Premier Dialysis

Home Dialysis Nurse (PRN / Per Patient Model) Premier Dialysis Remote with Travel to Patient Homes (Approx. 75%) Position Overview Premier Dialysis is seeking a highly motivated and independent nurse to support the onboarding and ongoing management of home dialysis patients. This role is ideal for nurses looking to supplement their income while maintaining flexibility and autonomy. This is a performance-based, per-patient role—there are no set hourly requirements. Your focus is simple: deliver high-quality care on your schedule and the patient’s schedule. Key Responsibilities - Onboard new home dialysis patients in their residences - Perform routine patient assessments and clinical evaluations - Coordinate and review lab work - Manage medication requisitions and administration as appropriate - Ensure accurate and timely documentation - Communicate regularly with Lead RN regarding patient status and needs - Support patient education and retraining as needed - Maintain compliance with all clinical and regulatory standards Work Structure - Flexible Schedule – No hourly requirements - 75% Travel to patient homes - Work independently while supported by a centralized clinical leadership team - Assignments coordinated by Lead RN Compensation - Set rate per patient, per month - Mileage reimbursement based on company mileage chart - Opportunity to increase earnings as patient census grows Growth Opportunity - Strong pathway to full-time employment as Premier Dialysis continues rapid expansion across multiple markets - Opportunity to take on additional responsibilities in new markets and program development Requirements - Active RN license (multi-state preferred) - Experience in dialysis, home health, or chronic disease management strongly preferred - Strong organizational and communication skills - Ability to work independently and manage a flexible schedule - Willingness to travel to patient homes (approx. 75%) - Reliable transportation What We Provide - Company-issued computer - Clinical support and oversight from experienced leadership - Structured onboarding and training - A care model focused on flexibility, patient-centered outcomes, and innovation in home dialysis Why This Role This is an ideal opportunity for nurses who: - Want additional income without leaving their current role - Value autonomy and flexibility - Are passionate about bringing dialysis care directly to patients’ homes - Want to grow with a rapidly expanding healthcare company

Role Description The Controller / Senior Accountant will oversee day-to-day financial operations across six entities with combined annual collections exceeding $6M. This role is responsible for full-cycle accounting, bill pay, payroll oversight, and financial reporting, while ensuring compliance with multi-state regulations. This is a hands-on role ideal for someone who thrives in a growth environment and is comfortable owning both strategic financial reporting and transactional accounting processes. Key Responsibilities - Accounting & Financial Management - Manage full-cycle accounting for six related entities - Maintain accurate general ledgers using accrual-based accounting - Prepare and analyze monthly Profit & Loss (P&L) statements and Balance Sheets - Perform monthly, quarterly, and year-end close processes - Ensure consistency across entities with shared vendors and cost structures - Accounts Payable (AP) & Bill Pay - Oversee all bill pay processes across entities - Maintain vendor relationships and ensure timely payments - Monitor expenses and identify cost-saving opportunities - Accounts Receivable (AR) - Provide weekly AR reporting to CEO - Track collections and aging reports - Work closely with operations to improve revenue cycle efficiency - Payroll & Contractor Management - Process payroll for ~10 full-time employees using Gusto - Manage payments for ~10 independent contractors - Ensure payroll tax compliance across multiple states - Tax & Compliance - Ensure compliance with multi-state tax regulations - Coordinate with external CPAs for tax filings and audits - Maintain proper documentation and internal controls - Reporting & Leadership - Provide weekly AP and AR updates to CEO - Assist in developing financial dashboards and KPIs - Support strategic decision-making with financial insights - Help build scalable accounting processes as the company grows Qualifications - Required: - Bachelor's degree in Accounting, Finance, or related field - 5+ years of accounting experience (Controller or Senior Accountant level preferred) - Strong experience with accrual-based accounting, P&L, and balance sheets - Experience managing multiple entities simultaneously - Payroll experience (preferably with Gusto or similar platform) - Experience with multi-state tax compliance - High attention to detail and strong organizational skills - Ability to work independently in a remote environment - Preferred: - Prior experience in healthcare (dialysis, home health, or medical services strongly preferred) - Experience in high-growth or multi-entity organizations - CPA or CPA-track candidate Benefits - Competitive salary (based on experience) - Virtually unlimited PTO (flexible time off policy) - 401(k) with employer match - Health insurance through Blue Cross Blue Shield for primary employee - Additional dependent coverage options available - Fully remote work environment - Opportunity to grow into a leadership role as the company expands - Direct access to CEO and involvement in strategic decisions Why Join Us? This role offers the opportunity to build and shape the financial backbone of a growing healthcare company. You will work directly with leadership, influence operational decisions, and play a key role in scaling a multi-entity organization across multiple states.