Advanced Practice Nurses

COMMONWEALTH KIDNEY DOCTORS

Nurse Practitioner Position Type: Full-Time / Exempt Reports To: Controller/Physician Leadership Good-Faith Salary Range: $115,000 to $140,000 per year (approximately $55.29 to $67.31 per hour based on 2,080 hours per year). This range represents the minimum and maximum salary Commonwealth Kidney Doctors has set in good faith for this position at the time of posting. Final compensation within the range will be based on job-related factors, including experience, qualifications, skills, licensure, certification, and business needs. The Nurse Practitioner is an advanced practice provider position responsible for providing comprehensive patient care in dialysis unit and outpatient office settings for Commonwealth Kidney Doctors. This position supports chronic kidney disease and end-stage renal disease management through patient assessment, diagnosis, treatment planning, medication management, patient education, care coordination, and timely clinical documentation. The Nurse Practitioner works closely with physicians and interdisciplinary care teams and is expected to maintain strong clinical judgment, professional communication, dependable follow-through, and compliance with applicable licensure, credentialing, payer, federal, state, and practice requirements. Provide direct patient care in assigned dialysis units, including routine rounds, assessments, care coordination, and follow-up visits. Conduct scheduled outpatient office visits across practice locations according to assigned provider schedules and practice needs. Develop, implement, monitor, and update individualized treatment plans in collaboration with physicians and the care team. Order, interpret, and evaluate diagnostic tests, laboratory results, imaging, and other clinical information necessary for patient care. Prescribe medications and therapeutic interventions in accordance with applicable law, licensure, prescriptive authority, practice agreements as applicable, and practice policy. Document all patient encounters accurately and timely in the electronic medical record, including assessment, plan, orders, follow-up, and required billing or quality documentation. Coordinate care with nephrologists, nurses, dialysis staff, dietitians, social workers, hospitals, referring providers, and other healthcare professionals. Educate patients and families regarding kidney disease, dialysis, medications, treatment plans, laboratory results, lifestyle modifications, and follow-up care. Support safe, efficient patient flow and continuity of care across dialysis and office settings, including timely response to clinical messages and care team communications. Maintain confidentiality and comply with HIPAA, OSHA, Medicare/Medicaid, payer, credentialing, documentation, and Commonwealth Kidney Doctors policies and procedures. Perform other duties as assigned within scope of practice to support patient care, provider coverage, and clinical operations. This position performs work in outpatient medical office and dialysis unit environments. The employee must be able to remain in a stationary position for extended periods, move about office and clinical areas, travel between assigned practice and dialysis locations, and alternate between sitting, standing, and walking throughout the workday. The role requires the ability to operate standard office and clinical technology, including computers, phones, printers, scanners, and electronic medical record systems. The employee must be able to communicate effectively in person, by phone, and in writing with patients, families, providers, staff, vendors, and outside healthcare organizations. The employee may occasionally need to bend, stoop, reach, grasp, and lift or carry office supplies, files, paper, or clinical materials typically weighing up to 15 pounds and occasionally up to 25 pounds. The position may involve exposure to patients with acute or chronic illness and requires compliance with infection control, PPE, safety, HIPAA, OSHA, and other applicable practice requirements. Commonwealth Kidney Doctors will provide reasonable accommodation for qualified individuals with disabilities to enable them to perform the essential functions of the job, consistent with applicable law. Commonwealth Kidney Doctors is an equal opportunity employer. Duties may be modified based on practice needs, applicable law, licensure, credentialing, and operational requirements. Master's or Doctoral degree in Nursing from an accredited Nurse Practitioner program required. Current, unrestricted Nurse Practitioner license in Virginia required, or ability to obtain before performing services requiring licensure. National board certification as a Nurse Practitioner required, such as ANCC or AANP certification, consistent with role requirements. DEA registration, NPI, and prescriptive authority required, or ability to obtain within the timeframe required by the practice and applicable law. Ability to meet credentialing, payer enrollment, privileging, compliance, and background requirements required for the position. Proficiency with electronic medical record systems and standard office technology; Strong communication, organization, documentation, time management, and follow-through skills in a multi-site clinical environment. Ability to work independently while collaborating effectively with physicians, clinical staff, dialysis teams, and other members of the care team. Flexibility to work across multiple office and dialysis locations on an assigned rotational schedule. Prior experience in nephrology, dialysis, internal medicine, primary care, or a comparable specialty setting preferred. Experience managing chronic kidney disease, end-stage renal disease, hypertension, diabetes-related kidney disease, dialysis care, or complex chronic conditions preferred. Experience with outpatient office visits, dialysis unit rounding, care coordination, and multi-site provider coverage preferred.