Advanced Dialysis Registered Nurse

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 (401 K).

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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