Critical Care Career

Critical Care Nurse Practitioner

Visalia, California

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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-001043

Category:

Critical Care

Advance Clinical Excellence as a Critical Care Nurse Practitioner in Visalia, CA

Our mission in Visalia is to provide “better” in every sense—better healthcare, better teamwork, and a lasting impact on the community we proudly serve. Ready to grow your career in a place that values community and collaboration? Let’s talk.

Local Team Collaboration:

We are a closely knit, established team of 10 physicians and 7 Advanced Practice Providers.
Kaweah Health is a 600-bed level III trauma center and a stroke center with about 310 inpatient beds. We provide care in a 21 bed MICU, 20 bed CVICU, and 42 bed ICCU.
APP will cover the ICCU with onsite intensivist support from 7pm-7am. There are two Intensivists in the MICU and CVICU overnight.
The ICCU is an extension of the MICU. In the ICCU we have insulin drips, low-dose pressors, BiPAP, trach, and vented patients. APP has support via the intensivist, but will work independently, performing ICU procedures (central lines, arterial lines, and intubations).

Qualifications:

Board-certified Acute Care Nurse Practitioner.
Preferably prior Critical Care experience as an ACNP.
A commitment to excellence in clinical service, with strong problem-solving abilities essential for the ICU setting. In this role you will care for a variety of complex critically ill patients and perform bedside ICU procedures.

Scheduling:

12-14 night shifts per month. We collaborate to manage the schedule as equitably as possible, ensuring team members achieve an outstanding work/family life balance.

Key Responsibilities:

Admit patients to the Stepdown / Intermediate Critical Care Unit (ICCU) and consult for critical care with on-site intensivist support.
Cross-cover existing Sound Stepdown/ ICCU patients by receiving and giving sign-out to the oncoming day team.
Perform common bedside critical care procedures including most commonly central lines, arterial lines, intubations in the ICUs and ICCUs as needed.
Initiate and continue goals of care discussions and family updates as appropriate.
Utilize Cerner, the hospital's electronic health informatics platform, to ensure efficient and accurate patient care documentation.

Living and Working in Visalia:

Our location is the gateway to the Sierra Mountain Range. We are about an hour from Kings Canyon, Yosemite, and Sierra National Forrest. Year-round Mediterranean climate with access to excellent hiking and outdoor activities. Overall low cost of living and exceptional schools make for an excellent place to call home.
Several team members commute from Fresno/Clovis, a larger community, about 50 minutes north of Visalia.
Central Location: Fresno/Clovis/Visalia is roughly a 3-hour drive to Los Angeles, San Jose, and San Luis Obispo.
Median home price in Fresno is $375k, $497k in Clovis, & $369k in Visalia.

Rewards and Compensation:

Compensation is based upon experience. Salary for candidates with previous ICU NP experience is between $224,640-$262,080 depending on shift commitment (12-14 nights per month).
Comprehensive benefits package, including CME allowance, 401k match, liability insurance, medical, dental, vision, and life insurance. Commencement bonus and relocation.

Ben Housley, Clinical Recruiter | bhousley@soundphysicians.com | (615) 483-1809

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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