Interventional Nephrologist

Job Description: Interventional Nephrologist

Department: Clinical / Medical
Reports To: Medical Director / Practice Administrator
Position Type: Physician / Full-Time or Part-Time
Status: Exempt

Position Summary

The Interventional Nephrologist is responsible for providing specialized medical care to patients with kidney disease, with an emphasis on the evaluation, management, and treatment of vascular access for hemodialysis. This position performs minimally invasive procedures to diagnose and treat complications associated with dialysis access, helping maintain and improve vascular access function and patient outcomes.

The physician works collaboratively with referring nephrologists, vascular surgeons, dialysis centers, clinical staff, and other healthcare professionals to ensure high-quality, coordinated patient care.

Essential Duties and Responsibilities

Patient Care and Clinical Responsibilities

Evaluate and manage patients with chronic kidney disease and end-stage renal disease requiring dialysis access services.
Conduct patient consultations, medical assessments, and follow-up evaluations.
Review patient medical histories, diagnostic imaging, laboratory results, and treatment plans.
Develop individualized treatment plans based on patient needs.
Coordinate care with referring physicians and other healthcare providers.

Interventional Procedures

Perform minimally invasive vascular access procedures, including:
Fistulograms and venograms.
Angioplasty of dialysis access.
Thrombectomy and declot procedures.
Dialysis catheter placement and exchange.
Central venous stenosis evaluation and treatment.
Other dialysis access-related interventions within the physician’s scope of practice.
Identify and treat complications involving AV fistulas, AV grafts, and dialysis catheters.
Monitor vascular access function and recommend appropriate interventions.
Ensure procedures are performed in accordance with established clinical protocols and safety standards.

Documentation and Compliance

Maintain accurate and timely patient medical records.
Complete procedure notes, operative reports, and required clinical documentation.
Ensure compliance with HIPAA, OSHA, Medicare, and applicable federal and state regulations.
Maintain current medical licenses, certifications, and required credentials.
Participate in quality assurance and performance improvement initiatives.

Team Collaboration and Communication

Collaborate with clinical staff, medical assistants, nurses, vascular surgeons, and referring providers.
Communicate treatment recommendations and procedural findings to referring physicians.
Provide education to patients and families regarding dialysis access care and treatment options.
Participate in clinical meetings and other departmental activities as needed.

Qualifications and Requirements

Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO).
Completion of an accredited Internal Medicine residency.
Fellowship training in Nephrology.
Additional training and demonstrated competency in Interventional Nephrology.
Board certification or eligibility in Nephrology.
Current and unrestricted California medical license.
Current DEA registration, if applicable.
Current BLS and ACLS certifications, as required.
Demonstrated experience performing dialysis access interventions.
Strong clinical judgment, communication, and interpersonal skills.

Physical Requirements

Ability to stand for extended periods while performing procedures.
Ability to assist with patient positioning and movement when necessary.
Ability to work in a clinical and procedural environment.
Ability to wear appropriate personal protective equipment.