Pediatric - Nephrology Physician

Part-Time Flexible Schedule Work from Anywhere Rural Texas

The Rural Health Hub (RHH) is seeking a Tele-Pediatric Nephrologist to provide high-quality kidney and hypertension care to children and adolescents in rural and medically underserved Texas communities.

This flexible, part-time role allows the pediatric nephrologist to work remotely while trained clinical staff are physically present with the patient. The physician will evaluate and manage a broad range of pediatric renal conditions, provide longitudinal specialty care, and collaborate with families, local primary care providers, hospitals, laboratories, urologists, dietitians, and other specialists.

RHH uses a hybrid-telehealth model that combines remote specialty expertise with in-person clinical support.

Local medical assistants, nurses, or advanced practice providers assist with:

• History, medications, vital signs, growth measurements, and symptom assessment

• Accurate blood pressure measurement and trending

• Height, weight, BMI, and growth-curve documentation

• Physical examination components, including assessment for edema

• Connected examination technology when appropriate

• Collection and coordination of blood and urine testing

• Coordination of renal ultrasound, imaging, and other diagnostic studies

• Medication reconciliation and adherence support

• Referrals, follow-up care, and communication with the local care team

This model allows pediatric nephrologists to provide meaningful ongoing specialty care while using local and regional resources for laboratory testing, imaging, procedures, hospitalization, dialysis, and higher levels of care when needed.

• Conduct initial and follow-up pediatric nephrology visits by telehealth

• Evaluate and manage common pediatric kidney and hypertension conditions

• Develop individualized diagnostic and treatment plans

• Review blood pressure trends, growth data, laboratory results, urinalysis, imaging, and prior medical records

• Order appropriate blood tests, urine studies, imaging, and referrals

• Provide longitudinal medication and disease management

• Monitor renal function, electrolyte abnormalities, and progression of kidney disease

• Educate and collaborate with patients, parents, and caregivers

• Identify patients requiring urgent, procedural, or in-person evaluation

• Coordinate care with pediatricians, family physicians, hospitals, urologists, dietitians, and other specialists

• Complete timely documentation and clinical follow-up

Patients may include children and adolescents with:

• Pediatric hypertension and elevated blood pressure

• Proteinuria

• Hematuria

• Recurrent urinary tract infections

• Chronic kidney disease

• Acute kidney injury follow-up

• Congenital anomalies of the kidney and urinary tract

• Hydronephrosis

• Vesicoureteral reflux

• Nephrotic syndrome

• Nephritic syndromes and glomerulonephritis

• Electrolyte abnormalities

• Acid-base disorders

• Renal tubular disorders

• Kidney stones and nephrolithiasis

• Hypercalciuria

• Cystic kidney disease

• Hereditary and genetic kidney disorders

• Renal complications of systemic diseases

• Abnormal renal function or urine findings requiring specialty evaluation

• Long-term monitoring following significant renal illness or hospitalization

Patients requiring dialysis, renal biopsy, surgery, transplantation, or other advanced interventions would be coordinated with appropriate regional pediatric nephrology and hospital-based resources.

• MD or DO degree

• Board certified or board eligible in Pediatric Nephrology

• Active Texas medical license or eligibility to obtain one

• Strong pediatric nephrology diagnostic and management skills

• Ability to practice effectively through telehealth

• Strong communication skills with children, adolescents, and families

• Strong collaboration skills with local clinicians and care teams

• Commitment to rural and underserved populations

Experience in telemedicine, rural healthcare, pediatric hypertension, chronic kidney disease, congenital renal disorders, nephrotic syndrome, or other pediatric nephrology subspecialty care is welcomed but not required.

• Part-time, flexible telehealth schedule

• Recurring weekly clinic blocks available

• Work remotely with no relocation required

• Local clinical personnel present with patients

• Scheduling, technology, and care-coordination support provided

• Opportunity to expand hours as the network grows

• Bring pediatric nephrology care to communities with limited specialist access

• Help children and families receive specialty care closer to home

• Work remotely while maintaining longitudinal patient relationships

• Complement an existing practice or academic appointment

• Practice within a coordinated care model rather than isolated telemedicine

• Help rural clinicians manage complex pediatric kidney and hypertension conditions

• Identify kidney disease earlier and improve long-term monitoring

• Reduce delays, travel burdens, and barriers to specialty care

• Help build sustainable pediatric specialty access across rural Texas

Rural Health Hub connects rural healthcare organizations with specialty clinicians, clinical technology, and operational support through a hybrid-telehealth model designed to bring high-quality specialty care closer to home.

Rural Health Hub Expanding Access. Elevating Care.
Physician Information