Hemodialysis Registered Nurse

Houston, United States | Posted on 03/18/2026

From the moment patients arrive, they are guided with compassion,clarity, and clinical excellence at every stage of their journey.

Our teams work collaboratively to ensure timely access to care,seamless coordination, and ongoing support well beyond discharge.

With modern patient rooms, an in-house pharmacy, and hands-on executive leadership, our hospital is dedicated to delivering healthcare where dignity, precision, and people always come first.

• Specialist consults within record time.
• Advanced clinical care with exceptional patient services

Hemodialysis Registered Nurse – East Houston Medical Center

Location:

East Houston Medical Center – East Houston /Channelview–Baytown Corridor, TX

Schedule:

Full-time, bedside hemodialysis with rotating call coverage

East Houston Medical Center is a growing, community-focusedacute care hospital serving the East Houston, Channelview, and Baytown corridorwith a commitment to safe, compassionate, and
evidence-based
care.

We are seeking an elite Hemodialysis Registered Nurse to join our expandingnephrology service line and provide exceptional care to patients with acute and chronic kidney disease in our inpatient hemodialysis program.

Position overview

The Hemodialysis RN is a key clinical expert responsible for managing the full dialysis treatment process from preparation and initiation through monitoring, discontinuation, and post-treatment evaluation. This nursecollaborates closely with nephrologists, hospitalists, and the interdisciplinary team to deliver safe, high-quality dialysis care that aligns with state and federal standards for end stage renal disease (ESRD) services.

Key responsibilities

• Perform comprehensive pre-, intra-, and post-dialysis assessments, including review of history, labs, fluid status, vital signs, and vascular access.
• Safelyinitiate, monitor, and terminate hemodialysis treatments according to prescribed orders, established protocols, and equipment safety standards.
• Operate,troubleshoot, and oversee dialysis machines, water systems, and related equipment; verify alarm checks and safety parameters prior to treatment.
• Administerordered medications and blood products during treatment, monitoring forand responding promptly to adverse reactions or clinical changes.
• Develop,implement, and update individualized nursing care plans that reflect patient goals, nephrology orders, and evolving clinical status.
• Provide expert patient and family education on kidney disease, dialysistreatments, medications, diet, fluid management, and home self-carestrategies.
• Collaborate with nephrologists, hospitalists, case management, social work, nutrition,and transplant centers to ensure coordinated, patient-centered care.
• Maintainmeticulous documentation of assessments, treatments, machine parameters,interventions, and patient response in the electronic health record.
• Upholdinfection prevention and safety standards, including vascular access care,environmental cleanliness, and equipment disinfection in accordance with regulatory requirements.

Call expectations

• Participate in a shared hemodialysis on-call rotation to support emergency andafter-hours inpatient dialysis needs.
• Remainreachable and able to arrive on-site within an agreed-upon timeframe whencalled for urgent hemodialysis treatments.
• Collaborate with the House Supervisor and nephrology team to prioritize emergent andnon-emergent dialysis cases during call.
• Maintainreadiness to manage clinically complex, time-sensitive dialysis situations in a calm and
  organized
  manner.

What we offer

· Competitive compensation with additional call pay for on-call shifts and call-back hours.

· Comprehensive benefits package,including medical, dental, vision, retirement options, and paid time off.

· Supportive leadership, collaborativephysician partners, and a culture that values professional excellence,integrity, and
teamwork
.

Qualifications

• Current,unencumbered Registered Nurse (RN) license in the State of Texas.
• Minimumof 12 months of recent clinical RN experience in acute care or specialtysetting.
• Atleast 6 months of recent hemodialysis experience in an acute or chronicdialysis environment, or nationally recognized nephrology/hemodialysiscertification in lieu of experience as permitted by regulation.
• Current
  
  BLS certification required; ACLS strongly preferred.
• Demonstrated proficiency with dialysis equipment, venous access management, and emergency response within the dialysis setting.
• Exceptional communication, critical thinking, and clinical judgment skills, with acalm, patient-centered approach in high-acuity situations.