Critical Care Career

Critical Care Physician Assistant (Nocturnist)

Mechanicsville, Virginia

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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: Night
Travel: No

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Job ID:

JOB-001041

Category:

Critical Care

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.

We are hiring for a nocturnist position. A nocturnist role requires working exclusively overnight shifts. Candidates must be comfortable with a nocturnal schedule and possess the ability to deliver 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.and adjacent 10 bed Cardiac ICU.
At Bon Secours Memorial Regional Medical Center, our strong, collaborative team includes three Critical Care APPs and five Intensivists.
Our team at Bonsecours Memorial Regional is part of the larger Critical Care team in the Richmond market, covering ICUs in four local Bon Secours hospitals.
Enjoy the peer support of experienced Critical Care APPs and physicians who boast experience from a variety of disciplines associated with the ICU.

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.

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.

Key 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.

Living and Working in Mechanicsville

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.

Shelly Spatafore, Senior Director of Clinical Recruitment | sspatafore@soundphysicians.com | (440) 856-9351

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Explore this location

Our 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

Trainee :
Start your journey as a new graduate or transition to an unfamiliar role by completing a structured clinical training program focused on developing essential competencies for high-quality patient care. This training is supplemented by a self-directed didactic curriculum to build a knowledge base and support ongoing professional growth.
Practicing :
Continue your career as a practicing clinician by continually expanding your clinical expertise and delivering exemplary patient care. Develop foundational leadership skills and contribute to organizational excellence by engaging in committees and supporting the implementation of quality improvement initiatives.
Single-site Leadership :
Assume leadership responsibilities at the practice level as a Lead Advanced Practice Provider, Associate Medical Director, or Medical Director. In these roles, you will oversee clinical teams, collaborate with hospital partners, and ensure both operational and clinical excellence within a single-site setting.
Multi-site Leadership :
Expand your impact by supporting multiple practices as a Regional or Divisional Lead Advanced Practice Provider. These roles emphasize the recruitment and retention of Advanced Practice Providers and facilitate team integration initiatives.
Specialty Leadership :
Advance to senior leadership as Chief Advanced Practice Officer, where you will collaborate with service line leaders to influence organizational programs and lead initiatives that develop team-based care models on a national scale.

Hear from our team

“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