Experienced ICU Physician Assistant for Nocturnist Role

Advance Clinical Excellence as a Nocturnist Critical Care Physician Assistant in Midlothian, VA

We are hiring for a nocturnist position. This role requires working exclusively overnight shifts and delivering exceptional patient care during nighttime hours.

Local Team Collaboration

Comprehensive overnight critical care management for adult patients in a 24‑bed multidisciplinary Intensive Care Unit at Bon Secours St.Francis Medical Center. Our team includes three Critical Care APPs and four Intensivists.

Qualifications

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

Scheduling

ICU coverage consists of a 12‑hour day physician and a 12‑hour nocturnist Critical Care APP. Average 12‑14 night shifts per month on a modified block schedule.

Key Responsibilities

• Collaborate with daytime intensivists, nursing staff, respiratory therapists, consultants, and the 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, pneumonia, cardiogenic shock, NSTEMI/STEMI, cardiac arrest, acute ischemic stroke, sepsis, etc.).
• Perform comprehensive assessments, develop differential diagnoses, and implement treatment plans.
• Manage mechanical ventilation in collaboration with respiratory therapy.
• Coordinate 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.
• Provide anesthesia support for airways as needed.
• Participate in modified night 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.

Living and Working in Midlothian

Located just west of Richmond, Midlothian offers a vibrant community with abundant outdoor recreation, family‑friendly neighborhoods, and convenient access to the greater Richmond region. Residents enjoy cultural attractions, outdoor concerts, museums, art galleries, golf courses, breweries, and a dynamic culinary scene.

Contact: Shelly Spatafore, Senior Director of Clinical Recruitment | | (440)856‑9351