Nurse Practitioner or Physician Assistant - Hospitalist Service

Advanced Practice Provider Nocturnist

Holyoke Medical Center, a member of Valley Health Systems, is a 219-bed independent community hospital serving individuals and families throughout the cities and towns of the Pioneer Valley. Holyoke Medical Center is a nationally-accredited hospital and received the Top Hospital Award in 2020, 2016, and 2014 from the Leapfrog Group for excellence in quality of care and patient safety. This full-service hospital provides a complete line of inpatient and outpatient medical and surgical services.

The Advanced Practice Provider (Nurse Practitioner or Physician Assistant) Nocturnist is responsible for delivering high-quality inpatient medical care during overnight hours in collaboration with supervising physicians and the hospital medicine team. The APP Nocturnist manages admissions, cross-coverage, urgent clinical issues, and coordination of care to ensure safe, efficient, and evidence-based treatment for hospitalized adult patients.

Essential Responsibilities

• Perform comprehensive history and physical examinations for new admissions.
• Evaluate and manage acute changes in patient condition overnight.
• Provide cross-coverage for hospitalized patients, including responding to nursing concerns and critical laboratory or imaging results.
• Develop and implement diagnostic and treatment plans in collaboration with attending hospitalists.
• Order and interpret laboratory tests, imaging studies, and other diagnostic procedures.
• Document all encounters, admissions, progress notes, and discharge summaries in the electronic medical record.
• Participate in rapid response and code blue events as part of the inpatient care team.
• Communicate effectively with nursing staff, consultants, emergency department clinicians, and attending physicians.
• Coordinate transfers to higher levels of care, including the intensive care unit, when clinically indicated.
• Ensure compliance with hospital policies, regulatory standards, and clinical protocols.
• Participate in quality improvement, patient safety, and utilization management initiatives.

Schedule and Coverage

Primarily works overnight shifts (typically 7:00 PM to 7:00 AM). Provides coverage for inpatient medical and observation patients. May assist with admissions from the Emergency Department and direct admissions from outside providers.

Qualifications

• Graduate of an accredited Nurse Practitioner or Physician Assistant program.
• Current licensure as a Nurse Practitioner or Physician Assistant in Massachusetts.
• Current DEA registration and Massachusetts Controlled Substance Registration (if prescribing controlled substances).
• Board certification as an NP or PA.
• Current BLS and ACLS certification.
• Minimum of one year of hospital medicine, emergency medicine, or critical care experience preferred.

Knowledge and Skills

Strong clinical assessment and decision-making abilities. Ability to recognize and respond to urgent and emergent clinical situations. Excellent communication and teamwork skills. Proficiency with electronic medical records. Familiarity with evidence-based inpatient medicine practices.

Reporting Relationship

Reports to the Chief/Assistant Chief of Hospital Medicine and collaborates closely with attending physicians, nursing leadership, and ancillary departments.

Performance Expectations

Timely and accurate clinical documentation. Effective management of overnight admissions and cross-coverage. Adherence to quality and patient safety standards. High levels of professionalism, patient satisfaction, and teamwork.

We offer a competitive salary and benefit package, including: low cost health insurance with no deductibles when using HMC services, dental and vision insurance, free disability and life insurance, 403(b) plan, and free onsite parking.