Posting Date
11/05/2026
3737 West Main StSte 103, Salem, Virginia, 24153-2073, United States of America
Facility Name & Location: SNF Dialysis at Salem
Street Address: 1945 Roanoke Blvd, Salem, VA 24153
Division / Modality: DaVita SNF Dialysis Services (DSD) – Titan Division
Job Type: Full-Time
Shift Structure: Predictable 12 hour day shifts with NO ON-CALL , NO overnight hospital calls, and NO scheduled Sunday treatments.
About the Role & Den Location
Facility Address: 1945 Roanoke Blvd, Salem, VA 24153 (Conveniently located near LewisGale Medical Center and the Roanoke Valley).
Setting: An intimate, state-of-the-art 6-chair dialysis suite built directly inside the post-acute rehabilitation facility.
DaVita is pioneering a better way to care for kidney patients. In our specialized Skilled Nursing Facility (SNF) Dialysis Dens , we bring the clinic directly to the resident. As a New to Dialysis (NTD) Registered Nurse , you will deliver high-touch, autonomous chairside hemodialysis care without ever having to worry about high hospital patient loads, grueling 16-hour on-call shifts, or chaotic ER turnover. You will build meaningful, long-term relationships with a consistent census of residents while benefiting from our industry-leading paid nephrology training program.
Comprehensive Paid Training (No Nephrology Experience Needed!):
Never worked in nephrology? No problem. DaVita provides an intensive 9 to 12-week paid dialysis training curriculum tailored specifically for Registered Nurses transitioning into the specialty:
Classroom & Simulation: In-depth training on kidney disease, fluid and electrolyte management, hemodialysis principles, and machine technology.
1:1 Preceptorship: Side-by-side chairside mentorship with experienced lead dialysis nurse preceptors at our regional hub den (Highland Ridge).
Vascular Access Mastery: Hands-on competency in cannulation techniques, Central Venous Catheter (CVC) care, sterile dressing changes, and emergency access protocols.
Water Treatment & Safety: Complete training on Reverse Osmosis (RO) systems, water testing standards, and CMS/AAMI infection control compliance.
Key Responsibilities:
Autonomous Clinical Leadership: Serve as the clinical lead for the 6-chair den at 1945 Roanoke Blvd, overseeing treatment delivery, patient stability, and care coordination alongside skilled Patient Care Technicians (PCTs).
Patient Assessments & Monitoring: Conduct pre-, intra-, and post-dialysis assessments; calculate and adjust fluid removal (ultrafiltration goals); administer IV/dialysis medications, blood products, and saline rinses per physician orders.
Vascular Access Care: Initiate and terminate hemodialysis treatments via arteriovenous (AV) fistulas, AV grafts, and central venous lines (CVCs) using strict aseptic technique.
Interdisciplinary Coordination: Collaborate daily with facility nursing staff, attending nephrologists, physical/occupational therapists, and dietitians to ensure dialysis aligns seamlessly with resident rehabilitation goals.
Vigilant Safety & Compliance: Monitor vital signs and hemodynamic responses continuously, rapidly responding to complications (hypotension, cramping, access flow issues) and ensuring thorough EMR documentation.
Minimum Qualifications:
Education: Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) from an accredited school of nursing.
Licensure: Current, active, and unrestricted Virginia Registered Nurse (RN) license or valid Multi-State Compact RN license.
Experience: Minimum of 6–12 months of direct bedside nursing experience (Med/Surg, ICU, Stepdown, Telemetry, ER, Sub-Acute, SNF/LTC, or Rehab). No prior dialysis experience required.
Certifications: Current Basic Life Support (BLS) certification from the American Heart Association (AHA) or equivalent.
Clinical Skills: Strong physical assessment capabilities, sharp communication skills, attention to detail, and a desire to work in an intimate, autonomous clinical environment.
Why…