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Nurse Practitioner - Chronic Care, Home-Based / Hybrid

$120,000.00 - 140,000.00/year

San Antonio, TX
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Job ID:461402
Employment type:Permanent
Profession:NP
Specialty:Primary Care
Shift:Mids, Nights, Days
Posted date:Feb 20, 2026

Job Description

Hybrid Nurse Practitioner - Field Based 

In-Home Chronic Kidney Care
San Antonio, TX

We are seeking a Nurse Practitioner or Physician Assistant to provide in-home care for patients with Chronic Kidney Disease (CKD) through End-Stage Renal Disease (ESRD) in a progressive, outcomes-driven model that blends home visits with telehealth support.

This is high-impact medicine — without weekends, call, or burnout scheduling.


Why This Role Stands Out

? Monday–Friday schedule — no weekends, no call
? Hybrid structure (4 days in-home, 1 remote day)
? See only ~4 patients per day
? Longer visit times for deeper, more meaningful care
? Mileage reimbursement + travel expenses covered
? Strong interdisciplinary team support

This is not volume-driven care. It’s relationship-driven care.


What You’ll Do

  • Conduct comprehensive initial evaluations and follow-ups

  • Lead hospital-to-home transitions to reduce readmissions

  • Perform thorough head-to-toe assessments and medication management

  • Educate patients on CKD/ESRD disease progression and treatment plans

  • Collaborate closely with an RN, Social Worker, and supervising physician

  • Help prevent avoidable hospitalizations through proactive intervention

Visit Structure:

  • 90 minutes for new patients

  • 30–60 minutes for follow-ups

You’ll have the time and support to practice thoughtfully — not reactively.


Compensation & Benefits

  • Competitive base salary (based on experience)

  • PTO + paid holidays

  • 401(k) with employer match

  • Company-paid life insurance

  • FSA/HSA options

  • Covered malpractice, licensure, and CME


Growth & Career Development

Join a fast-growing, patient-first organization offering:

  • Real autonomy in clinical decision-making

  • Structured competency-based advancement tracks

  • Raises tied to mastery and performance

  • Opportunity to expand into specialties such as:

    • Nephrology

    • Palliative Care

    • Cardiology

    • Pulmonary

    • Endocrinology

If you’re motivated by outcomes, autonomy, and professional growth — this is a platform, not just a job.


Ideal Candidate

  • Active, unrestricted NP or PA license

  • 2+ years of direct patient care experience

  • Background in renal, chronic disease, internal medicine, home health, or complex care preferred

  • Comfortable working independently in a home-based setting

  • Passionate about improving care for medically complex populations


If you’re ready to practice at the top of your license, build meaningful patient relationships, and work in a model designed to prevent hospitalizations — let’s connect.


 

Location

Address : San Antonio, TX

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