Dialysis Registered Nurse - Hilo Acutes

Hilo, Hawaii

The Acute Dialysis Nurse (Acute Nurse) is an experienced dialysis nurse who is closest to delivering care to our patients within the hospital.

Posted Oct 8

Unit and setting: Hospital-based acute dialysis · Hospital closest to delivering care to our patients within the hospital
License: RN license Current state license as a Registered NurseCurrent state Registered Nurse license
Term: Permanent

Do you qualify?

License: Current state Registered Nurse license Current state license as a Registered Nurse
Certification: Nephrology certification within one year of eligibility to take the test Nephrology Certification within one year of eligibility to take the test
Certification: Current CPR certification
Education: Graduation from an accredited nursing school Graduation from an accredited nursing school or equivalent BSN preferred

Preferred

Education: BSN
Experience: One-year dialysis experience One-year dialysis experience preferred

Let us help you check

What it pays

Against similar roles: In range for Hawaii staff rolesHawaii staff postings that state pay run $29/hr to $66/hr, the middle half $37/hr to $61/hr, across 171 postings.
Also stated: $43/hr

Benefits

BenefitsMedical / PharmacyMedical / Pharmacy
BenefitsVoluntary benefitsVoluntary benefits
Benefits401k with employer match401k with employer match
BenefitsVirtual CareVirtual Care
BenefitsLife InsuranceLife Insurance

The role and schedule

Day to day: Makes independent decisions using professional nursing knowledge The Acute Nurse is required to make independent decisions using professional nursing knowledge.
Day to day: Directs and assists the Acute PCT providing direct patient services; primary resource for the Acute PCT The Acute Nurse directs, assists, and is the primary resource for the Acute Patient Care Technician (Acute PCT) providing direct services to the patients.

The workplace

U.S. Renal Care

Hiring organization

Organization profile

Worth asking

Can you walk me through the pay period for the posted pay range and differentials?
What should I expect for shifts, weekly hours, weekend, holiday, call, and rotation?

Ask Mira

Your fit

[data-job-fit-skeleton]{display:none}Answer one question to see your fit

On your path

Dialysis is open from year one. Clinics train you on the machines; acute wants chronic time first.

See your route →Check first: New-grad residency fine print

Original listing

Posted on U.S. Renal Care’s careers page.

Read full text

Responsibilities

What you will do

The Acute Dialysis Nurse (Acute Nurse) is an experienced dialysis nurse who is closest to delivering care to our patients within the hospital. The Acute Nurse is required to make independent decisions using professional nursing knowledge. The Acute Nurse directs, assists, and is the primary resource for the Acute Patient Care Technician (Acute PCT) providing direct services to the patients.

What we expect of you

You will play a vital role to ensure that we deliver on our Mission to make life better for those with kidney disease and our Vision to be unsurpassed in our individualized experience, our quality, and our compassion. You approach your work with an indisputable sense of greater purpose. You are patient-centric and have a track record of leading interdisciplinary teams in providing quality care. Lastly, you are high energy, seek out opportunities to improve the environment for patients and staff, are goal-oriented, and gain deep satisfaction from building relationships.

What you will gain

Relationships: You will work directly with a multi-disciplinary team that is as passionate as you in making a difference in others' lives. You will be a servant leader, bringing up your team to provide care that is unsurpassed by others in our industry.

Impact: You will set the tone that enables our patients to live a better life and address their needs holistically. You will make a difference for our patients so that they do dialysis to live instead of living for dialysis.

Growth: You will have formal and informal opportunities for professional growth in a supportive environment. You will become a subject-matter expert and have a wide range of opportunities for career advancement.

Minimum qualifications

Education

Graduation from an accredited nursing school or equivalent BSN preferred

Experience

One-year dialysis experience preferred Nephrology Certification within one year of eligibility to take the test

Certification/License

Current state license as a Registered Nurse Current CPR certification

Qualifications

What you will do

What we expect of you

What you will gain

Minimum qualifications

Education

Graduation from an accredited nursing school or equivalent BSN preferred

Experience

One-year dialysis experience preferred Nephrology Certification within one year of eligibility to take the test

Certification/License

Current state license as a Registered Nurse Current CPR certification

Benefit Details

All Full-Time employees are eligible for the following

benefits

Medical / Pharmacy
Dental
Vision
Voluntary benefits
401k with employer match
Virtual Care
Life Insurance
Voluntary Benefits
PTO

All Part Time employees are eligible for the following

benefits

401k with employer match
PTO

Pay Range

USD $42.89 - USD $61.27 /Hr.

What's around it?

In Hilo, HI

Hilo, HIFrom Census ACS 2024.

Living costs about 10% above the US average

Median rent: $1,427/mo
Household income: $81,779/yr, all local households, not nurse pay

Life in Hilo, HI

NeighborhoodsProspective residents often choose between central Hilo neighborhoods and lower-density outlying subdivisions. Core pockets such as Downtown Hilo Town and South Hilo provide immediate proximity to urban conveniences, grocery stores, and medical hubs. West Hilo off Saddle Road, along with cooler upland spots like Kurtistown, Mountain View, and Volcano, attract those who prefer higher elevations and tranquil rural surroundings. Subdivisions in the broader Puna district, notably Hawaiian Paradise Park and Ainaloa, sit roughly 15 to 20 minutes outside Hilo and represent more budget-friendly entry points, though they require a daily highway commute.

Prospective residents often choose between central Hilo neighborhoods and lower-density outlying subdivisions. Core pockets such as Downtown Hilo Town and South Hilo provide immediate proximity to urban conveniences, grocery stores, and medical hubs.

West Hilo off Saddle Road, along with cooler upland spots like Kurtistown, Mountain View, and Volcano, attract those who prefer higher elevations and tranquil rural surroundings. Subdivisions in the broader Puna district, notably Hawaiian Paradise Park and Ainaloa, sit roughly 15 to 20 minutes outside Hilo and represent more budget-friendly entry points, though they require a daily highway commute.

Sources

As of Sep 16, 2026Source 1: reddit.com Source 2: quora.com Source 3: redfin.com Source 4: livinginhawaii.com

Getting aroundCommuting within Hilo proper is straightforward and relatively brief, but travel times increase substantially when living in surrounding rural areas. Commuters traveling from outlying communities in the Puna district—such as Pāhoa, Ainaloa, or Hawaiian Paradise Park—often face highway congestion during peak morning and evening drive windows. Access to the island's western side and interior utilizes Saddle Road, while coastal trips north follow the scenic Hāmākua Coast corridor.

Commuting within Hilo proper is straightforward and relatively brief, but travel times increase substantially when living in surrounding rural areas. Commuters traveling from outlying communities in the Puna district—such as Pāhoa, Ainaloa, or Hawaiian Paradise Park—often face highway congestion during peak morning and evening drive windows.

Access to the island's western side and interior utilizes Saddle Road, while coastal trips north follow the scenic Hāmākua Coast corridor.

Sources

As of Sep 16, 2026Source 1: reddit.com Source 2: facebook.com Source 3: livinginhawaii.com Source 4: youtube.com

OutdoorsOutdoor recreation is woven into daily life, driven by constant green scenery and flowing waterways. Prominent destinations right by the bay include the tranquil Japanese gardens at Liliʻuokalani Gardens and footbridge access to Coconut Island. Just inland and along the nearby coast, hikers and sightseers frequent Rainbow Falls, the 442-foot ʻAkaka Falls State Park, and the Kaumana Caves lava tube. Other nature-centric spots include the botanical rainforest setting of Panaʻewa Rainforest Zoo, Onomea Bay along the scenic Hāmākua Coast, and farm tours at Lavaloha Chocolate Farm.

Outdoor recreation is woven into daily life, driven by constant green scenery and flowing waterways. Prominent destinations right by the bay include the tranquil Japanese gardens at Liliʻuokalani Gardens and footbridge access to Coconut Island.

Just inland and along the nearby coast, hikers and sightseers frequent Rainbow Falls, the 442-foot ʻAkaka Falls State Park, and the Kaumana Caves lava tube. Other nature-centric spots include the botanical rainforest setting of Panaʻewa Rainforest Zoo, Onomea Bay along the scenic Hāmākua Coast, and farm tours at Lavaloha Chocolate Farm.

Sources

As of Sep 16, 2026Source 1: lovebigisland.com Source 2: reddit.com Source 3: facebook.com

Others hiring in Hilo, HI

Check licensing in HI

See Hilo, HI

Moving for this role?

Check the commute at your shift’s start and end, upfront housing costs, and whether moving assistance must be repaid if you leave.

Living in Hilo

Hilo presents a genuinely distinct living environment on the windward coast of the Big Island, characterized by over one hundred inches of annual rainfall, verdant rainforest vegetation, and an authentic local identity far removed from mainland tourist enclaves. For relocating healthcare professionals, the city offers an appealing balance of community warmth and natural drama. Central neighborhoods in South Hilo and Hilo Town keep medical staff close to major facilities, grocery centers, and celebrated eateries such as Ken's House of Pancakes, Conscious Culture Cafe, and Two Ladies Kitchen. Those who prioritize larger acreage or more accessible price points often look to Puna district subdivisions like Hawaiian Paradise Park or Ainaloa, trading shorter drives for a 15-to-20-minute highway commute. Downtime is defined by outdoor retreats—strolling through Liliʻuokalani Gardens, swimming off Coconut Island, visiting Rainbow Falls, or browsing the Hilo Farmers Market on Kamehameha Avenue. While prospective transplants must adjust to higher grocery and electric costs, persistent moisture, and a quiet nightlife, Hilo rewards adaptable nurses with rich cultural roots, incredible biodiversity, and a grounding sense of place.

AI area guide

Sources

As of 2026-05Source 1: royalhawaiianmovers.com Source 2: culturalfoodies.com Source 3: lovebigisland.com Source 4: redfin.com Source 5: quora.com

Compare living costs Plan your license move Explore this area

Nurses on this role

Help improve this pageShare what it’s like, leave a heads-up, or fix a detail.

What would you like to do?

What was it really like?

Your connectionWould you recommend it?Your role (optional)Unit (optional)

Add ratings or a short headline

Short headline (optional)StaffingManagementSchedulingOrientationCultureTime there (optional)

I understand that, after review, Nursing Mastery may publish this anonymously.

A person reviews every submission before anything changes.

Do you qualify?

Preferred

What it pays

Benefits

The role and schedule

The workplace

Worth asking

Ask Mira

Your fit

On your path

Original listing

What you will do

What we expect of you

What you will gain

Minimum qualifications

Education

Experience

Certification/License

What you will do

What we expect of you

What you will gain

Minimum qualifications

Education

Experience

Certification/License

Benefit Details

benefits

benefits

What's around it?

Hilo, HIiFrom Census ACS 2024.

Life in Hilo, HI

Moving for this role?

Nurses on this role

Nurses on this role

Life in Hilo, HI

Moving for this role?

Nurses on this role

Hilo, HIFrom Census ACS 2024.