Description
About the Job
Inpatient Transplant Nephrology APP
Position Title: Advanced Practice Provider – Transplant Nephrology (Inpatient)
Department: Transplant Nephrology / Abdominal Transplant
Reports To: Chief APP for Adult and Pediatric Transplant Surgery, HPB Surgery, Transplant Nephrology, and Transplant Hepatology
Position Summary
The Inpatient Transplant Nephrology Advanced Practice Provider (APP) provides comprehensive medical management for kidney and pancreas transplant recipients in the inpatient setting. The APP collaborates with transplant nephrologists, transplant surgery APPs, transplant surgeons, pharmacists, coordinators, and multidisciplinary teams to deliver high-quality care across the peri-transplant continuum including pre-transplant evaluation, immediate post-transplant management, and long-term transplant complications requiring hospitalization.
The APP is responsible for daily clinical management of transplant recipients including immunosuppression management, allograft function monitoring, management of transplant-related complications, and coordination of discharge planning.
Key Responsibilities
Clinical Care
Perform comprehensive history and physical examinations on transplant recipients admitted to the hospital.
Manage pre- and post-kidney transplant patients, including deceased and living donor recipients.
Monitor and interpret allograft function, immunosuppression levels, and transplant-related laboratory results.
Diagnose and manage:
Delayed graft function
Acute kidney injury
Acute rejection
Infection in immunocompromised patients
Fluid and electrolyte disorders
Hypertension
Immunosuppressive medication complications
Order and interpret diagnostic studies including labs, imaging, and biopsies.
Adjust immunosuppressive regimens in collaboration with transplant nephrologists.
Coordinate care for transplant recipients requiring dialysis.
Rounding and Care Coordination
Participate in daily multidisciplinary transplant rounds.
Present patients during transplant rounds and contribute to management planning.
Coordination of care with MDC teams and help facilitate transitions of care including discharge planning and outpatient follow-up.
Procedures (if applicable based on institution)
Remove dialysis catheters and surgical drains.
Assist with renal transplant biopsies.
Manage dialysis access issues.
Education
Provide education to patients and families regarding:
Immunosuppressive medications
Infection prevention
Post-transplant care
Participate in education of residents, fellows, APPs and students rotating on transplant services.
Quality and Program Development
Participate in transplant quality improvement initiatives.
Contribute to maintaining compliance with transplant regulatory bodies including:
United Network for Organ Sharing (UNOS)
Organ Procurement and Transplantation Network (OPTN)
Centers for Medicare & Medicaid Services (CMS)
Work Environment
Inpatient hospital setting within a transplant center
Collaboration with multidisciplinary transplant teams
Weekend and holiday rotation may be required
Call coverage may be required depending on program structure
Minimum Qualifications
Education
Master's or Doctoral degree from accredited program:
Nurse Practitioner (NP)
Physician Assistant (PA)
Certification
National board certification as NP or PA
State licensure as Advanced Practice Provider
DEA license (if applicable)
Experience
2+ years of nephrology, transplant, or critical care experience preferred
Experience with transplant patient population strongly preferred
Core Competencies
Expertise in immunosuppression management
Strong clinical decision-making in complex patients
Ability to manage immunocompromised patients with multi-organ complications
Strong interdisciplinary collaboration
Excellent communication and patient education skills
Preferred Qualifications
Prior experience with kidney or pancreas transplant recipients
Familiarity with transplant regulatory requirements and transplant metrics
Experience with inpatient transplant protocols and pathways
This position has a hiring range of
USD $115,003.00 - USD $165,006.00 /Yr.
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