Nephrology Physician Assistant

Kidney disease is rarely simple, and patients feel every delay. This role exists to keep complex nephrology care moving—clinic, dialysis, and inpatient—so people leave with a clear plan, not another unanswered question. You will practice at the top of your license beside nephrologists who expect judgment, not task completion.

Performance Objectives

• Manage a defined panel of CKD, dialysis, transplant-follow-up, and electrolyte patients so visit plans, labs, and medication changes are complete before the patient leaves.
• See new and return patients independently, presenting only the decisions that need physician input, and close same-day notes that support billing and continuity.
• Round on assigned inpatients or dialysis shifts, stabilize acute issues, and hand off a prioritized plan that the next clinician can act on without a callback.
• Cut avoidable readmissions and missed dialysis complications by escalating fluid, access, and infection problems early and documenting the trigger and response.
• Own results follow-up: abnormal labs, imaging, and consults are reviewed, communicated, and acted on within the practice standard, with no orphaned orders.
• Teach patients and families the why behind diet, meds, access care, and transplant or dialysis choices so adherence and informed consent improve, not just documentation.
• Partner with nurses, dietitians, social work, and dialysis units to remove the bottlenecks you see—scheduling, prior auth, or handoff gaps—and measure whether they stay fixed.

Environment & Resources

• You report to the lead nephrologist and work inside a physician-APP team covering clinic, hospital, and dialysis.
• Support includes experienced MAs, RNs, a dietitian, social work, and a dedicated scheduler—not a solo inbox.
• Charting is in a shared EHR with order sets, remote access, and protected admin time built into the template.
• You will have collaborating-physician backup, a clear escalation path, and CME support aimed at nephrology, not generic credits.

Essential Qualifications

• Graduate of an accredited PA program and NCCPA certification, with an active state license and DEA where prescribing is required.
• At least two years as a PA in nephrology, inpatient medicine, or dialysis—or a structured nephrology fellowship—with independent management of CKD and acute kidney injury.
• Demonstrated ability to run a full clinic or rounding list, write complete notes the same day, and adjust antihypertensives, diuretics, binders, and anemia therapy within protocol.
• Fluency with dialysis access problems, electrolyte emergencies, and when to stop, start, or change renal replacement therapy.
• Clear, direct communication with patients who are scared, tired, or non-English speaking, plus reliable collaboration with dialysis staff.
• Comfort with EHR orders, results tracking, and quality metrics; no pattern of incomplete follow-up.

Why This Role

• Real scope: you manage disease, not just room patients for someone else.
• Mixed setting—clinic, hospital, and dialysis—so skills stay sharp and days do not blur into one template.
• Physician partners who teach and back you, with a schedule that protects documentation time.
• Patients you follow over years, including the hard conversations about dialysis and transplant.
• A team measured on outcomes and access, not volume alone.

If you want ownership of kidney care and can show the outcomes above, apply with a brief note on the panel you have managed and the decision you are proudest of. We read every application.