Critical Care Physician Assistant (Nocturnist)

About the role

Advance Clinical Excellence as a Nocturnist Critical Care Physician Assistant in Mechanicsville, VA. Bring better to the bedside in Hanover County, VA. In this role, you’ll combine clinical skills with purpose, delivering patient-centered care while driving performance in a supportive environment. You’ll have the autonomy to lead and the resources to grow – while making a difference for patients and families every day.

Job Type

Full Time

Shift

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

• The APP works collaboratively with daytime intensivists, Cardiac Surgeons, nursing staff, respiratory therapists, consultants, and hospitalist team to deliver high-quality, evidence-based critical care services during night shifts.
• Provide overnight coverage for critically ill adult ICU patients (acute respiratory failure, cardiac arrest, circulatory shock NSTEMI/STEMI, post CABG and Valves, acute renal failure, , etc.).
• Facilitate ICU admissions from the emergency department, hospitalist services, and outside facilities.
• Perform comprehensive assessments, develop differential diagnosis, and implement treatment plans.
• Manage mechanical ventilation in collaboration with respiratory therapy.
• Manage Impella and IABP in collaboration with Cardiology/Cardiac Surgery.
• 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 goals-of-care discussions and family communication when appropriate.
• Participate in modified night multidisciplinary rounds and handoff communication.
• Participate in quality improvement and performance initiatives as appropriate.

Scheduling

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

Living and Working in Mechanicsville

Enjoy the peer support of experienced Critical Care APPs and physicians who boast experience from a variety of disciplines associated with the ICU. Mechanicsville 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.

Career Path

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

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Rewards

• 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

Critical Care

Deliver life‑saving care in 21+ states, where we manage 80+ ICUs supported by highly collaborative, expert teams.

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