Critical Care Physician Assistant (Nocturnist) | 2026 Becker's Top 150 Places To Work In Healthcare

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.

About Sound Physicians

As a physician-founded and led medical group, we believe that a better career—one with strong support and meaningful opportunity—leads to better care for patients. That’s why our promise is to bring better to the bedside: better ideas, better approaches, better care.

We practice hospital-based medicine at the community level, with empowered local teams and leadership supported by a nationwide network. Our multi-specialty medical group includes more than 4,000 physicians, advanced practice providers, CRNAs, and nurses working across 400 hospitals in 45 states.

At Sound, each of us is a care catalyst—creating exceptional clinical partnerships that unlock quality, affordable, and dignified care for every patient. We offer greater autonomy, flexibility, and support in your role and within your specialty, so you can focus on building meaningful connections across teams and communities.

Uncompromising care is a collective effort. While our clinicians provide care at the bedside, our business colleagues play a vital role—building strong teams, forming key partnerships, attracting great talent, and keeping operations running smoothly. Their work ensures our clinicians can stay focused on what matters most: caring for patients.

We are unified by purpose and driven by impact. With competitive total rewards and opportunities for purposeful growth and focused development, we empower you in your role and career. Together, we support our patients, our partners, and each other.