Responsibilities
- Manages a defined patient panel with accountability for quality, cost and outcomes. Collaborates with external providers and care teams to ensure goals, treatment, and care plan alignment.
- Obtains patient history, performs physical exam, orders and interprets diagnostic tests and formulates a plan for individual patient short-term and longitudinal needs.
- Ensures assessment and plan of care incorporate best practices for chronic kidney care including management of all stages of CKD, ESKD and heart failure. Will support transitions to renal replacement therapy, transplant, or conservative care) as well as participation in shared decision-making and end-of-life/advanced care planning discussions.
- Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care.
- Presents patient cases and provides clinical support for clinical rounds and interdisciplinary team meetings.
- Serves patients and performs patient visits in multiple care settings a including patient home, telehealth visits or dialysis clinics/partner MD space (where applicable).
- Responsible for maintaining current board certification and state-specific continuing education requirements.
- Adheres to expectations outlined in Strive’s documentation policy
- Provides in-person patient care which may include standing, sitting, walking, pushing, pulling, and lifting.
Requirements
- Master’s degree in Nursing or similar field.
- 2+ years experience as a Family Nurse Practitioner (NP), Primary Care Nurse Practitioner (NP) or equivalent with specialization in cardiology (CHF) or Nephrology (CKD)
- 2+ years experience with Electronic Health Records (EHR)
- Current state specific licensure.
- National Board Certification.
- Current Drug Enforcement Administration (DEA) license or eligible to obtain within 90 days of hire.
- Current BLS or CPR Certification.
- Efficient and reliable transportation, including an active driver’s license, allowing for the ability to travel across an assigned region to meet patient needs. Locations may include offices, clinics, and patient homes.
- Basic computer and Microsoft Office skills
- Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms.
Nice to Have
- Demonstrated expertise in CKD management (Stages 3–5), ESRD care, and dialysis management (hemodialysis and/or peritoneal dialysis, HHD), including medication optimization, volume assessment, and complication management
- Experience leading care transitions across settings (hospital → outpatient → dialysis) with a focus on reducing readmissions and ensuring continuity of care
- Proven ability to deliver comprehensive patient education on kidney disease progression, dialysis modality selection (home vs. in-center), and kidney transplant pathways to support informed, shared decision-making
- 2+ years experience with Electronic Health Records (EHR).
- Wound Care certification
- Experience using audio-visual technology platforms
Benefits
- Hybrid-Remote Flexibility
- Comprehensive Benefits
- Financial & Retirement Support
- Time Off & Leave
- Wellness & Growth
Work Arrangement
Hybrid
Additional Information
- Annual Salary Range: $112,000.00-$140,000.00. This position is also eligible for a target annual bonus of 10%
- Demonstrated proficiency in clinical assessment, diagnosis, planning, implementation, documentation, and evaluation of complex chronic patients.
- Excellent communicator, team builder, and evidence of results.
- Demonstrated knowledge and understanding of data and managing clinical, financial, and patient satisfaction outcomes.
- Excels at developing and fostering strong patient and family relationships that center on engagement, trust, honesty, empathy, follow-through and doing what’s best for the patient.
