Nocturnist Nurse Practitioner - Hospitalist

Nocturnist Nurse Practitioner – HospitalistBaylor University Medical Center – Dallas, TXJob SummaryThe Nocturnist Nurse Practitioner (NP) – Inpatient Medicine is a licensed, certified, non-physician healthcare provider who delivers high-quality, direct patient care during overnight hours in a hospital setting. This role includes delegated prescriptive authority, credentialing, and privileging, with services billed as an independent provider in accordance with Medicare, Medicaid, and applicable regulatory standards.Working collaboratively with supervising physicians and interdisciplinary teams, the Nocturnist NP manages acutely ill and hospitalized patients, focusing on admissions, cross-coverage, and overnight clinical care. The provider practices within the scope defined by state regulations, institutional policies, and clinical protocols.Schedule & Role FocusNight shift / nocturnist schedule (e.g., 9 PM – 7 AM or similar)Primary responsibility for overnight admissions, cross-coverage, and urgent patient needsCollaboration with hospitalists, specialists, nursing staff, and ancillary servicesMay include weekend and holiday rotationsEssential Functions of the RolePerform comprehensive or focused histories and physical examinations to assess patient conditionsOrder, interpret, and evaluate laboratory and diagnostic studiesDiagnose and manage acute and chronic medical conditions in hospitalized patientsInitiate and manage treatment plans using evidence-based practices and clinical guidelinesPrescribe medications and therapeutic interventions in accordance with approved protocolsRespond to overnight clinical changes, rapid responses, and urgent patient needsConduct hospital rounds, admissions, and discharges as neededPerform procedures within scope of practice and demonstrated competencyCollaborate with physicians and interdisciplinary teams to optimize patient outcomesEducate patients and families on diagnoses, treatment plans, medications, and health promotionDocument all patient care activities accurately and in a timely mannerInitiate consultations and referrals when cases exceed scope or expertiseKey Success FactorsAdvanced knowledge of inpatient medicine, disease processes, and treatment modalitiesStrong clinical judgment and critical thinking, especially in high-acuity situationsAbility to work independently during overnight hours while maintaining collaborationExcellent verbal and written communication skillsStrong interpersonal skills and team-based approach to careProficiency in electronic medical records and clinical software systemsAbility to develop and implement outcomes-based treatment plansSkill in interpreting diagnostic tests and responding to clinical changesMinimum QualificationsCurrent RN licensure in Texas or compact RN licensureCurrent Advanced Practice Registered Nurse (APRN) licensure in TexasAdult-Gerontology Acute Care Nurse Practitioner (AGACNP) certification requiredPrescriptive authority and DEA (as applicable)Basic Life Support (BLS) certificationAdvanced Cardiovascular Life Support (ACLS) certification within 30 days of hirePreferred QualificationsExperience in inpatient medicine, hospitalist, or acute care settingsPrior nocturnist or night shift experienceBenefitsBaylor University Medical Center offers a comprehensive and competitive benefits package, including:Immediate eligibility for health and welfare benefits401(k) savings plan with dollar-for-dollar match up to 5%Tuition reimbursement programsPaid Time Off (PTO) starting on Day 1Note: Benefits may vary based on position type and employment status.