Nephrology Physician
Quick facts
- Type
- Full-time
- Location
- Prestonsburg, KY
- Background
- MD / physician
- Industry
- Health and Care — 3087 open jobs
- Visa in listing
- H-1B
- Apply
- Free to apply — never pay anyone for a job offer or visa sponsorship
Job description
Your Opportunity
Appalachian Regional Healthcare is actively seeking a Board-Certified or Board-Eligible Nephrologist to establish or expand dermatology services at our Prestonsburg campus. Located in the heart of Eastern Kentucky's scenic Big Sandy Valley, this position offers a rare opportunity to grow a high-demand specialty in a community that deeply values compassionate, consistent care. This is a rewarding clinical role with autonomy, stability, and built-in referral support—ideal for physicians who want to build lasting relationships with patients while working in a collaborative health system.
Why ARH?
- Guaranteed salary plus RVU-based incentives
- Comprehensive benefits: Health, dental, vision, 403(b), CME stipend + 5 CME days, paid time off
- Relocation assistance and student loan repayment programs available
- H-1B and J-1 visa sponsorship available
- Practice support: Experienced staff, strong referral network, and marketing resources to help build your patient panel from day one
Your Location: Life in Prestonsburg & Floyd County
Prestonsburg blends small-town warmth with a vibrant local culture and easy access to outdoor adventure. Nestled in the Appalachian foothills, it offers a peaceful lifestyle without sacrificing professional opportunity.
- Recreation-rich environment: Explore nearby Jenny Wiley State Resort Park, mountain biking trails, and lakes ideal for boating and fishing
- Cultural amenities: Enjoy live performances at the Mountain Arts Center, hometown festivals, and local dining
- Affordable cost of living with safe neighborhoods and family-friendly communities
- Education & family: Highly regarded public and private schools, community events, and supportive local institutions
About ARH
Appalachian Regional Healthcare is a not-for-profit health system serving more than 400,000 residents across Eastern Kentucky and Southern West Virginia. With 14 hospitals, 80+ clinics, and a long-standing commitment to rural health, ARH is the region's largest healthcare provider and private employer. We foster a culture of trust, innovation, and service. Here, physicians practice with purpose and are empowered to shape care delivery for the communities they serve.
Next Steps
To learn more or apply, contact Tiffany Longworth at careers@arh.org or visit www.arhphysiciancareers.org.
Benefits
Generous starting bonuses and relocation assistance Competitive salary with RVU production model Loan forgiveness programs Stipend considerations Great comprehensive benefits package that includes health, dental and vision 403(b) retirement plan Paid time off (PTO): 29 days annually CME reimbursement with 5 additional PTO days Malpractice coverage J-1 to H-1 immigration legal support.
Simply boundless. The Appalachian Mountains are a majestic world that is full of life and opportunity. History, adventure, culture, hospitality and natural wonders beg to be explored throughout Kentucky and West Virginia. Diversity and inclusion are at home in Appalachia. The roots of diversity run deep in the mining and lumber communities of this region. Industrious individuals from all over the world flocked to the region to find prosperity within these once booming business sectors. The rich global heritage and traditions of our earliest settlers still exist within these communities. It's incumbent on ARH—as a business and community leader—to carry that legacy of diversity into the future and beyond.
Established for the community. From our very beginning, we've been rising to meet the healthcare needs of the people in Appalachia. Our independent, not-for-profit health system was formed in the 1960s when thousands of Appalachian citizens were going to lose their local hospitals. Since then, we've remained steadfast in our commitment to ensure that the people of southeastern Kentucky and southern West Virginia would always have a health system that works as hard for them as they do for one another.
Visa sponsorship record: Appalachian Regional Healthcare, Inc.
Sponsors actively| Fiscal year | H-1B LCAs | USCIS approvals | USCIS denials | PERM |
|---|---|---|---|---|
| FY2026 | 12 | 13 | 1 | — |
| FY2025 | 16 | 14 | 0 | 2 |
| FY2024 | 4 | 18 | 0 | — |
✔ Appalachian Regional Healthcare, Inc. filed 7 H-1B applications for this kind of role (Physicians, All Other) in the period above.
Roles they sponsor most
- medical laboratory scientist9 LCAs · median $64k
- general surgeon5 LCAs · median $520k
- physical therapist4 LCAs · median $88k
- nephrologist2 LCAs · median $411k
- oncologist2 LCAs · median $650k
Full sponsorship history of Appalachian Regional Healthcare, Inc. →
Which visas can work for this job
Occupation: Physicians, All Other (SOC 29-1229).
- Mentioned in the listing
H-1B
- H-1B cap-exempt employer
Regular cap-subject employer — a new H-1B needs to win the lottery in March (unless you already hold cap-counted H-1B status).
- TN (citizens of Canada and Mexico)
This kind of role may fit the USMCA profession “Physician (teaching or research only)” — it depends on the actual duties. No lottery, no cap; you need the matching degree or license.
- E-3 (Australia) and H-1B1 (Chile, Singapore)
Same degree requirement as H-1B, but no lottery and a separate quota that is rarely filled.
- O-1 (extraordinary ability)
For candidates with awards, publications, press, a high salary or critical roles at distinguished organizations. No cap, no lottery; the employer files a petition.
- Green card (EB-2 / EB-3 via PERM)
Filed 2 PERM labor certifications: they have a track record of sponsoring permanent residence.
Salary vs prevailing wage
Physicians, All Other · Kentucky (state median of areas). Annual prevailing wages set by the Department of Labor (OFLC).
| Level | Prevailing wage | H-1B lottery odds* |
|---|---|---|
| Level I | $77,813 | ~15% |
| Level II | $173,150 | ~31% |
| Level III | $268,486 | ~46% |
| Level IV | $363,823 | ~61% |
The listing has no salary, so we can't place it on a wage level. Ask the employer which wage level they'd file at: Level III–IV registrations get 3–4 entries in the H-1B lottery.
* Odds are DHS projections for the FY2027 wage-weighted lottery (actual results vary by year and employer). Since the FY2027 cap season the H-1B lottery is weighted by wage level: Level I = 1 entry, II = 2, III = 3, IV = 4. The level is set by the offered wage against the prevailing wage for the occupation and worksite. Separately, a $100,000 fee for new H-1B petitions for workers outside the US was announced in 2025; as of September 2026 a federal court ruling keeps it unenforceable while appeals continue — check the current status.
Sources: U.S. Department of Labor OFLC disclosure data (H-1B/H-1B1/E-3 LCA, PERM), OFLC prevailing wage data, USCIS H-1B Employer Data Hub, E-Verify participating employers. Data loaded: LCA FY2024–FY2026, PERM, USCIS Data Hub, OFLC wages; updated 2026-10-03. Employers are matched by name, so records of companies with similar names can occasionally be mixed up. This is general information, not legal advice — talk to an immigration attorney about your case.