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Advanced Practice Provider

Northwest Renal Clinic
Lihue, HI Full Time | Part Time
POSTED ON 10/22/2026
AVAILABLE BEFORE 2/18/2027

Advanced Practice Provider

Nurse Practitioner or Physician Assistant
Lihue, Kauai, Hawaii | Full-Time or Part-Time

Island Kidney Care, the Hawaii division of Northwest Renal Clinic, is seeking a board-certified Nurse Practitioner or Physician Assistant for a full-time or part-time position in Lihue, Kauai.

Island Kidney Care is the only provider of renal services on the island of Kauai. For more than 50 years, Northwest Renal Clinic has specialized in the treatment and management of kidney disease. Today, our practice includes 24 physicians and 13 advanced practitioners caring for patients across Oregon and Hawaii.

We are looking for an APP who enjoys developing long-term relationships with patients and working collaboratively within a physician-led nephrology practice. This position partners closely with our Kauai nephrologist and includes both outpatient nephrology and dialysis care.

Position Responsibilities

The Advanced Practice Provider will:

  • Evaluate and manage patients with chronic kidney disease and end-stage kidney disease.
  • See patients independently and collaboratively with the nephrologist in the outpatient clinic.
  • Round on patients receiving dialysis at local dialysis centers.
  • Perform comprehensive patient assessments and develop and implement treatment plans.
  • Review laboratory results, medications, treatment response, and changes in clinical condition.
  • Provide patient and family education regarding kidney disease, dialysis, medications, and treatment plans.
  • Coordinate care with physicians, dialysis facilities, office staff, and other members of the patient's healthcare team.
  • Maintain timely and accurate documentation in the electronic medical record.
  • Communicate effectively through established clinical and electronic communication systems.
  • Participate in ongoing coordination of care to support continuity and timely follow-up for nephrology patients.

Education

  • Master's or doctoral degree from an accredited Nurse Practitioner or Physician Assistant program.

Experience

  • Previous experience as a practicing Nurse Practitioner or Physician Assistant is preferred.
  • Nephrology, dialysis, internal medicine, hospital medicine, or other experience managing medically complex patients is strongly preferred, but nephrology experience is not required.
  • Must be comfortable managing patients with chronic and complex medical conditions in both outpatient and dialysis settings.
  • Strong clinical assessment, critical thinking, and care coordination skills are essential.
  • Ability to work collaboratively with the supervising/collaborating physician while also functioning independently within the APP's scope of practice.
  • Must demonstrate strong organizational and communication skills and the ability to reliably manage a schedule across multiple clinical settings.
  • Proficiency with electronic medical records and timely clinical documentation is required.
  • Candidates without nephrology experience should have a strong interest in kidney disease and willingness to develop specialized nephrology knowledge.

Certification & Licensure

  • Candidates must meet applicable Hawaii licensure requirements for their discipline and maintain:
  • Current Hawaii licensure as a Nurse Practitioner/APRN or Physician Assistant, as applicable.
  • Current national certification through ANCC or AANP for Nurse Practitioners or NCCPA for Physician Assistants.
  • Current DEA registration as required for the position.
  • Current BLS certification.
  • ACLS certification preferred.
  • Certified Nephrology Nurse Practitioner (CNN-NP) certification is preferred but not required.

Compensation & Benefits

Island Kidney Care offers a competitive salary and comprehensive benefits package.

This is an opportunity to join an established nephrology practice while working closely with a dedicated physician and caring for a meaningful patient population across the continuum of chronic kidney disease and dialysis care.

Pay: $81,000.00 - $135,000.00 per year

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Flexible schedule
  • Health insurance
  • Life insurance
  • Paid time off
  • Retirement plan
  • Vision insurance

License/Certification:

  • Licensed Nurse Practitioner/ Physician Assistant (Required)

Work Location: On the road

Salary : $81,000 - $135,000

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