APP Fellow (Nurse Practitioner or Physician Assistant) - Nephrology

Job Description Summary
Advanced Practice Provider (APP) (NP/PA) Fellow Summary: One-year fellowship focuses on clinical experiences as well as a robust didactic curriculum, to provide well-rounded education intended to fully prepare an APP for a full-time position in specialty areas. Primary fellowship role is dependent on specialty area (see below) and may include opportunities to learn in various settings (i.e., inpatient, OR, clinic, ICU) and work towards clinically relevant competencies and procedural competencies as applicable. APP Fellow will be required to attend academic sessions and/or complete presentations/lectures/QI projects as determined by APP Fellowship Coordinator or APP Fellowship Director. APP Fellows will be supported throughout the fellowship by the APP Best Practice Center, department APPs, APP mentors, physician fellows and physician leaders. APP Fellow schedule will align with other department/ practice area APPs but may include some additional clinical and academic requirements determined by APP Fellowship Director and approved by department.


Specialty APP Fellow Summary: This one-year fellowship focuses on clinical experiences as well as a robust didactic curriculum, to provide well-rounded education intended to fully prepare a Nurse Practitioner or Physician Assistant for a full-time position in Nephrology. The APP Fellow will receive comprehensive exposure to a wide spectrum of kidney-related disease processes across multiple care settings, including outpatient nephrology clinics, inpatient consult services, dialysis units, chronic kidney disease (CKD) clinics, hypertension clinics, and specialty populations as available. Structured rotations may include general nephrology, end-stage kidney disease (ESKD), dialysis modalities (in-center hemodialysis, peritoneal dialysis, home therapies), hypertension, glomerular disease, and transplant nephrology (if applicable). The fellowship integrates supervised clinical practice with a robust didactic curriculum, nephrology conferences, interdisciplinary team meetings, and scholarly activities.

Entity
University Medical Associates (UMA) Only Employees and Financials

Worker Type
Employee

Worker Sub-Type
Regular

Cost Center
CC000973 COM DOM Nephrology CC

Pay Rate Type
Salary

Pay Grade
Health-26

Scheduled Weekly Hours
40

Work Shift

Job Description

Applicants are required to submit a cover letter as part of the application, highlighting how the fellowship aligns with the applicant's career aspirations.


Applicants chosen for interview will be required to send 3 letters of recommendation to the department prior to their interview.


Fair Labor Standards Act Status: Salaried (exempt)

Hours per week: Extended clinical schedule with additional didactic requirements

Scheduled Work Hours/Shift: October 2026 through September 2027.Shifts and total hours will vary based on rotation area - 8 hour shifts on outpatient rotation, 10-hour shifts on inpatient rotations. Shifts may include weekends and holiday coverage.

Patient Population Focus
Main Hospital, Dialysis Clinics, Outpatient Clinics

Patient Population Age Range
13 years to death

Required Minimum Training and Experience
Completion of an accredited Physician Assistant program and currently licensed or eligible for licensure as a Physician Assistant or completion of an accredited Nurse Practitioner Program and currently licensed or eligible for licensure as an APRN as noted below.

• Physician Assistant

or

• APRN
  
  • AGPNP/ANP (Adult Gerontology Primary Care NP or Adult NP): Adult pts (13 years to death), stable chronic disease state management or primary care setting.
  • FNP (Family NP): (birth to death) Stable chronic disease state management, primary care across the lifespan.
  • AGACNP/ACNP (Adult Gerontology Acute Care NP/Acute Care Nurse Practitioner): Adult pts (13 years to death), acutely ill or injured, potentially unstable, or technologically dependent (vents, drips, monitors, etc.)

Required Experience: None. APP Fellowship is geared for new graduates and for experienced APPs wanting to change practice specialties.

Degree of Supervision
Advanced Practice Registered Nurse or Physician Assistant will be assigned a Primary Supervising/Collaborating Physician employed by MUSC and will report directly to this physician, APP Manager, and APP Fellowship Director.

Required Licensure, Certifications, Registrations

All certifications must be current and complete prior to start date:

• Basic Life Support (BLS).
• If applicable, DHEC and DEA license applications must be started prior to first day.

Job Duties:

Provides direct care to patients through the following activities:

• Takes comprehensive history and performs physical examinations
• Evaluates and treats on the basis of history, physical examination, radiological, laboratory, and other diagnostic test results pursuant to the practice agreement or scope of practice guideline
• Performs therapeutic procedures in accordance with procedural privileges, skill and proficiency as approved by the Clinical Division Chief (see Specialty Specific Items below).
• Initiates referrals to other health care providers, and/or consults with the attending physician or the collaborating physician
• Documents and bills for direct care provided when appropriate
• Utilizes current research and evidence-based decision-making in all clinical practice
• Performs and participates in quality/performance improvement activities and clinical research
• Participates in and supports accreditation, compliance, and regulatory activities of the organization
• Demonstrates responsibility for professional practice through active participation in professional organizations and continuing education
• Attends education and academic sessions as determined by APP Fellowship Coordinator or APP Fellowship Director
• Completes presentations, lectures, QI projects or other academic requirements as set by MUSC APP Fellowship Director or Department
• Participates in required MUSC APP Fellowship activities
• APRN or PA must maintain licenses, certifications, CNEs/CMEs, etc. as required by applicable policies and state law
• Assist in the management of acute and chronic kidney disease, electrolyte disorders, hypertension, dialysis-related issues, and related comorbidities
• Collaborate with nephrology physicians, dialysis staff, nursing, social work, dietitians, and interdisciplinary teams
• Participate in and gain competency in nephrology-related procedures and skills as approved by the Division Chief (e.g., dialysis access evaluation, fluid management, CKD education, and dialysis rounding)

Additional Job Description

Physical Requirements

Continuous requirements are to perform job functions while standing, walking and sitting. Ability to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders, reach in all directions. Ability to be qualified physically for respirator use, initially and as required. Maintain 20/40 vision corrected, see and recognize objects close at hand and at a distance, work in a latex safe environment and work indoors. Frequently lift, lower, push and pull and/or carry objects weighing 50 lbs (+/-) unassisted, exert up to 50 lbs of force, lift from 36" to overhead 25 lbs. Infrequently work in dusty areas and confined/cramped spaces.

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.


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