Emergency Medicine Physician Assistant

Company: Sound Physicians
Location: Mechanicsville
Posted on: June 16, 2026

Job Description:

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

Keywords: Sound Physicians, Alexandria , Emergency Medicine Physician Assistant, Healthcare , Mechanicsville, Virginia