Transplant Nephrology Physician Assistant

The Kidney Transplant PA will be an integral member of the BWH Department of Medicine and a key part of the Transplant Nephrology team. The primary scope of practice is to evaluate, diagnose, and manage kidney transplant recipients in the outpatient setting, in close collaboration with the transplant nephrology attendings. Responsibilities include longitudinal care of post-transplant patients, management of immunosuppression, monitoring for rejection and complications, and coordination of multidisciplinary care. Candidates should have a strong interest in transplant medicine and, ideally, prior experience or training in nephrology or solid-organ transplantation.

The nephrology PA will report to the BWH Medical Director for Kidney/Pancreas Transplantation. The nephrology APP will work very closely with all BWH transplant nephrology attending physicians to develop the necessary clinical skills in a highly collaborative and supportive environment.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

The PA works collaboratively with transplant nephrologists, transplant surgeons, transplant coordinators, pharmacists, nursing staff, and other advanced practice professionals to deliver comprehensive care to patients undergoing kidney transplant evaluation and post-transplant follow-up. Responsibilities include three full days of outpatient clinic focused on pre- and post-transplant care, as well as one and a half days dedicated to administrative responsibilities, care coordination, and interdisciplinary collaboration.

The PA plays a central role in coordinating care across the transplant continuum, addressing the medical, psychological, and social needs of patients and their families in the outpatient setting. Strong interpersonal, organizational, and communication skills are essential, as the role involves patient education, multidisciplinary coordination, and communication with referring providers. The APP is expected to maintain current knowledge in transplant nephrology through ongoing review of the literature and continued professional development, and to practice in alignment with the mission, vision, and core values of Brigham and Women's Hospital as a collaborative member of the Nephrology Division and the broader APP community.

As a member of the BWH Nephrology Division, the PA will be responsible for the following duties:

Clinical Care

• Provide outpatient clinical care during 3 full days clinic sessions per week in the kidney transplant clinics.
• Conduct comprehensive evaluations of patients with CKD and ESRD referred for kidney transplant evaluation, including medical history review, physical examination, diagnostic data interpretation, and patient counseling.
• Manage longitudinal outpatient follow-up of kidney transplant recipients including routine visits and problem-focused assessments.
• Collaborate with transplant nephrology attendings in the development and implementation of individualized care plans.

Transplant-Specific Management

• Monitor allograft function, laboratory values, and clinical trends in post-transplant patients.
• Assist in the management and adjustment of immunosuppressive medications according to established protocols and under physician supervision.
• Identify, evaluate, and help manage transplant-related complications, including infection, rejection, hypertension, metabolic abnormalities, and medication toxicities.

Care Coordination

• Coordinate care with transplant surgeons, transplant coordinators, pharmacists, nursing staff, infusion services, and other subspecialists.
• Arrange and facilitate infusion center treatments for kidney transplant recipients when clinically indicated.
• Ensure timely follow-up of test results, referrals, and treatment plans.

Patient Communication and Education

• Regularly review and respond to patient messages and clinical inquiries via the electronic medical record (In Basket).
• Provide education to transplant candidates and recipients regarding immunosuppressive adherence, infection prevention, vaccination guidelines, and long-term post-transplant care.

Documentation and Quality

• Maintain accurate, timely, and comprehensive documentation in the electronic medical record.
• Participate in multidisciplinary transplant meetings, clinical conferences, and quality improvement initiatives.
• Assist with the development, implementation, and adherence to transplant clinic workflows and protocols.

Professional Practice

• Collaborate with other advanced practice providers within the Nephrology Division and across BWH.
• Maintain required licensure, certification, and continuing education.
• Demonstrate ongoing engagement with current transplant nephrology literature and best practices.