Clinical Specialty Solutions
Nephrology (TeleNeph) is our currently active live program. Explore our comprehensive renal offerings below, alongside details on upcoming clinical expansions.
Want to see how our virtual consultations work step-by-step?
See How It WorksNephrology: Clinical Programs of Care
Virtual nephrology is our flagship service. We deliver full-scope kidney care through specialized programs tailored to community hospitals.
Chronic Kidney Disease Management
Managing progressive renal impairment requires longitudinal, proactive care to delay disease advancement and prevent dialysis dependency. Our board-certified nephrologists partner with your local primary care network to implement standardized, evidence-based guidelines for Stage 3–5 CKD. We provide structured dietary guidance, precise blood pressure optimization, and medication management directly via secure virtual consults. When necessary, we coordinate pre-transplant evaluations early, ensuring patients are placed on regional donor registries without having to travel for routine checkups.
Dialysis Support & Coordination
Sustaining a local outpatient dialysis clinic or acute inpatient dialysis program is clinically complex and resource-intensive. Horizon provides dedicated virtual dialysis directorship and management to support local clinical teams. Our remote specialists manage vascular access planning, design individualized dialysis prescriptions, and review laboratory results weekly. We collaborate with on-site dialysis technicians and nursing leads to handle emergencies and ensure strict compliance with federal ESRD quality standards.
Acute Kidney Injury Consults
When critical care patients experience sudden kidney failure or complex electrolyte disturbances, immediate specialist intervention is critical. Horizon offers on-demand virtual consultations for AKI, helping your ICU team stabilize patients and manage continuous renal replacement therapy (CRRT). Our nephrologists are available within two hours to perform diagnostic reviews, prescribe therapy parameters, and coordinate with attending hospitalists. By keeping high-acuity renal patients in your local ICU, you avoid high-risk medical transfers and preserve essential hospital revenue.
Medical Directorship
Navigating state regulations and maintaining Joint Commission readiness requires dedicated clinical leadership. Horizon provides formal Medical Directorship to establish evidence-based protocols, lead clinical quality reviews, and coordinate Quality Assessment and Performance Improvement (QAPI) programs. Our directors join your hospital committees remotely, review performance metrics, and conduct educational sessions for nursing staff. This comprehensive leadership structure ensures your kidney care services meet or exceed all clinical safety and regulatory standards.
Core Oversight Included
Physician Gap Coverage
Locum tenens recruitment is expensive, and sudden staffing vacancies can force community hospitals to shut down specialized clinical lines. Horizon offers flexible virtual gap coverage and vacation relief to ensure seamless clinical continuity for your renal patients. Our nephrologists step in to cover weekends, holidays, or extended leaves, integrating directly into your hospital's scheduling and EHR systems. We provide reliable 24/7 on-call coverage, ensuring local attending doctors always have an expert partner during staffing shortages.
Outpatient Nephrology Clinic Support
After-discharge care gaps are a leading cause of preventable readmissions for kidney patients. We establish structured virtual outpatient clinics that allow post-discharge patients to follow up with their nephrologist close to home. Horizon coordinates directly with your local labs and primary care providers, ensuring clinical notes and lab results are shared seamlessly. This integrated follow-up model ensures long-term stability, reduces readmission rates, and improves the overall patient experience in rural areas.
Core Oversight Included
Expanding Clinical Horizons
Our clinical committees are designing standardized care pathways for additional specialties.
Cardiology
In DevelopmentExpanding to Cardiology: virtual cardiovascular consults coming soon.
Rheumatology
In DevelopmentExpanding to Rheumatology: specialized chronic disease care coming soon.
Neurology
In DevelopmentExpanding to Neurology: remote neurological condition support coming soon.
Hospital Medicine
In DevelopmentExpanding to Hospital Medicine: telemetry and backup support coming soon.
Clinical Operations FAQ
Answers to administrative and workflow integration questions commonly asked by hospital directors.
Ready to expand kidney care at your facility?
Learn how our virtual nephrology solutions integrate directly with your clinical workflows.