Critical Care Physician Assistant

About the role

Expertise. Teamwork. Purpose.

In critical care, APPs are essential to delivering high-acuity, evidence-based care when it matters most. You bring advanced clinical skill, adaptability, and calm leadership to complex ICU environments—ensuring timely interventions and seamless coordination across multidisciplinary teams.

As part of the largest Critical Care organization in the U.S., you are supported by a national infrastructure and a collaborative culture that values your expertise. Whether practicing on-site or through Tele-ICU, you are empowered to make a meaningful impact in the lives of critically ill patients.

Job Type

Full Time

Job Level: Experienced

Shift: Day; Night

Travel: No

Qualifications

• 2 years of experience as an independent provider in the ICU (with procedure logs).
• Board Certified Physician Assistant.
• Active Virginia license and DEA preferred.
• Authorized to work in the United States.

Responsibilities

• Provide coverage for critically ill adult ICU patients (acute respiratory failure, pneumonia, cardiogenic shock, NSTEMI/STEMI, cardiac arrest, acute, ischemic stroke, sepsis, etc.).
• Perform comprehensive assessments, develop differential diagnosis, and implement treatment plans.
• Manage mechanical ventilation in collaboration with respiratory therapy.
• Care for admissions, transfers, and discharges from the ICU.
• Participate in goals-of-care discussions and family communication when appropriate.
• Perform bedside procedures within scope of practice and credentialing, including Central venous catheter placement, Arterial line placement, Temporary hemodialysis catheter placement, and Endotracheal intubation. Anesthesia support for airways is available as needed.
• Participate in daily multidisciplinary rounds and handoff communication.
• Participate in quality improvement and performance initiatives as appropriate.
• Facilitate ICU admissions from the emergency department, hospitalist services, and outside facilities.

Scheduling

• ICU coverage is comprised of two 12-hour day physicians, one 12-hour day APP and one 12-hour nocturnist Critical Care APP and one night physician.
• Average of 14 shifts per month, a mix of days and nights, modified block schedule.

Living and Working in Richmond

Richmond isn’t just where we work – it’s where we live and enjoy the perfect mix of suburban comfort and easy access to all that the greater Richmond area has to offer. Richmond is home to many unique cultural centers that offer something special for everyone. Outdoor concerts and festivals, a children’s museum, art galleries, golf courses, craft breweries, wine bars, and endless shopping choices are dotted throughout the region. Foodies are drawn to Richmond for the diverse and artistically designed restaurants that are spread throughout the city and outlying communities.

Rewards and Compensation

• Competitive compensation and benefits package.
• Paid malpractice insurance with tail coverage.

Values in Action

• Uncompromising Care: You deliver precise, patient-centered care in high-stakes moments. We support you with systems that respect your autonomy and elevate your impact because excellence is essential in every decision.
• Collaboration: You are part of a deeply connected team of APPs and intensivists who work side by side, building trust through shared decision-making and multidisciplinary coordination.
• Accountability: You lead with confidence, owning your role in the ICU, contributing to clinical strategy, and driving performance across diverse and complex care environments.
• Ingenuity & Empathy: You bring thoughtful solutions and steady leadership to critical situations, balancing clinical precision with compassion for patients, families, and your team.

Career Path

• Trainee
• Practicing
• Single-site Leadership
• Multi-site Leadership
• Specialty Leadership

Team Insights

• “At Sound, we don’t just hire APPs—we invest in them. From structured onboarding to ongoing collaboration with central services, we make sure our APPs have the foundation to thrive.” APRIL BURKE, PA-C | Chief Advanced Practice Officer
• “I am versatile in practice and able to adjust to different situations and roles - whether it's meeting patient needs, supporting families, or stepping into leadership.” Dellyn Matthew, AGACNP-BC, | CC APP Lead

Company Culture

• Medical, Dental and Vision Insurance
• Health Savings Accounts (HSA) with Match & Flexible Spending Accounts (FSA)
• Wellness Programs (Kaia Health, Maven, Real Appeal)
• Short & Long-Term Disability
• 401K with company match
• Leadership Development Programs (e.g., LEAD)
• CME Reimbursement
• Mental Health Counseling
• Continuing Education & Professional Licensing Support