephrology consults and follow-up.
• Provide consultations for renal-related conditions to hospital and rehab teams.
• Manage transitions of care, including discharge planning and communication with outpatientproviders.
• Conduct outpatient clinic follow-ups and chronic disease management visits. Patient Education & Counseling
• Educate patients and families on:
  • Disease progression and prevention
  • Medication adherence
  • Diet and fluid management
  • Dialysis options and transplant considerations
• Promote lifestyle modifications to slow CKD progression and improve overall health. CareCoordination
• Collaborate with nephrologists, primary care providers, hospitalists, dietitians, social workers,anddialysisstaff.
• Facilitate referrals (transplant, vascular surgery, specialty care).
• Ensure continuity of care across inpatient, outpatient, and dialysis settings. Quality&Compliance
• Participate in quality improvement initiatives, including Monthly Continuous Quality Initiative(CQI)meetingswithgroupproviders.
• Ensure adherence to regulatory standards and practice protocols.
• Maintain documentation in accordance with clinical, legal, and billing standards.

Qualifications

• 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).
• Minimum 1–2 years of clinical experience preferred but not required; dialysis, nephrology, orinternalmedicineexperiencestronglypreferred.

Preferred Experience

• 1–3 years nephrology or related experience (ICU, dialysis, internal medicine).
• Familiarity with ESRD quality measures and CMS regulations.
• ExperiencewithEMRsystems.

Skills

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

WorkEnvironment

• Mixed practice across hospital, outpatient clinic, rehab/SNF, and dialysis unit settings withfrequenttravelbetweenlocationsintheSanAntonioarea.

ScheduleandCoverage

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

Compensation and Benefits

• Competitivecompensationwithmonthlyproductivitybonus.
• Travelstipend.
• CME allowance and PTO.
• BLS/ACLS certification support.
• Digital supplies provided: laptop and iPhone.
• Malpractice insurance.
• DEA license support.
• Retirement Plan (401K).
• ProfessionaltrainingprogramavailablethroughInteractiveNephrologyandtheAmerican Nephrology Nurses Association (ANNA).