PRN Transplant Nephrology Clinic PA/NP

About this Job:

Advanced Practice Provider (NP/PA) – Transplant Nephrology Waitlist Clinic (PRN) 

 

Position Summary 

 

The PRN Advanced Practice Provider (APP) provides comprehensive outpatient care for kidney transplant candidates throughout the transplant evaluation and waitlist process. Working collaboratively with transplant nephrologists, transplant surgeons, nurse coordinators, social workers, dietitians, financial coordinators, and other multidisciplinary team members, the APP evaluates, monitors, and optimizes transplant candidates while ensuring compliance with UNOS/OPTN, CMS, and institutional requirements. 

 

The APP independently manages established waitlisted patients within the scope of practice and assists in new transplant evaluations, re-evaluations, medical optimization, and ongoing surveillance while promoting excellent patient outcomes and regulatory compliance.  

 

Essential Roles & Responsibilities 

 

Clinical Care 

• Perform comprehensive medical evaluations for kidney transplant candidates. 

• Conduct annual and interval waitlist re-evaluations. 

• Assess transplant candidacy and identify barriers to transplantation. 

• Develop and implement individualized treatment plans in collaboration with transplant nephrologists. 

• Evaluate changes in medical status that may affect transplant eligibility. 

• Manage common chronic kidney disease and transplant-related medical issues within scope of practice. 

• Order, interpret, and review laboratory studies, diagnostic imaging, and specialty consultations. 

• Initiate appropriate referrals to specialists as needed. 

• Address acute concerns identified during clinic visits. 

• Document medical necessity and transplant readiness. 

 

Waitlist Management 

• Monitor candidates for ongoing transplant eligibility. 

• Review hospitalizations, surgeries, infections, malignancies, and cardiovascular events impacting candidacy. 

• Ensure required testing remains current, including: 

• Cardiac testing 

• Cancer screening 

• Infectious disease screening 

• Imaging 

• Vascular studies 

• Identify patients requiring temporary inactive (Status 7) designation and coordinate reactivation. 

• Collaborate with transplant coordinators regarding listing decisions and waitlist maintenance. 

• Participate in multidisciplinary waitlist review meetings. 

Patient Education 

 

Provide education regarding: 

• Kidney transplantation 

• Living donation 

• Deceased donor transplantation 

• High KDPI kidneys 

• HCV-positive donor organs 

• Living donor process 

• Waitlist expectations 

• Medication adherence 

• Health maintenance 

• Vaccinations 

• Lifestyle modifications 

• Importance of maintaining transplant readiness 

 

Care Coordination 

 

Collaborate with: 

• Transplant nephrologists 

• Transplant surgeons 

• Nurse coordinators 

• Social work 

• Dietitians 

• Financial coordinators 

• Living donor team 

• Dialysis centers 

• Community nephrologists 

• Primary care providers 

• Specialty consultants 

Coordinate timely completion of required evaluations and follow-up care. 

 

Diagnostic & Therapeutic Management 

 

Within scope of practice: 

• Order laboratory testing 

• Review diagnostic studies 

• Prescribe medications 

• Adjust antihypertensive therapy 

• Manage diabetes medications as appropriate 

• Treat uncomplicated medical conditions 

• Coordinate vaccinations 

• Monitor infectious disease screening 

• Complete medication reconciliation 

 

Documentation 

 

Complete timely and accurate documentation including: 

• Initial transplant evaluations 

• Waitlist follow-up visits 

• Annual re-evaluations 

• Telephone encounters 

• Patient portal communications 

• Medical decision making 

• Billing documentation 

• Regulatory documentation 

Quality & Regulatory Compliance 

 

Support compliance with: 

• CMS Conditions of Participation 

• OPTN/UNOS policies 

• Institutional protocols 

• Quality improvement initiatives 

• Clinical performance metrics 

• Patient safety initiatives 

Assist with: 

• Chart audits 

• Performance improvement projects 

• Waitlist quality metrics 

• Regulatory readiness activities 

 

Communication 

 

Communicate effectively with: 

• Patients and caregivers 

• Referring nephrologists 

• Dialysis units 

• Community providers 

• Hospital teams 

• Multidisciplinary transplant team 

Provide timely responses to clinical questions and urgent issues. 

 

PRN Responsibilities 

• Provide clinic coverage during provider absences, vacations, and periods of increased patient volume. 

• Maintain flexibility in scheduling based on clinic needs. 

• Participate in orientation and competency assessments. 

• Maintain required certifications and licensure. 

• Complete mandatory education and regulatory training. 

Qualifications 

 

Required 

• Graduate of an accredited Nurse Practitioner or Physician Assistant program 

• Current state licensure 

• DEA registration (if applicable) 

• National board certification 

• Current BLS certification 

Preferred 

• ACLS certification 

• Minimum 2 years of nephrology, transplant, or CKD management experience preferred 

• Previous transplant experience preferred 

• Experience with Epic or other electronic medical records 

 

Knowledge, Skills & Abilities 

• Knowledge of chronic kidney disease and end-stage kidney disease management 

• Understanding of kidney transplant evaluation and waitlist processes 

• Familiarity with OPTN/UNOS policies and CMS transplant regulations 

• Ability to independently assess and manage complex medical patients 

• Strong clinical judgment and critical thinking 

• Excellent communication and patient education skills 

• Ability to function effectively within a multidisciplinary team 

• Strong organizational and time-management skills 

• Proficiency with electronic health records 

 

Typical Scope of Practice 

 

The PRN APP may independently manage: 

• Waitlist follow-up visits 

• Annual transplant re-evaluations 

• Status updates 

• Medical optimization visits 

• Review of testing and specialty consultations 

• Routine transplant candidate surveillance 

• Patient education and counseling 

• Medication management within scope of practice 

 

The APP collaborates with the transplant nephrologist regarding: 

• New transplant listing decisions 

• Complex medical management 

• High-risk transplant candidates 

• Changes in transplant candidacy 

• Waitlist inactivation/reactivation decisions 

• Significant abnormal diagnostic findings 

• Complex immunologic or infectious disease concerns 

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This position has a hiring range of : USD $55.29 - USD $91.35 /Hr.