Nephrology Nurse Practitioner

South Texas Renal Care Group Nephrology Nurse Practitioner

Location : San Antonio, TX and surrounding areas Job Type : 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 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 , SGLT 2 inhibitors , etc . ) .

Dialysis Management

• 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 fi stula , gra ft s , catheters ) in coordination with nephrology and vascular surgery teams .

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 outpatient providers .
• 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 modi fi cations to slow CKD progression and improve overall health . Care Coordination
• Collaborate with nephrologists , primary care providers , hospitalists , dietitians , social workers , and dialysis sta ff.
• 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 ) meetings with group providers .
• Ensure adherence to regulatory standards and practice protocols .
• Maintain documentation in accordance with clinical, legal, and billing standards .

Quali fi cations

• 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 , or internal medicine experience strongly preferred .

Preferred Experience

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

Skills

• 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

• 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

• 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 .

Compensation and Bene fi ts

• 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 (401 K ) .
• Professional training program available through Interactive Nephrology and the American Nephrology Nurses Association ( ANNA ) .