Dialysis Access Surgeon

• Dialysis Access surgeon
• Busy ASC
• Fistula, AVG PD creation

Join a Premier Kidney Care Platform in California’s Central Valley

Opportunity Overview

The Nephrology Group is seeking a highly motivated and skilled Dialysis Access Surgeon to join one of California’s leading independent nephrology organizations in Fresno.

This is a unique opportunity to become part of a rapidly growing, physician-led kidney care platform with an integrated Dialysis Access Center focused on delivering best-in-class vascular access outcomes for ESRD patients across the Central Valley.

The ideal candidate will have expertise in dialysis access creation, revision, maintenance, and collaboration within a multidisciplinary nephrology and interventional access program.

Why This Opportunity Stands Out

Established Referral Base

• Large nephrology network with strong regional presence
• Significant ESRD and advanced CKD patient population
• Immediate procedural volume
• Built-in referrals from nephrologists and dialysis units

Integrated Access Model

Work alongside:

• Interventional nephrologists
• Vascular access coordinators
• Dialysis centers
• Hospital systems
• Transplant-focused nephrology teams

This collaborative model allows rapid intervention, streamlined scheduling, and continuity of care rarely found in traditional surgical practices.

Growth & Leadership Potential

• Opportunity to help build a regional dialysis access center of excellence
• Leadership role in program development
• Participation in quality initiatives and growth strategy
• Potential partnership or medical directorship opportunities

Lifestyle & Compensation

• Competitive compensation package
• Productivity incentives
• Partnership potential
• Flexible scheduling options
• Strong work-life balance
• Lower cost of living compared with coastal California markets

Position Responsibilities

Clinical Responsibilities

• Creation of AV fistulas and AV grafts
• Complex dialysis access revisions
• Access salvage procedures
• Management of central venous disease
• PD catheter placement and revision
• Collaboration on access surveillance and maintenance programs
• Participation in multidisciplinary vascular access conferences

Program Development

• Assist in expanding dialysis access services across the region
• Help develop outpatient access pathways
• Participate in quality improvement and outcome tracking
• Collaborate with nephrology leadership on strategic initiatives

Ideal Candidate

Qualifications

• Board Certified or Board Eligible in Vascular Surgery or General Surgery with dialysis access expertise
• Fellowship training preferred
• Experience in hemodialysis access procedures
• Interest in multidisciplinary kidney care
• Strong communication and team-oriented mindset

Preferred Experience

• AV fistula maturation procedures
• Hybrid endovascular/open access techniques
• Access center or outpatient-based procedural experience
• Interest in innovation and program building

About the Practice

The Nephrology Group is a large physician-led nephrology organization providing:

• Comprehensive nephrology care
• Dialysis oversight
• Home dialysis programs
• Transplant services
• Interventional nephrology
• CKD management
• Value-based kidney care initiatives

The practice serves a diverse and growing population across California’s Central Valley and is committed to expanding access to high-quality kidney care through innovation, collaboration, and integrated specialty services.