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 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
