Nephrology Acute Care Nurse Practitioner or Physician Assistant

University of Maryland Medical System•Baltimore, MD

9d•$54 - $77

About The Position

The Nephrology Inpatient Provider delivers consultative nephrology care to hospitalized patients, managing acute and chronic kidney conditions, dialysis needs, and fluid/electrolyte disorders. This role partners closely with hospitalists, intensivists, nursing, dialysis staff, and care management to ensure timely, evidence‑based, patient‑centered care.

Requirements

Acute Care Nurse Practitioner License or Physician Assistant license.
Experience in acute care or inpatient medicine.
Strong communication and consultative skills.
Ability to manage high‑acuity, fast‑paced inpatient environments.

Nice To Haves

Experience with CRRT, HD, PD, and general nephrology.
Familiarity with hospital EHR systems and dialysis documentation workflows.
Prior inpatient nephrology or ICU experience.

Responsibilities

Perform inpatient nephrology consultations and follow‑up visits.
Manage acute kidney injury, chronic kidney disease exacerbations, electrolyte abnormalities, acid–base disorders, and hypertension.
Oversee inpatient dialysis treatments (hemodialysis, CRRT, PD) in collaboration with dialysis nursing.
Provide recommendations to primary teams and document consult notes, progress notes, and care plans.
Respond promptly to consult requests from hospital medicine, ICU, surgery, and ED teams.
Communicate daily with multidisciplinary teams to align on patient status and treatment plans.
Coordinate with outpatient nephrology teams to ensure continuity of care at discharge.
Collaborate with case management and social work on discharge planning, dialysis placement, and follow‑up needs.
Maintain accurate, timely documentation in the EHR.
Follow hospital policies, CMS requirements, and dialysis regulatory standards.
Participate in quality improvement initiatives related to AKI, dialysis safety, and readmission reduction.
Support accurate coding and billing for inpatient nephrology services.
Participate in inpatient service coverage.
Provide education to residents, fellows, nursing staff, and other clinical teams, as appropriate.
Contribute to a culture of safety, collaboration, and patient‑centered care.