Position: Nurse Practitioner- Post Transplant

Location: Sacramento, California

Schedule: Full-time, Monday–Friday

About the Organization

We are a purpose-driven healthcare provider focused on delivering compassionate, coordinated care to older adults and high-risk populations across underserved communities. Our care model is proactive, value-based, and clinician-led, emphasizing outcomes over volume and patient trust over transactional medicine.

Working across a network of primary care practices and health plan partnerships, we aim to improve access, reduce unnecessary hospital utilization, and ensure a high-touch experience for every patient we serve.

About the Role

This full-time Nurse Practitioner opportunity centers around long-term, post-transplant care — specifically for kidney recipients one year or more after transplantation. The role involves a mix of in-clinic and in-home visits across the Sacramento region, focused on chronic condition management, immunosuppressive regimen oversight, and improving long-term graft and patient outcomes.

This is an excellent opportunity for a skilled and detail-oriented NP passionate about continuity care, interdisciplinary collaboration, and supporting patients in navigating complex health conditions outside of traditional hospital systems.

Key Responsibilities

Clinical Care & Coordination

• Manage ongoing care for patients one year or more post-kidney transplant
• Perform follow-up visits to assess transplant function, monitor labs, adjust medication, and educate patients on health maintenance
• Identify and escalate signs of graft dysfunction, infection, or medication-related complications
• Provide chronic disease management, particularly for conditions like hypertension, diabetes, and cardiovascular risk
• Adjust immunosuppressive therapy as appropriate and in coordination with consulting nephrologists
• Conduct routine screenings, provide vaccinations, and support preventive care plans
• Complete thorough, timely clinical documentation aligned with regulatory standards

Interdisciplinary Collaboration

• Work alongside transplant specialists, PCPs, case managers, and social workers to ensure a cohesive, whole-person care approach
• Actively contribute to care plan meetings and communicate treatment goals and progress
• Participate in peer reviews, quality improvement efforts, and ongoing patient outcome initiatives

Patient Experience & Education

• Build long-term relationships with patients and caregivers through in-home and clinic-based interactions
• Educate patients and their support systems on post-transplant lifestyle adjustments, medication adherence, and care goals
• Support high-risk patients during care transitions with personalized follow-ups and care navigation
• Serve as a clinical quarterback, proactively coordinating care needs across specialties

Administrative & Compliance

• Maintain HIPAA-compliant records and safeguard patient privacy at all times
• Complete documentation and coding accurately, particularly for Medicare populations and HCC guidelines
• Flex across assigned regions as needed to meet changing patient schedules or coverage needs

Candidate Profile

Required:

• Active Nurse Practitioner license in California
• Certification from ANCC or AANP
• Minimum 2 years’ experience in nephrology, transplant, or managing complex chronic conditions
• DEA license (or willingness to obtain)
• Current BLS/CPR certification
• Valid California driver’s license and willingness to conduct home visits

Preferred:

• Experience with transplant patients, immunosuppressive protocols, or care transitions
• Strong EMR proficiency and comfort with digital documentation workflows
• Bilingual Spanish skills a plus

Attributes for Success:

• Patient-focused and naturally collaborative
• Analytical thinker who thrives in clinical autonomy and interdisciplinary teamwork
• Comfortable with high-acuity patients and long-term care planning
• Detail-oriented with strong time management and follow-through
• Committed to professional growth, evidence-based care, and improving patient outcomes

Benefits & Compensation

• Annual Salary: $145,000 – $160,000
• Full health benefits including medical, dental, and vision plans
• Health Savings and Flexible Spending Accounts
• 401(k) with employer match
• Generous PTO, paid holidays, and parental leave
• Monthly phone and internet stipend
• Access to mental health support and wellness reimbursement
• License, certification, and CE reimbursement
• Company-paid malpractice coverage
• Supportive peer community of advanced practice providers

Commitment to Inclusion

We are committed to fostering a welcoming, inclusive workplace for individuals of all backgrounds. If you’re passionate about expanding access to high-quality care—even if you don’t meet every qualification listed—we encourage you to apply.