Nocturnist Physician Assistant

Nurse Practitioner / Physician Assistant Nocturnist Hospitalist Position Summary

The Nurse Practitioner or Physician Assistant Nocturnist Hospitalist provides advanced clinical care to adult hospitalized patients during overnight hours. Working collaboratively with supervising hospitalist physicians and the multidisciplinary inpatient care team, the NP/PA manages acute medical issues, performs admissions and cross-cover duties, and ensures continuity of care throughout the night.

Key Responsibilities

• Provide overnight coverage for adult medical inpatients under physician supervision

• Perform admissions, initial evaluations, and cross-cover assessments

• Manage acute changes in patient condition and respond to rapid response or code events

• Develop, implement, and adjust treatment plans for hospitalized patients

• Order, interpret, and document diagnostic tests, laboratory studies, and imaging

• Manage medications and ongoing medical therapies

• Coordinate care with nursing, pharmacy, respiratory therapy, and consulting services

• Communicate significant clinical changes to on-call physicians

• Participate in discharge planning and overnight care coordination as needed

• Provide thorough handoff communication to the daytime hospitalist team

• Ensure accurate, timely documentation in the electronic medical record

• Support hospital quality, safety, and compliance initiatives

Patient Population

• Adult medical inpatients

• Conditions may include respiratory illness, infections, cardiac conditions, metabolic disorders, renal disease, and post-procedural care

Schedule

• Night shift only

• Includes weekends and holidays as required by service coverage

Qualifications

• Graduate of an accredited Nurse Practitioner or Physician Assistant program

• Current national certification as an NP or PA

• Active or eligible state licensure

• BLS certification required; ACLS preferred

• Prior hospital medicine, internal medicine, ICU, or emergency medicine experience preferred

Knowledge, Skills, and Abilities

• Strong inpatient assessment and clinical decision-making skills

• Ability to manage high-acuity patients with limited overnight resources

• Excellent communication, collaboration, and handoff skills

• Strong organizational and documentation abilities

• Ability to work independently while collaborating with supervising physicians

Work Environment

• Inpatient hospital setting

• Overnight coverage with exposure to acute and complex medical conditions

• Requires standing, walking, and rapid response to emergent situations