Specialized ESRD Nurse Practitioner

Duo Health; Phoenix (AZ); On-site; USD 120,000 - 170,000; Full time

Benefits offered by this job

Competitive pay with bonus

Health insurance

FSA/HSA

Paid leave

401(k) with match

CME opportunities

Malpractice coverage

Job summary

Duo Health in Phoenix, AZ seeks a Specialized ESRD Advanced Practice Provider (APP) to deliver comprehensive in-home care for patients with ESRD and late-stage CKD. You will oversee a panel of about 100–125 patients, collaborating with nephrologists, dialysis centers, and care teams to improve outcomes and coordinate care.

Responsibilities include managing vascular access, anemia, fluid status, and medication regimens, plus documentation for quality measures.

Qualifications

• Active, unrestricted NP or PA license in the state of practice.
• Current national certification (ANCC, AANP, or NCCPA).
• Experience managing complex chronic conditions in primary care, geriatrics, or related setting.

Responsibilities

• Deliver in-home ESRD care to patients; manage a panel around 100–125 patients.
• Collaborate with nephrologists and dialysis centers to coordinate care plans.
• Manage complex medication regimens with renal dose adjustments.
• Document accurately for HCC coding, risk adjustment and quality measures.

Skills

NP license

PA license

EHR proficiency

Communication

Team collaboration

Tools

EHR system

Job description

Duo Health is a place where inspired people go to advance health equity in kidney care, one relationship at a time.

Our team is comprised of leaders in value-based health care, technology and behavioral science who share a unique vision for reforming one of the most challenging areas of health care.

We are the relatives and friends of patients with chronic kidney disease (nearly 40M in the United States). We use our talents in service to them. We are united by this mission and by our passion for solving problems.

Our company uses modern technology and advanced clinical practice to liberate and enliven the cause of serving others. Our multidisciplinary care teams provide numerous opportunities for career advancement.

We respect, honor and support the contributions of our clinical and non-clinical teammates alike. We celebrate the diverse perspectives they bring to their work and to their lives. We believe those perspectives improve the quality of the relationships they build at Duo, enrich our company culture, and lead to better patient care.

Location: Phoenix, AZ

Job Id:343

# of Openings:1

Company Mission

Duo Health is a value-based care organization focused on improving outcomes for patients living with chronic kidney disease (CKD) and end-stage renal disease (ESRD). Our proprietary Health Mobilization™ platform connects multidisciplinary care teams with community nephrologists and other healthcare partners to deliver comprehensive, high-touch patient care.

Our interprofessional care teams comprised of Physician Assistants, Nurse Practitioners, social workers, and care navigators deliver high-touch, comprehensive care to a small panel of patients. Collaboration is central to our intensive psychosocial model, which includes assessment, medication management, social support, and behavioral health services.

Duo Health is committed to building a workforce that reflects the diversity of the communities we serve, and we strongly encourage applicants whose work demonstrates a dedication to diversity, equity, and inclusion.

Job Description

The Specialized ESRD Advanced Practice Provider (APP) delivers comprehensive care to patients with ESRD and late-stage CKD. This role manages a dedicated panel of approximately 100–125 patients, providing primarily in-home visits and individualized clinical management. The APP collaborates with nephrologists, dialysis centers, and interdisciplinary care teams to improve patient outcomes, reduce avoidable hospitalizations, and coordinate care.

Duties and Responsibilities

• Manage a dedicated panel of 100–125 patients with ESRD and late-stage CKD (stages 4–5), primarily through in-home visits.
• Assess and manage vascular access, anemia, fluid status, hypertension, and other ESRD-related conditions.
• Coordinate with nephrologists and dialysis centers regarding treatment plans, dialysis adequacy, and patient needs.
• Manage complex medication regimens, including renal dose adjustments and avoidance of nephrotoxic medications.
• Identify transplant-eligible patients and initiate referrals as appropriate.
• Complete post-hospitalization follow-ups and coordinate transitions of care.
• Maintain accurate clinical documentation supporting HCC coding, risk adjustment, and quality measures.
• Participate in team huddles, care coordination, clinical training, and continuous improvement initiatives.
• Meet established goals related to quality, utilization, patient engagement, and clinical outcomes.
• Adhere to company policies, HIPAA regulations, and applicable clinical and regulatory requirements.
• Perfom other duties as assigned by supervisor.

Required Qualifications

• Active, unrestricted Nurse Practitioner or Physician Assistant license in the state of practice.
• Current national certification through an applicable certifying organization, such as ANCC, AANP, or NCCPA.
• Experience managing complex chronic conditions in primary care, geriatrics, or a related clinical setting.
• Strong clinical assessment, decision-making, and documentation skills.
• Proficiency in electronic health records (EHR).
• Strong communication and collaboration skills.
• Valid driver's license and reliable transportation for in-home patient visits.
• Commitment to patient-centered care and patient confidentiality.
• Preferred Qualifications
• Experience in nephrology, dialysis, CKD, or ESRD management.
• Experience in value-based care or Medicare Advantage.
• Experience with quality improvement, risk adjustment, and utilization management.
• CNN-NP (Certified Nephrology Nurse–Nurse Practitioner) certification or willingness to pursue nephrology-focused training.

Competitive Benefits Package

• Competitive base compensation and performance-based bonus.
• Medical, dental, and vision insurance.
• Flexible Spending Account (FSA) and Health Savings Account (HSA) options.
• Paid maternity, paternity, and parental leave.
• Structured six-week onboarding and specialized ESRD clinical training.
• Paid time off and company holidays.
• 401(k) with company match.
• Malpractice coverage.
• Annual continuing medical education (CME) opportunities.
• Professional development opportunities, including support for nephrology-focused certification, in accordance with company policy.

Work Environment and Physical Requirements

This position primarily involves in-home patient visits throughout the assigned geographic market, with occasional travel for team meetings and training. Reliable transportation and the ability to travel between patient locations are required.