Advanced Practice Providers

Panoramic Health•Phoenix, AZ

8d•Onsite

About The Position

Southwest Kidney Institute, part of the Panoramic Health network, is seeking Nurse Practitioners and Physician Assistants to provide patient-centered nephrology care. Candidates of all experience levels may apply; dialysis or nephrology experience is encouraged, and training is provided for candidates without prior nephrology experience. The role includes clinic coverage, dialysis-unit and hospital rounding, and care coordination. The main office is at 2610 N 3rd St, Phoenix, Arizona. The schedule is Monday through Friday, with clinic coverage 2–3 days per week and dialysis-unit or hospital rounding 2–3 days per week. Weekend call coverage is not expected. In addition to commuting, daily drive time is estimated at about an hour on rounding days. The provider assesses, diagnoses, treats, and manages patients, including those with chronic kidney disease, end-stage renal disease, and acute renal failure. The role involves outpatient dialysis care, hospital responsibilities, and clinic-based care, as well as patient and family education, coordination with interdisciplinary teams, clinical-staff guidance, and oversight of assigned clinical and office functions. The hiring package includes a competitive salary, potential productivity bonuses, full-time benefits, PTO, and CME.

Requirements

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

Nice To Haves

Dialysis or nephrology experience is strongly encouraged; candidates of all experience levels may apply.

Responsibilities

Prescribe and dispense medication when authorized under state licensure.
Collect, order, and interpret laboratory work and diagnostic studies under agreed protocols.
Order occupational, speech, and physical therapy, as well as psychological counseling, as appropriate.
Obtain health histories and conduct physical examinations; develop differential diagnoses and plans of care; evaluate and document patient responses.
Educate patients and families, arrange referrals or consultations, and participate in research as requested.
Promote cost-effective care and provide guidance on compliance with established processes and procedures.
Oversee, manage, and supervise assigned clinical and office functions involving patient care, office 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 patients with ESRD; evaluate progress and the appropriateness of care plans.
Support patient rehabilitation through education and counseling, use an interdisciplinary team approach, and support patients and families in decisions regarding treatment termination.
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 assist staff in preventing and treating complications of dialysis therapies.
Coordinate continuity of care between outpatient dialysis units, hospitals, and other healthcare settings; provide leadership in establishing nurse-driven protocols.
Perform hospital admission histories and physicals, write routine hospitalization admission orders, participate in discharge planning, coordinate referrals, and dictate discharge summaries.
Educate and counsel hospital patients on treatment options and expected outcomes, and provide clinical leadership and expertise concerning kidney disease and renal failure care.
Manage patients with chronic kidney disease, promoting health and preventing further decline in renal function, in accordance with established clinic-model guidelines.
Coordinate a pre-ESRD patient education program and develop or evaluate educational materials that support patient participation and treatment decision-making.
Perform other duties and responsibilities as required, assigned, or requested.