Nurse Practitioner Dialysis Services

South Texas Renal Care Group

Nurse Practitioner – Dialysis Services

Location: San Antonio, TX and surrounding areas JobType: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 unitsinSanAntonioandsurroundingcommunities.TheNPwillcollaboratecloselywith 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 stateregulations.
• 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 modificationstoslowCKDprogression.
• 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.
• Strongorganizationalskillsandattentiontodetail.

Preferred Experience

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

Compensation & Benefits

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

WorkEnvironment

Primarilyoutpatientdialysisunitsinateam-orientedenvironmentwithfrequenttravel between centers. Valid driverʼs license and reliable transportation are required for this role.