Nurse Practitioner Dialysis Services

South Texas Renal Care Group

Nurse Practitioner – Dialysis Services

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

Position Summary

South Texas Renal Care Group is seeking a dedicated and experienced Nurse Practitioner (NP) to provide comprehensive care to patients receiving dialysis across multiple outpatient dialysis units in San Antonio and surrounding communities . The NP will collaborate closely with nephrologists, nursing staff, and interdisciplinary teams to optimize patient outcomes, manage chronic kidney disease (CKD) and end-stage renal disease (ESRD), and ensure high-quality, patient-centered care. This role is focused exclusively on dialysis units with no outpatient clinic or hospital rounding responsibilities.

Key Responsibilities

• Provide routine and acute clinical care for patients undergoing hemodialysis and / or peritoneal dialysis .
• Conduct initial assessments, follow-up visits, and monthly dialysis rounds .
• Evaluate, diagnose, and manage AKI, CKD, ESRD, and dialysis-related complications .
• Collaborate with supervising nephrologists regarding patient care plans and clinical decision - making .
• Review and act on lab results, dialysis adequacy metrics, and medication regimens .
• Manage comorbid conditions such as hypertension , diabetes , anemia , and fl uid / electrolyte imbalances .
• Prescribe medications and adjust treatments in accordance with established protocols and state regulations .
• Participate in care coordination with social workers, dietitians, and dialysis sta ff.
• Ensure compliance with CMS, ESRD Network, and facility quality standards .
• Educate patients and families regarding disease management , dialysis options and transplant considerations , treatment adherence , diet / fl uid management , and lifestyle modi fi cations to slow CKD progression .
• Document patient encounters accurately in the electronic medical record ( EMR ) .

Schedule & Coverage

• Travel between multiple outpatient dialysis centers in San Antonio and surrounding areas ( driving required ) .
• Flexible weekday schedule; early mornings may be required based on dialysis shift times .
• No weekend call responsibility .
• No outpatient clinic or hospital rounding responsibilities ; role is dedicated to dialysis units .

Quali fi cations

• Current Texas Nurse Practitioner license (or eligibility to obtain ) .
• Board certification as an NP (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 but not required .

Skills & Competencies

• Strong clinical assessment and critical thinking skills .
• Ability to manage complex chronic conditions .
• Excellent communication and interdisciplinary collaboration skills .
• Comfortable working independently across multiple sites .
• Strong organizational skills and attention to detail .

Preferred Experience

• Prior experience in dialysis, nephrology, or hospitalist medicine .
• Familiarity with ESRD quality measures and CMS regulations .
• Experience with EMR systems .

Compensation & Bene fi ts

• Competitive compensation package with 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 ) .
• Access to professional nephrology training through Interactive Nephrology and the American Nephrology Nurses Association ( ANNA ) .

Work Environment

Primarily outpatient dialysis units in a team - oriented environment with frequent travel between centers. Valid driverʼs license and reliable transportation are required for this role.