Critical Care Career

Critical Care Physician Assistant

Richmond, 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: Day; Night
Travel: No

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Job ID:

JOB-001110

Category:

Critical Care

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

Bring better to the bedside in Richmond. 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.

Comprehensive critical care management for adult patients as part of the Intensivist team providing care for 36 ICU beds, including medical, surgical, neuro and cardiac patients in this level II trauma center. The APP works collaboratively with intensivists, nursing staff, respiratory therapists, consultants, and hospitalist team to deliver high-quality, evidence-based critical care services. Responsibilities include evaluation, stabilization, ongoing management of critically ill patients, and performance of bedside procedures.

Local Team Collaboration:

At Bon Secours St. Mary’s Hospital, our strong, collaborative team includes four Critical Care APPs and dix Intensivists.
Our team at Bon Secours St. Mary’s 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, 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.

Key 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.
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. 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.

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.

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

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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