Trauma & Surgical ICU Nocturnist Advanced Practice Provider (APP)
Position Overview: The Trauma & Surgical ICU Nocturnist Advanced Practice Provider (APP) delivers advanced, evidence-based care to critically ill and injured patients during consistent night shifts at The MetroHealth System’s Level I Adult Trauma Center.
Working collaboratively with Trauma/Critical Care attending physicians, surgical residents, nursing, and other members of the multidisciplinary team, the APP provides overnight management of critically ill surgical patients, responds to changes in clinical condition, performs bedside procedures, and supports the ongoing care of patients within the Trauma and Surgical Intensive Care Unit.
This position is designed for an APP interested in a dedicated nocturnist role and requires strong clinical assessment, critical thinking, procedural, communication, and decision-making skills. The APP should have a thorough understanding of trauma and surgical critical care, including the assessment, diagnosis, stabilization, and management of acute and critically ill patients.
Key Responsibilities
Provide overnight management of critically ill patients in the Trauma and Surgical Intensive Care Unit.
Collaborate with Trauma/Critical Care attending physicians, surgical residents, APPs, nursing, and multidisciplinary teams to develop and implement individualized plans of care.
Evaluate new and evolving clinical concerns and respond to acute changes in patient condition throughout the night.
Collect and interpret clinical data, including laboratory results, imaging, hemodynamic information, and other diagnostic studies, to develop and document assessments and treatment plans.
Manage complex postoperative, critically ill, and medically fragile patients across surgical specialties, including trauma, emergency general surgery, transplant, vascular, and general surgery.
Perform bedside procedures within the APP's scope of practice and clinical privileges, including central venous catheter placement, arterial line placement, chest tube placement and management, and other critical care procedures.
Participate in ventilator management, hemodynamic management, resuscitation, and stabilization of critically ill patients.
Respond to clinical emergencies and participate in resuscitation of deteriorating or unstable patients.
Communicate significant changes in patient condition and escalate clinical concerns appropriately to the Trauma/Critical Care attending physician and surgical team.
Provide effective handoff and continuity of care between the overnight and daytime teams.
Complete timely, accurate documentation and ensure established care plans are effectively implemented.
Collaborate with nursing, pharmacy, respiratory therapy, and other multidisciplinary team members to provide comprehensive overnight critical care.
Promote patient and family education, advocacy, safety, and high-quality patient-centered care.
Uphold the mission, vision, values, and customer service standards of The MetroHealth System.
Required Qualifications
Graduate of an accredited master’s degree program for:
Physician Assistant (PA)
Adult Gerontology Acute Care Nurse Practitioner (AGACNP)
Acute Care Nurse Practitioner (ACNP) or equivalent grandfathered certification.
National certification through NCCPA, ANCC, or AACN.
Licensure:
PA: License through the State Medical Board of Ohio.
NP: License as an Advanced Practice Registered Nurse (APRN) and Registered Nurse (RN) through the Ohio Board of Nursing.
Eligibility for federal DEA registration.
Current Basic Life Support (BLS) certification from the American Heart Association or obtained within 90 days of hire.
Advance Trauma Life Support (ATLS) certification obtained within 180 days of hire.
Additional advanced life support certifications (as applicable to practice area) obtained within 180 days of hire.
Knowledge of sterile techniques and aseptic practices.
Meet requirements for clinical privileges in the specialty/department with The MetroHealth System and apply for privileges at the time of hire.
Maintain a standard care arrangement or supervision agreement as required by Ohio law.
Preferred Qualifications (preferred but not required for otherwise qualified candidates):
One or more years of Advanced Practice Provider experience.
Previous experience in surgical critical care, trauma surgery, emergency general surgery, or another high-acuity inpatient setting.
Experience independently evaluating and managing acutely deteriorating or critically ill patients.
Proficiency in critical care procedures, including central and arterial line placement, chest tube placement and management, and other bedside procedures.
Experience with ventilator management, hemodynamic monitoring, and management of complex critically ill patients.
Strong clinical judgment, communication skills, and comfort practicing within a high-acuity overnight environment.
Additional Notes
Other department-specific qualifications for providers will be addressed through the Certificate of Authority and credentialing process.
Work Environment
The APP will work at Cleveland’s most experienced Level 1 Trauma Center at MetroHealth’s primary facility in Cleveland. This role requires adaptability, flexibility in scheduling, and a commitment to delivering consistent, high-quality care across diverse clinical settings. This position is specifically designated as a straight nightshift/nocturnist position. These shifts will be 12 hours in length. Weekend and holiday coverage is required as part of the nocturnist scheduling model.
About The MetroHealth System
The MetroHealth System is a nationally recognized public health care system committed to providing outstanding care to everyone, regardless of their ability to pay. As one of the largest, most comprehensive health systems in Northeast Ohio, MetroHealth operates an integrated network of hospitals, health centers, and outpatient clinics. The organization is dedicated to fostering innovation, improving community health, and advancing medical education and research. Learn more at www.metrohealth.org .
MetroHealth’s Trauma Center
MetroHealth’s Trauma Center is Cleveland's most experienced Level 1 Adult Trauma Center, known for delivering cutting-edge, lifesaving care to critically injured patients. The center’s multidisciplinary approach ensures seamless collaboration between trauma surgeons, specialists, and advanced practice providers. Recognized for its excellence in trauma care, MetroHealth’s Trauma Center plays a vital role in the region, serving as a leader in trauma education, research, and outreach programs designed to enhance injury prevention and improve outcomes for the community.
Interested candidates should reach out to
Tania Rizwan -Provider Recruitment via email trizwan@metrohealth.org
$5,000 Sign-On Bonus for Full-Time Employees (30- and 36-Hour Schedules) University Hospitals Urgent Care seeks talented, patient-oriented Physician Assistants and Nurse Practitioners who are relentlessly dedicated to ensure the delivery of exceptional customer service by putting patients’ needs first.
$5,000 Sign-On Bonus for Full-Time Employees (30- and 36-Hour Schedules) University Hospitals Urgent Care seeks talented, patient-oriented Physician Assistants and Nurse Practitioners who are relentlessly dedicated to ensure the delivery of exceptional customer service by putting patients’ needs first. University Hospitals Urgent Care has emerged as a leading provider of accessible, high-quality healthcare services with over 20+ centers in OH. Our journey has been marked by a commitment to delivering uncompromising medical care while ensuring convenience and compassion for our patients. Becoming a member of our team is not just a job; it's a meaningful purpose we all share - "To ensure that our patients and team members feel valued and well cared for!". A role with University Hospitals Urgent Care would be more than a career; it's an opportunity to make a positive impact in the lives of those we serve. To provide uncompromising care one patient at a time. So, we would like to invite you to be part of something bigger, to contribute to a purposeful endeavor that goes beyond the ordinary. Your skills and passion are not just valued; they are essential to our collective success. The perks of being a University Hospitals Urgent Care team member: We are hiring Providers for FT (30 or 36 hours) and PT (24 hours) schedules ONLY. At this time, we do NOT have opportunities for PRN/Per Diem and are not hiring new graduates . Life/Work Balance - We offer a flexible 3-day/12-hour week schedule for FT status. No overnight shifts required! Competitive Compensation Package + Bonus Plan CME Allowance + Paid Time Off Fully covered malpractice including tail coverage Competitive benefits including Medical, Dental and Vision insurance and MORE Matching 401K plan Career Growth opportunities WHAT WILL YOU DO: Our Talented Advanced Practice Providers plan, evaluate, and implement high quality medical care with appropriate resource management to patients, both adults and children in cooperation with center physicians Adheres to the service and courtesy standard of Prisma Health Urgent Care by delivering the highest standard of patient satisfaction at all times Provides patient care within the respective clinical area which complies with the Professional Staff Bylaws, rules and regulations and University Hospitals Urgent Care policies and procedures Provides and/or serves as a resource for patient/family and staff Provides an authenticated report of all services rendered and maintains accurate and complete records in an acceptable manner Completes necessary documentation and ensures communication to facilitate patient care and appropriate reimbursement Participates in meetings/activities as required to support operations of the urgent care Participates in activities that enhance professional development, complete and maintain certification in BLS, ACLS, ATLS, PALS, or NALS and maintains any additional specialty training/certifications as required by the area assigned This position will report to the Regional Medical Director (RMD) and/or Area Clinical Operations Director (ACOD) MINIMUM QUALIFICATIONS: Board Certified (or Board Eligible) and Licensed to practice medicine in the state of practice Advanced degree from an accredited Nurse Practitioner or Physician Assistant program of study Licensed Nurse Practitioner/Physician Assistant in accordance with the state of Ohio Current DEA registration Must be DOT certified Experience with procedures including suturing and drainage of abscesses Experience with reading diagnostic studies including x-rays and EKGs BLS certification (we will provide this if needed) Meets eligibility requirements for credentialing set forth by WellStreet Urgent Care Experience in Urgent Care, Family Medicine or Emergency Medicine preferred Demonstrated ability to communicate effectively with patients, families and other employees PERSONAL CHARACTERISTICS: Outstanding bedside manner with children and adults Ability to communicate effectively with patients, families and other employees Positive, energetic attitude which inspires other team members Sense of service and team orientation absent of hubris Desire to contribute to building and maintaining a great organization In addition to the above requirements, we are seeking team members with the following qualities: Willingness at all times to go the extra mile to create an outstanding experience for customers and to train and lead the center team to do the same. A desire to work in concert with others in an upbeat and supportive atmosphere while reinforcing the organizations mission to provide uncompromising service. A compelling desire to serve others, improve your community’s health, and have fun every day! $5,000 Sign-On Bonus for Full-Time Employees (30- and 36-Hour Schedules) #INDNP
$5,000 Sign-On Bonus for Full-Time Employees (30- and 36-Hour Schedules) University Hospitals Urgent Care seeks talented, patient-oriented Physician Assistants and Nurse Practitioners who are relentlessly dedicated to ensure the delivery of exceptional customer service by putting patients’ needs first. University Hospitals Urgent Care has emerged as a leading provider of accessible, high-quality healthcare services with over 20+ centers in OH. Our journey has been marked by a commitment to delivering uncompromising medical care while ensuring convenience and compassion for our patients. Becoming a member of our team is not just a job; it's a meaningful purpose we all share - "To ensure that our patients and team members feel valued and well cared for!". A role with University Hospitals Urgent Care would be more than a career; it's an opportunity to make a positive impact in the lives of those we serve. To provide uncompromising care one patient at a time. So, we would like to invite you to be part of something bigger, to contribute to a purposeful endeavor that goes beyond the ordinary. Your skills and passion are not just valued; they are essential to our collective success. The perks of being a University Hospitals Urgent Care team member: We are hiring Providers for FT (30 or 36 hours) and PT (24 hours) schedules ONLY. At this time, we do NOT have opportunities for PRN/Per Diem and are not hiring new graduates . Life/Work Balance - We offer a flexible 3-day/12-hour week schedule for FT status. No overnight shifts required! Competitive Compensation Package + Bonus Plan CME Allowance + Paid Time Off Fully covered malpractice including tail coverage Competitive benefits including Medical, Dental and Vision insurance and MORE Matching 401K plan Career Growth opportunities WHAT WILL YOU DO: Our Talented Advanced Practice Providers plan, evaluate, and implement high quality medical care with appropriate resource management to patients, both adults and children in cooperation with center physicians Adheres to the service and courtesy standard of Prisma Health Urgent Care by delivering the highest standard of patient satisfaction at all times Provides patient care within the respective clinical area which complies with the Professional Staff Bylaws, rules and regulations and University Hospitals Urgent Care policies and procedures Provides and/or serves as a resource for patient/family and staff Provides an authenticated report of all services rendered and maintains accurate and complete records in an acceptable manner Completes necessary documentation and ensures communication to facilitate patient care and appropriate reimbursement Participates in meetings/activities as required to support operations of the urgent care Participates in activities that enhance professional development, complete and maintain certification in BLS, ACLS, ATLS, PALS, or NALS and maintains any additional specialty training/certifications as required by the area assigned This position will report to the Regional Medical Director (RMD) and/or Area Clinical Operations Director (ACOD) MINIMUM QUALIFICATIONS: Board Certified (or Board Eligible) and Licensed to practice medicine in the state of practice Advanced degree from an accredited Nurse Practitioner or Physician Assistant program of study Licensed Nurse Practitioner/Physician Assistant in accordance with the state of Ohio Current DEA registration Must be DOT certified Experience with procedures including suturing and drainage of abscesses Experience with reading diagnostic studies including x-rays and EKGs BLS certification (we will provide this if needed) Meets eligibility requirements for credentialing set forth by WellStreet Urgent Care Experience in Urgent Care, Family Medicine or Emergency Medicine preferred Demonstrated ability to communicate effectively with patients, families and other employees PERSONAL CHARACTERISTICS: Outstanding bedside manner with children and adults Ability to communicate effectively with patients, families and other employees Positive, energetic attitude which inspires other team members Sense of service and team orientation absent of hubris Desire to contribute to building and maintaining a great organization In addition to the above requirements, we are seeking team members with the following qualities: Willingness at all times to go the extra mile to create an outstanding experience for customers and to train and lead the center team to do the same. A desire to work in concert with others in an upbeat and supportive atmosphere while reinforcing the organizations mission to provide uncompromising service. A compelling desire to serve others, improve your community’s health, and have fun every day! $5,000 Sign-On Bonus for Full-Time Employees (30- and 36-Hour Schedules) #INDNP
$5,000 Sign-On Bonus for Full-Time Employees (30- and 36-Hour Schedules) University Hospitals Urgent Care seeks talented, patient-oriented Physician Assistants and Nurse Practitioners who are relentlessly dedicated to ensure the delivery of exceptional customer service by putting patients’ needs first. University Hospitals Urgent Care has emerged as a leading provider of accessible, high-quality healthcare services with over 20+ centers in OH. Our journey has been marked by a commitment to delivering uncompromising medical care while ensuring convenience and compassion for our patients. Becoming a member of our team is not just a job; it's a meaningful purpose we all share - "To ensure that our patients and team members feel valued and well cared for!". A role with University Hospitals Urgent Care would be more than a career; it's an opportunity to make a positive impact in the lives of those we serve. To provide uncompromising care one patient at a time. So, we would like to invite you to be part of something bigger, to contribute to a purposeful endeavor that goes beyond the ordinary. Your skills and passion are not just valued; they are essential to our collective success. The perks of being a University Hospitals Urgent Care team member: We are hiring Providers for FT (30 or 36 hours) and PT (24 hours) schedules ONLY. At this time, we do NOT have opportunities for PRN/Per Diem and are not hiring new graduates . Life/Work Balance - We offer a flexible 3-day/12-hour week schedule for FT status. No overnight shifts required! Competitive Compensation Package + Bonus Plan CME Allowance + Paid Time Off Fully covered malpractice including tail coverage Competitive benefits including Medical, Dental and Vision insurance and MORE Matching 401K plan Career Growth opportunities WHAT WILL YOU DO: Our Talented Advanced Practice Providers plan, evaluate, and implement high quality medical care with appropriate resource management to patients, both adults and children in cooperation with center physicians Adheres to the service and courtesy standard of Prisma Health Urgent Care by delivering the highest standard of patient satisfaction at all times Provides patient care within the respective clinical area which complies with the Professional Staff Bylaws, rules and regulations and University Hospitals Urgent Care policies and procedures Provides and/or serves as a resource for patient/family and staff Provides an authenticated report of all services rendered and maintains accurate and complete records in an acceptable manner Completes necessary documentation and ensures communication to facilitate patient care and appropriate reimbursement Participates in meetings/activities as required to support operations of the urgent care Participates in activities that enhance professional development, complete and maintain certification in BLS, ACLS, ATLS, PALS, or NALS and maintains any additional specialty training/certifications as required by the area assigned This position will report to the Regional Medical Director (RMD) and/or Area Clinical Operations Director (ACOD) MINIMUM QUALIFICATIONS: Board Certified (or Board Eligible) and Licensed to practice medicine in the state of practice Advanced degree from an accredited Nurse Practitioner or Physician Assistant program of study Licensed Nurse Practitioner/Physician Assistant in accordance with the state of Ohio Current DEA registration Must be DOT certified Experience with procedures including suturing and drainage of abscesses Experience with reading diagnostic studies including x-rays and EKGs BLS certification (we will provide this if needed) Meets eligibility requirements for credentialing set forth by WellStreet Urgent Care Experience in Urgent Care, Family Medicine or Emergency Medicine preferred Demonstrated ability to communicate effectively with patients, families and other employees PERSONAL CHARACTERISTICS: Outstanding bedside manner with children and adults Ability to communicate effectively with patients, families and other employees Positive, energetic attitude which inspires other team members Sense of service and team orientation absent of hubris Desire to contribute to building and maintaining a great organization In addition to the above requirements, we are seeking team members with the following qualities: Willingness at all times to go the extra mile to create an outstanding experience for customers and to train and lead the center team to do the same. A desire to work in concert with others in an upbeat and supportive atmosphere while reinforcing the organizations mission to provide uncompromising service. A compelling desire to serve others, improve your community’s health, and have fun every day! $5,000 Sign-On Bonus for Full-Time Employees (30- and 36-Hour Schedules) #INDNP
University Hospitals Urgent Care is redefining the urgent care experience through patient-focused service, high-quality care, and a commitment to the communities we serve. We are growing our network and looking for passionate healthcare professionals who want to make a meaningful difference—one patient at a time. We are seeking an experienced Pediatric Nurse Practitioner to join our team. This is an excellent opportunity for a provider with a strong pediatric clinical background who enjoys caring for children, adolescents, and young adults in a fast-paced urgent care environment. About the Role The Pediatric Nurse Practitioner will provide high-quality, age-appropriate care to patients ages 0–26 , with a primary focus on pediatric and adolescent patients . While the majority of your patient population will be pediatric, you will also evaluate and treat patients across the full 0–26 age range, including work-related injuries and occupational medicine visits when applicable. You will work closely with the center physicians and serve as a clinical resource for pediatric care, helping us provide an exceptional experience for our youngest patients and their families. A role with University Hospitals Urgent Care would be more than a career; it's an opportunity to make a positive impact in the lives of those we serve. To provide uncompromising care one patient at a time. So, we would like to invite you to be part of something bigger, to contribute to a purposeful endeavor that goes beyond the ordinary. Your skills and passion are not just valued - they are essential to our collective success! The perks of being a University Hospitals Urgent Care team member: We are hiring Providers for FT (30 or 36 hours) and PT (24 hours) schedules ONLY. At this time, we do NOT have opportunities for PRN/Per Diem and are NOT hiring new graduates . Life/Work Balance - We offer a flexible 3-day/12-hour week/8am-8pm schedule for FT status. No overnight shifts required! FT status + Benefits start at ONLY 30 hours per week! Competitive Compensation Package + Bonus Plan CME Allowance + Paid Time Off Fully covered malpractice including tail coverage Competitive benefits including Medical, Dental and Vision insurance and MORE Matching 401K plan Career Growth opportunities What You'll Do Evaluate, diagnose, and treat patients ages 0–26, with an emphasis on pediatric and adolescent care. Provide compassionate, evidence-based care in a busy urgent care setting. Perform procedures within your scope of practice, including: Suturing Incision and drainage of abscesses Splinting Foreign body removal Apply age-appropriate techniques and comfort measures when treating pediatric patients. Read and interpret diagnostic studies, including X-rays and EKGs. Educate patients, families, and team members regarding care, treatment plans, and health management. Maintain accurate, complete, and timely medical documentation. Ensure appropriate communication and documentation to support quality patient care and reimbursement. Collaborate with physicians and other members of the center team to provide efficient, high-quality care. Participate in center meetings, operational activities, and professional development opportunities. Maintain required certifications and specialty training. Travel to other University Hospitals Urgent Care centers as needed to support business needs. Perform other duties as needed. What We're Looking For Required Qualifications Pediatric Nurse Practitioner (PNP) license 5+ years of pediatric clinical experience preferred Active medical license in the state of practice or ability to obtain licensure Current DEA registration Current BLS and PALS certifications Strong clinical experience with pediatric patients Experience performing procedures such as suturing and incision/drainage Experience interpreting X-rays and EKGs Ability to meet University Hospitals Urgent Care credentialing requirements Strong communication and interpersonal skills Ability to work effectively as part of a collaborative clinical team Willingness to travel to other centers as needed The Ideal Candidate We’re looking for someone who brings more than clinical expertise. The right person will: Have a positive, patient-focused attitude. Truly enjoy working with children and their families. Go the extra mile to create an exceptional patient experience. Thrive in a fast-paced, team-oriented environment. Communicate effectively with patients, families, providers, and staff. Be willing to support and mentor the center team. Take pride in delivering high-quality, compassionate care. Want to make a positive impact in the communities we serve. Bring energy, teamwork, and a genuine desire to serve others. Why University Hospitals Urgent Care? At University Hospitals Urgent Care, we believe urgent care can be more than a quick stop for medical treatment. We’re creating an experience where patients feel cared for, team members feel valued, and providers have the opportunity to make a real difference in their communities. If you’re an experienced Pediatric NP looking for an opportunity where you can use your clinical expertise, make a difference for children and families, and be part of a growing organization, we’d love to hear from you. Join University Hospitals Urgent Care and help us provide uncompromising care—one patient at a time. #INDMISC
%20scale(0.6,0.6)'%3e%3cg%20fill-opacity='0'%20fill='%23ffffff'%20fill-rule='nonzero'%20stroke='none'%20stroke-width='1'%20stroke-linecap='butt'%20stroke-linejoin='miter'%20stroke-miterlimit='10'%20stroke-dasharray=''%20stroke-dashoffset='0'%20font-family='none'%20font-weight='none'%20font-size='none'%20text-anchor='none'%20style='mix-blend-mode:%20normal'%3e%3cpath%20d='M-85.33333,341.33333v-426.66667h426.66667v426.66667z'%20id='bgRectangle'%3e%3c/path%3e%3c/g%3e%3cg%20fill='%23000000'%20fill-rule='nonzero'%20stroke='none'%20stroke-width='1'%20stroke-linecap='butt'%20stroke-linejoin='miter'%20stroke-miterlimit='10'%20stroke-dasharray=''%20stroke-dashoffset='0'%20font-family='none'%20font-weight='none'%20font-size='none'%20text-anchor='none'%20style='mix-blend-mode:%20normal'%3e%3cpath%20d='M-27.73333,341.33333c-31.8116,0%20-57.6,-25.7884%20-57.6,-57.6v-311.46667c0,-31.8116%2025.7884,-57.6%2057.6,-57.6h311.46667c31.8116,0%2057.6,25.7884%2057.6,57.6v311.46667c0,31.8116%20-25.7884,57.6%20-57.6,57.6z'%20id='shape'%3e%3c/path%3e%3c/g%3e%3cg%20fill='%23ffffff'%20fill-rule='nonzero'%20stroke='none'%20stroke-width='1'%20stroke-linecap='butt'%20stroke-linejoin='miter'%20stroke-miterlimit='10'%20stroke-dasharray=''%20stroke-dashoffset='0'%20font-family='none'%20font-weight='none'%20font-size='none'%20text-anchor='none'%20style='mix-blend-mode:%20normal'%3e%3cg%20transform='scale(10.66667,10.66667)'%3e%3cpath%20d='M2.36719,3l7.0957,10.14063l-6.72266,7.85938h2.64063l5.26367,-6.16992l4.31641,6.16992h6.91016l-7.42187,-10.625l6.29102,-7.375h-2.59961l-4.86914,5.6875l-3.97266,-5.6875zM6.20703,5h2.04883l9.77734,14h-2.03125z'%3e%3c/path%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/svg%3e)
