li>Order appropriate lab and diagnostic tests, review monthly lab tests and medications, interpret results and recommend or consult with primary nephrologist and other members of the health care team (dietitian, pharmacist, social worker, etc.) to make appropriate changes in dialysis prescription, medications, or diet. Services will include participating in the outpatient services by assisting in the management of pre-ESRD patients and other renal diagnoses, supporting patients receiving chronic renal dialysis, and working with surgeons and interventional radiologists for vascular access.