Advance Practice Provider

Panoramic Health • Tucson, AZ

4d • Onsite

About The Position

Southwest Kidney Institute is seeking passionate and dedicated nurse practitioners or physician assistants to join its growing team within the Panoramic Health network. The opportunity is open to candidates at all experience levels. Dialysis or nephrology experience is strongly encouraged, and comprehensive training is provided for candidates new to nephrology.

The position serves patients at SKI Tucson Clinics and associated dialysis centers in the Tucson area, with a listed Fresenius center in Safford. Providers capture dialysis-unit patients, billed under the physician, and may also have their own clinic patient panel. Most care involves collaborating with physicians and alternating patient care. The patient population includes a large Hispanic community; bilingual ability is helpful but not required.

Compensation includes a guaranteed $140,000 salary during the first year, followed by the opportunity to participate in a productivity-based compensation model. Providers who exceed productivity expectations may earn more through a base salary plus incentives. The compensation structure is intended to offer financial stability and long-term income growth, with no penalty for ramping up productivity ahead of schedule. No weekend or call coverage is expected.

The provider delivers and coordinates nephrology care in outpatient dialysis units and clinics. Responsibilities include managing dialysis and chronic kidney disease patients, assessing and treating complications, coordinating care and education, maintaining documentation, and supporting clinical staff. The provider works collaboratively with physicians and an interdisciplinary team to promote high-quality, cost-effective, patient-centered care.

Requirements

• Master’s degree program in nursing or physician assistant studies with nationally recognized course content and formal clinical preparation meeting the minimum hour standards for the program.
• Competency in advanced health assessment, physical examination, diagnosis, planning, and management of care, including pharmacotherapeutics.
• Ability to provide nursing expertise in diagnosis and treatment to prevent, remediate, or alleviate illness and promote health and improved patient outcomes.
• Knowledge of patient assessment techniques, including medical histories, physical examinations, health-status evaluation, wellness assessment, and adherence to care recommendations.
• Knowledge of diagnosing and treating medical problems and developing care plans.
• Knowledge of confidential medical-record documentation.

Nice To Haves

• Dialysis or nephrology background.
• Bilingual ability.

Responsibilities

• Capture dialysis-unit patients, with billing handled under the physician, and collaborate with physicians to alternate care.
• Prescribe and dispense medication when authorized under applicable state licensure.
• Collect, order, and interpret laboratory work and diagnostic studies under agreed-upon protocols.
• Obtain health histories and perform physical examinations; develop differential diagnoses and plans of care; evaluate and document patient responses.
• Provide education to patients and families, organize referrals and consultations when appropriate, and participate in research as requested.
• Promote cost-effective care and provide guidance on established processes and procedures.
• Oversee, manage, or supervise assigned clinical and office functions involving patient care, operations, and facilities.
• Manage hemodialysis and/or peritoneal dialysis patients according to KDOQI guidelines.
• Assess, diagnose, and manage ESRD therapy complications, including anemia, hypertension, bone disease, fluid and electrolyte imbalances, and vascular access issues.
• Diagnose and manage episodic health problems in clients with ESRD; evaluate patient progress and the appropriateness of care plans.
• Encourage patient rehabilitation through education and counseling; use an interdisciplinary team approach to plan comprehensive care.
• Support patients and families making decisions regarding termination of treatment.
• Perform annual physicals, including health maintenance and preventive health counseling.
• Educate and consult with clinical staff, serve as a role model and clinical resource, and help prevent and treat complications of dialysis therapies.
• Coordinate continuity of care between outpatient dialysis units and other healthcare settings.
• Provide leadership in establishing nurse-driven protocols.
• Manage chronic kidney disease patients in the clinic, promoting health and preventing further decline in renal function.
• Follow established guidelines for the Nurse Practitioner/Physician clinic model and coordinate a pre-ESRD patient education program.
• Develop or evaluate educational materials that help patients participate actively in their care and make informed treatment decisions.
• Perform other duties and responsibilities as required, assigned, or requested.

Benefits

• Paid time off.
• Full-time benefits, including medical, dental, and vision coverage, plus more.
• 401(k).
• Guaranteed $140,000 salary during the first year.
• Opportunity to participate in a productivity-based compensation model after the initial guarantee period, with potential enhanced earnings through base salary plus incentives.

What This Job Offers

• Job Type: Full-time