Nurse Practitioner / Physician Assistant – Nephrology

Clinical Renal Associates | Exton, PA / Greater Philadelphia Region
Make an Impact in Kidney Care
Are you an experienced Nurse Practitioner or Physician Assistant looking for an opportunity to build expertise in nephrology while making a meaningful difference in the lives of patients with kidney disease?
Clinical Renal Associates (CRAL), part of the nationwide Panoramic Health network, is expanding its provider team and is seeking APPs who are passionate about delivering high-quality, patient-centered care. Whether you bring nephrology or dialysis experience or are looking to build a career in kidney care, we'll provide the training and support you need to succeed.
This is an opportunity to practice across a diverse nephrology environment, with exposure to outpatient clinics, hospitals, and dialysis settings throughout the Philadelphia region. You'll work closely with nephrologists and a multidisciplinary care team while developing meaningful, longitudinal relationships with patients.
Why Join Clinical Renal Associates?
• Build a specialty: Comprehensive training and mentorship are available for APPs new to nephrology.
• Varied clinical experience: Care for patients across outpatient nephrology, inpatient hospital, and dialysis settings.
• Collaborative practice: Partner closely with experienced nephrologists and an interdisciplinary care team.
• Meaningful patient relationships: Help patients manage complex chronic kidney disease and ESRD while supporting better long-term outcomes.
• Professional growth: Develop advanced clinical expertise in one of the most rapidly growing areas of healthcare.
• Regional practice model: Coverage is organized geographically, with providers generally assigned to select hospitals and dialysis units within a defined area.
• Team-based support: Cross-credentialing across affiliated locations provides additional coverage and flexibility.
What You'll Do
As an APP with Clinical Renal Associates, you'll play an important role in managing patients throughout the continuum of kidney disease.
Outpatient Nephrology
• Evaluate and manage patients with chronic kidney disease and related conditions.
• Perform comprehensive histories and physical examinations and develop individualized treatment plans.
• Order and interpret laboratory testing and diagnostic studies.
• Manage medications and coordinate referrals and consultations.
• Provide education focused on kidney health, disease progression, treatment options, and prevention.
• Help patients become active participants in their care and treatment decisions.
Dialysis Care
• Manage hemodialysis and/or peritoneal dialysis patients in collaboration with the nephrology team.
• Assess and manage complications associated with ESRD, including anemia, hypertension, bone and mineral disorders, fluid/electrolyte imbalances, and vascular access issues.
• Monitor treatment response and adjust plans of care as appropriate.
• Coordinate continuity of care between dialysis units, hospitals, clinics, and other healthcare settings.
• Provide patient and family education and serve as a clinical resource to dialysis staff.
Hospital/Inpatient Care
• Perform admission histories and physical examinations and participate in inpatient management.
• Evaluate patients with acute and chronic kidney disease and develop appropriate plans of care.
• Participate in discharge planning and coordinate follow-up care.
• Educate patients and families regarding treatment options and expected outcomes.
• Help ensure continuity of care between the hospital, dialysis setting, and outpatient clinic.
Compensation & Benefits
• Starting base salary: $110,000+, negotiable based on experience
• Up to $20,000 productivity bonus opportunity
• $1,000 annual CME allowance
• 5 CME days annually
• 4 weeks of PTO
• Supportive onboarding and nephrology training
What We're Looking For
• Nurse Practitioner or Physician Assistant with an active, unrestricted license in the state of practice
• Graduate of an accredited NP or PA program
• National board certification appropriate to the role
• Strong clinical assessment, diagnostic, treatment planning, and patient management skills
• Excellent communication and collaboration skills
• Commitment to patient-centered care and clinical excellence
• Nephrology, dialysis, renal, hospital medicine, or critical care experience is highly valued—but not required
The Ideal Candidate
We're looking for clinicians who are curious, collaborative, and eager to grow. You don't need to be a nephrology expert on day one. If you have strong clinical fundamentals and an interest in developing specialty expertise, our team can help you build the knowledge and c