RN - Dialysis & Apheresis Services

About Hoskinson Health & Wellness Clinic

Hoskinson Health & Wellness Clinic is a newly founded, team-based, physician-led, comprehensive health and wellness clinic located in the beautiful community of Gillette, Wyoming.

Our organization was created to provide proactive, patient-centered healthcare to meet the growing needs of our community.

Our Mission & Philosophy

Hoskinson Health & Wellness Clinic is owned and operated by physicians united in their commitment to address long-standing gaps in the healthcare system.

Our mission is to help patients live better, healthier lives by delivering comprehensive, coordinated care through a diverse team of specialists and support staff.

We believe that patients are more than their diagnoses and deserve access to education, resources, and time with their care team.

To ensure this mission is met, we:

• Integrate advanced and effective technology

• Encourage collaboration among providers and support staff

• Maintain lower patient volumes to allow for meaningful, personalized care

Registered Nurse (RN) – Dialysis & Apheresis Services

About the Role

The Registered Nurse (RN) for Dialysis & Apheresis Services will play a pivotal role in launching and supporting a new start-up program offering hemodialysis, therapeutic plasma exchange (TPE), and LDL apheresis.

This position is ideal for a clinically skilled, adaptable nurse who thrives in innovative, patient-centered care environments. The RN will provide direct patient care, ensure treatment safety and quality, and contribute to program development in collaboration with the Program Manager.

Supervisory Scope

• No direct supervisory responsibilities initially.

• May assist in training and mentoring Licensed Practical Nurses (LPNs), Patient Care Technicians, and other clinical staff as the program expands.

• Expected to contribute to staff orientation, education, and competency development.

Key Responsibilities

Clinical Care

• Conduct comprehensive patient assessments, monitor vital signs, and manage care during dialysis, TPE, and LDL apheresis treatments.

• Initiate, monitor, and discontinue treatments per physician orders and established protocols.

• Maintain and manage vascular access devices (CVCs, peripheral IVs) using strict aseptic technique.

• Administer prescribed medications, fluids, and replacement solutions.

• Recognize and respond promptly to patient complications and medical emergencies.

Program Start-Up & Development

• Assist in developing clinical workflows and operational protocols for dialysis and apheresis services.

• Collaborate with the Program Manager on staff training, quality assurance, and compliance with regulatory and accreditation standards.

• Support staff competency evaluations and ongoing training as services expand.

Patient & Family Education

• Educate patients and families on treatment procedures, ongoing care, and self-management strategies.

• Provide emotional support and compassionate counseling throughout the treatment process.

• Accurately document all education, treatment details, and progress in the electronic health record (EHR).

Quality & Compliance

• Ensure full compliance with CMS, FDA, Joint Commission, and AABB standards.

• Participate in infection prevention, safety rounds, and continuous quality improvement initiatives.

• Maintain accurate and timely documentation, reporting, and quality logs.

• Perform other related duties as assigned.

Education, Licensure & Certifications

Required

• Current, unrestricted Registered Nurse (RN) license in the State of Wyoming (or eligibility to obtain).

• Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) certifications.

Preferred

• Certification in Nephrology Nursing (CNN) or Apheresis Nursing (CAPHN).

• Prior training or experience in dialysis and apheresis preferred; training provided for motivated candidates.

Experience

• 1–2 years of nursing experience in dialysis, critical care, or apheresis preferred.

• Strong IV therapy and vascular access management skills required.

• Prior experience in program start-up or development environments is a plus.

Skills & Abilities

• Proficiency in hemodynamic monitoring and recognition of treatment-related complications.

• Strong clinical judgment, prioritization, and decision-making skills.

• Ability to train, mentor, and lead as the program expands.

• Excellent communication, empathy, and patient advocacy abilities.

• Flexibility and initiative to thrive in a fast-evolving start-up program.

Work Schedule & Environment

• Full-time position with flexible scheduling.

• Participation in on-call rotation may be required.

• Outpatient clinical environment.

Benefits

• Health Insurance: 100% of premiums covered by the company (medical, dental, vision, STD, LTD, and life insurance)

• Supplemental Insurance: Optional hospital, cancer, accident, and voluntary life coverage

• Retirement: Competitive company match — no waiting period required

• Paid Time Off (PTO): Generous policy to support work-life balance

• Professional Development: Financial assistance available for approved continuing education and training opportunities

The Clinic is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. The Clinic is committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. To request reasonable accommodation to participate in the job application or interview process, contact Human Resources at 307-387-9850.