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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:\n
- Chronic kidney disease (CKD)
- End-stage renal disease (ESRD)
- Acute kidney injury (AKI)
- Glomerulonephritis and nephrotic syndrome
- Electrolyte and acid-base disorders
\n
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

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.

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:\n
- Disease progression and prevention
- Medication adherence
- Diet and ﬂuid management
- Dialysis options and transplant considerations
\n
Promote lifestyle modiﬁcations to slow CKD progression and improve overall health. Care Coordination
Collaborate with nephrologists, primary care providers, hospitalists, dietitians, social workers, and dialysis staﬀ.
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.

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, 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 Beneﬁts

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).

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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 ﬂuid/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 staﬀ.
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/ﬂuid management, and lifestyle modiﬁcations 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.

Qualiﬁcations

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 & Beneﬁts

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 (401K).
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.

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South Texas Renal Care Group

Current Open Positions