The International Rescue Committee (IRC) responds to the world's worst humanitarian crises, helping to restore health, safety, education, economic wellbeing, and power to people devastated by conflict and disaster. Founded in 1933 at the call of Albert Einstein, the IRC is one of the world's largest international humanitarian non-governmental organizations (INGO), at work in more than 40 countries and 29 U.S. cities helping people to survive, reclaim control of their future and strengthen their communities. A force for humanity, IRC employees deliver lasting impact by restoring safety, dignity and hope to millions. If you're a solutions-driven, passionate change-maker, come join us in positively impacting the lives of millions of people world-wide for a better future.

The IRC is implementing the EU-funded ACCESS 2.0 initiative in Alkufra to strengthen primary healthcare services through the Essential Services Package (ESP), including outpatient care, maternal and child health, NCDs, communicable diseases, mental health, and overall clinical service quality. As part of this effort, IRC seeks a Nephrologist to enhance the management of kidney‑related conditions within primary care settings by providing specialized consultations, supporting early detection, referral pathways, and integrated NCD management. This role contributes to improving service quality and ensuring that patients in Alkufra receive timely, evidence‑based nephrology care within the broader continuum of essential health services.

Scope of Work

The Nephrologist will:

• Provide specialized consultation for patients presenting with suspected or confirmed renal conditions, including chronic kidney disease (CKD), acute kidney injury (AKI), hypertensive nephropathy, and diabetic nephropathy.
• Support early screening and risk stratification for kidney-related complications among NCD patients.
• Develop individualized management plans and ensure continuity of care within IRC-supported facilities.
• Establish and strengthen referral mechanisms to higher-level facilities for dialysis, advanced diagnostics, or specialist intervention.
• Support capacity strengthening of primary healthcare teams on nephrology screening and management protocols.
• Contribute to the integration of nephrology services within routine NCD programming.

Nephrologist’s responsibilities are limited to clinical decision-making and service delivery within the scope of IRC-supported activities and available facility resources. The role does not extend to structural, infrastructural, or systemic limitations of the health facilities in which services are provided.

Expected Outcomes/Deliverables:

The Nephrologist is expected to:

• Deliver high-quality clinical services in compliance with Libyan Ministry of Health regulations and internationally recognized nephrology guidelines.
• Ensure accurate diagnosis, treatment planning, follow-up, and appropriate referral of renal patients.
• Maintain complete, accurate, and confidential patient documentation in medical records and program databases.
• Coordinate closely with pharmacies, laboratories, and relevant healthcare providers to ensure continuity of care.
• Participate in Quality Assurance and Performance Improvement initiatives as required.
• Submit timely activity reports to the Health Manager, including caseload trends, referral data, and identified clinical challenges.
• Maintain professional and respectful communication with patients, families, and colleagues.

The Nephrologist shall exercise due professional care in clinical assessment and management. Outcomes directly impacted by facility-level resource constraints, infrastructure limitations, supply shortages, or referral system gaps beyond the control of the individual practitioner shall remain the responsibility of the managing health authority and/or facility administration.

Deliverables/ Outputs

Estimated time to complete

Target Date

Review and Approvals Required

Deliver daily medical care

Daily

Daily

Medical Team Leader

Referrals to specialist or secondary/ higher‑level medical facilities as required

As needed

On the same referral day

Medical Team Leader

Patient documentation and updating program databases

Daily/weekly compilation/Monthly when needed

Daily / on the 25th of each month

Medical Team Leader / Health Data Team

Participating in Quality & Performance Improvement activities

To Be Determined (TBD)

To Be Determined (TBD)

Medical Team Leader / MHPSS specialist

Duration of the Work

The expected engagement duration for the GP will be three months, with a possibility of extending the service contract as per the project timeline/need.

Anticipated start date for the GP position will be March 1, 2026, with expected completion/end date May 31. 2026.

Key Working Relationships:

In addition to the relationship mentioned under the expected outcomes, the nephrologist is expected to engage with the Health manager/ Senior Health manager.

The nephrologist will not be line managing any internal staff.

Duty station:

The Nephrologist will be primarily based in Alkufra and will provide services exclusively within IRC-supported health facilities and project locations, as determined by program operational planning. Service provision outside IRC-supported facilities or beyond the agreed project scope requires prior written authorization from IRC management.

Qualifications and requirements of a successful individual contractor:

• Bachelor’s Degree in Medicine and Surgery with specialization in Nephrology.
• Valid medical license issued by the Libyan Ministry of Health.
• Minimum of 3–5 years of relevant clinical experience in nephrology practice.
• Demonstrated experience in management of NCD-related renal complications.
• Strong understanding of Libyan health system structures and referral pathways.
• Ability to work in challenging field conditions and multicultural environments.
• Proficiency in Microsoft Office (Word, Excel).
• Previous experience with NGOs or humanitarian health programs is an asset.

Professional Standards:

The IRC and IRC workers must adhere to the values and principles outlined in the IRC Way - Standards for Professional Conduct.  These are equality, Service, Integrity, and Accountability.  In accordance with these values, the IRC operates and enforces policies on Beneficiary Protection from Exploitation and Abuse, Child Safeguarding, Anti-Workplace Harassment, Fiscal Integrity, and Anti-Retaliation.

PROFESSIONAL STANDARDS

All International Rescue Committee workers must adhere to the core values and principles outlined in IRC Way - Standards for Professional Conduct. Our Standards are Integrity, Service, Equality and Accountability. In accordance with these values, the IRC operates and enforces policies on Safeguarding, Conflicts of Interest, Fiscal Integrity, and Reporting Wrongdoing and Protection from Retaliation. IRC is committed to take all necessary preventive measures and create an environment where people feel safe, and to take all necessary actions and corrective measures when harm occurs. IRC builds teams of professionals who promote critical reflection, power sharing, debate, and objectivity to deliver the best possible services to our clients.

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