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Full Job Description


This position may include the following responsibilities:

Provide clinical evaluation and ongoing medical follow-up for patients with chronic renal failure under the supervision of the Internal Medicine Nephrology Physician primarily in the Nephrology Outpatient Clinic and Satellite Unit Hemodialysis sites. Services will include participating in the outpatient services by assisting in the management of pre-ESRD patients and other renal diagnosis, supporting patients receiving chronic renal dialysis, and working with surgeons and interventional radiologists for vascular access.

This will be an outpatient position but will require up to one year of training on the inpatient service to clinically orient and prepare for the role in MSC as needed based upon prior nephrology experience.


  • Function independently and/or collaboratively as a member of an interdisciplinary team to plan, deliver, and evaluate health care for renal patients.
  • Provide clinical services in the Nephrology Outpatient Clinic.
  • Make rounds on a regularly scheduled basis for chronic renal dialysis outpatients, including regular travel to the units. This includes hemodialysis and peritoneal dialysis patients. Address health problems of outpatients, including home dialysis patients, write prescriptions, participates in regular patient reviews, conferences.
  • Write initial dialysis orders, alter existing dialysis orders per patient labs, or as medically necessary. Assess, examine, and write dialysis orders for transient dialysis patients.
  • Practice preventive medicine, establish and follow guidelines, which are age appropriate for routine health maintenance for patients on chronic dialysis.
  • Order appropriate lab and diagnostic tests, review monthly lab tests and medications, interpret results, and recommend or consult with primary nephrologist and other members of the health care team (dietitian, pharmacist, social worker, etc.) to make appropriate changes in dialysis prescription, medications, or diet.
  • Handle telephone calls from hemodialysis outpatients and care providers concerning changes in medical condition, medication adjustment, and prescription renewals. Communicate with patients, primary physician and nephrologist as needed regarding changes in medical status and treatment plan.
  • Collaborate with nephrologist and pre-ESRD advanced practice nurse in management of pre- ESRD patients. Provide guidance as to choose of dialysis modality and predialysis education of patients/families.
  • Discuss psychological-adjustment issues, code status and end of life issues with patients/families and recommends or consult with nephrologist, psychologist, psychiatrist, social worker and others as appropriate.
  • Work directly with surgeons and interventional radiologists for vascular access issues.
  • Participate in transition of chronic dialysis patients from inpatient to outpatient status, and vice-versa.
  • Perform annual and other history and physical examinations on ESRD outpatients, home dialysis patients, and pre-ESRD patients, primarily in Satellite Unit sites and/or in UIHC.
  • Care of inpatient nephrology patients may be needed based upon the patient care needs of the division.
  • Duties above, as performed, will be appropriately documented.
  • Fully utilizes UIHC computer entry and documentation systems.
  • Coordinate and facilitate patient care between multiple disciplines and allied health professionals, including home health agencies, referring physicians, nursing homes, and other community support services. Facilitates continuity of care.
  • Serve in a consultative and resource capacity by providing expert knowledge in hemodialysis, peritoneal dialysis, and home dialysis.
  • Serve in a resource capacity to physicians, nurses, and allied health professionals in UIHC, hospitals with Satellite Units, and the community as needed.
  • Participate in the education of ESRD and pre-ESRD patients/families. Evaluate patient learning needs and refers to social service, renal dietitian, transplant coordinator, psychologist, nursing staff, etc., as needed.
  • Provide education and serve as a resource for nursing staff and health care providers as needed.
  • Participate in development of divisional and departmental continuous quality improvement programs focusing on optimal patient care and improved renal patient outcomes.
  • Generate research questions regarding health care for particular patient populations.
  • Participate in clinical research projects.
  • Provide leadership to incorporate research findings into practice.
  • Establish and maintain standards of collaborative interaction among peers and employees that is characterized by respect, honesty, and service; assures that all unit members are held to similar standards and ethics.
  • Manage the talents, strengths, and behaviors of each individual in a diverse work group, while providing each employee with the opportunity to contribute to the goals of the unit. Work to assure that all employees are respected and treated consistent with university policies in regard to equal employment opportunity and diversity.
  • Inspire and motivate others to high performance by exercising strong stewardship of university resources, setting expectations, measuring success through individual performance evaluations, and driving organizational results.
  • Identify opportunities for and create development plans that encourage employees to attend to the growth of their personal and professional capacity; engages self and staff in collective reflection of the University’s greater role in society.
  • Follow general policies and procedures in accordance with the regulations of the University of Iowa, College of Medicine, and the Department of Internal Medicine.
  • Perform other duties as assigned.

The department intends to hire for one position as either an ARNP, requisition 24001717 or PA, requisition 24001716, based on the qualifications of the successful candidate. Please apply to the specific position for which you which to be considered or both.

Education/License Requirements:

  • Must comply with registration and licensure requirements as specified by the Iowa Board of Physician Assistant Examiners which include graduation from an accredited PA educational program and/or certification by the NCCPA.

Required Qualifications:

  • Excellent written and verbal communication skills are required.

Desired Qualifications:

  • Previous experience with the evaluation and treatment of renal disease and renal dialysis and in the care of home dialysis patients is desirable.
  • Experience with EPIC clinical applications is desirable.
  • Knowledge of University of Iowa Healthcare Policies and Procedures is desirable.
Application Process:
In order to be considered for an interview, applicants must upload the following documents and mark them as a “Relevant File” to the submission:

  • Resume
  • Cover Letter

Job openings are posted for a minimum of 14 calendar days and may be removed from posting and filled any time after the original posting period has ended.

Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and credential/education verification. Up to 5 professional references will be requested at a later step in the recruitment process.

For additional questions, please contact [email protected]