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Position: Nurse Practitioner- Post Transplant
Location: Sacramento, California
Schedule: Full-time, Monday–Friday
About the Organization
We are a purpose-driven healthcare provider focused on delivering compassionate, coordinated care to older adults and high-risk populations across underserved communities. Our care model is proactive, value-based, and clinician-led, emphasizing outcomes over volume and patient trust over transactional medicine.
Working across a network of primary care practices and health plan partnerships, we aim to improve access, reduce unnecessary hospital utilization, and ensure a high-touch experience for every patient we serve.
About the Role
This full-time Nurse Practitioner opportunity centers around long-term, post-transplant care — specifically for kidney recipients one year or more after transplantation. The role involves a mix of in-clinic and in-home visits across the Sacramento region, focused on chronic condition management, immunosuppressive regimen oversight, and improving long-term graft and patient outcomes.
This is an excellent opportunity for a skilled and detail-oriented NP passionate about continuity care, interdisciplinary collaboration, and supporting patients in navigating complex health conditions outside of traditional hospital systems.
Key Responsibilities
Clinical Care & Coordination
- Manage ongoing care for patients one year or more post-kidney transplant
- Perform follow-up visits to assess transplant function, monitor labs, adjust medication, and educate patients on health maintenance
- Identify and escalate signs of graft dysfunction, infection, or medication-related complications
- Provide chronic disease management, particularly for conditions like hypertension, diabetes, and cardiovascular risk
- Adjust immunosuppressive therapy as appropriate and in coordination with consulting nephrologists
- Conduct routine screenings, provide vaccinations, and support preventive care plans
- Complete thorough, timely clinical documentation aligned with regulatory standards
Interdisciplinary Collaboration
- Work alongside transplant specialists, PCPs, case managers, and social workers to ensure a cohesive, whole-person care approach
- Actively contribute to care plan meetings and communicate treatment goals and progress
- Participate in peer reviews, quality improvement efforts, and ongoing patient outcome initiatives
Patient Experience & Education
- Build long-term relationships with patients and caregivers through in-home and clinic-based interactions
- Educate patients and their support systems on post-transplant lifestyle adjustments, medication adherence, and care goals
- Support high-risk patients during care transitions with personalized follow-ups and care navigation
- Serve as a clinical quarterback, proactively coordinating care needs across specialties
Administrative & Compliance
- Maintain HIPAA-compliant records and safeguard patient privacy at all times
- Complete documentation and coding accurately, particularly for Medicare populations and HCC guidelines
- Flex across assigned regions as needed to meet changing patient schedules or coverage needs
Candidate Profile
Required:
- Active Nurse Practitioner license in California
- Certification from ANCC or AANP
- Minimum 2 years’ experience in nephrology, transplant, or managing complex chronic conditions
- DEA license (or willingness to obtain)
- Current BLS/CPR certification
- Valid California driver’s license and willingness to conduct home visits
Preferred:
- Experience with transplant patients, immunosuppressive protocols, or care transitions
- Strong EMR proficiency and comfort with digital documentation workflows
- Bilingual Spanish skills a plus
Attributes for Success:
- Patient-focused and naturally collaborative
- Analytical thinker who thrives in clinical autonomy and interdisciplinary teamwork
- Comfortable with high-acuity patients and long-term care planning
- Detail-oriented with strong time management and follow-through
- Committed to professional growth, evidence-based care, and improving patient outcomes
Benefits & Compensation
- Annual Salary: $145,000 – $160,000
- Full health benefits including medical, dental, and vision plans
- Health Savings and Flexible Spending Accounts
- 401(k) with employer match
- Generous PTO, paid holidays, and parental leave
- Monthly phone and internet stipend
- Access to mental health support and wellness reimbursement
- License, certification, and CE reimbursement
- Company-paid malpractice coverage
- Supportive peer community of advanced practice providers
Commitment to Inclusion
We are committed to fostering a welcoming, inclusive workplace for individuals of all backgrounds. If you’re passionate about expanding access to high-quality care—even if you don’t meet every qualification listed—we encourage you to apply.