Full Job Description
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 the 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 1–3 years 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 & 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
- free onsite parking
Location: Valley Health Systems · Hospitalist Service
Schedule: Full Time, night shift, 7 on 7 off nights