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Firelands Health
Sandusky, Ohio

ER Nurse Practitioner (NP) or Physician Assistant (PA)

Physician AssistantFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 1h ago · Verified live

Job Description

Position Summary

The Emergency Department Nurse Practitioner or Physician Assistant (ER NP/PA)

  • WILL PROVIDE COMPREHENSIVE, TIMELY, AND EVIDENCE-BASED CARE TO PATIENTS
  • PRESENTING TO THE EMERGENCY DEPARTMENT WITH ACUTE ILLNESSES, INJURIES, AND OTHER

Emergent or Urgent Medical Conditions. Working Collaboratively with Emergency

PHYSICIANS, NURSING STAFF, AND OTHER MEMBERS OF THE HEALTHCARE TEAM, THE ER

NP/PA Will Perform Patient Assessments, Develops Treatment Plans, Orders And

INTERPRETS DIAGNOSTIC STUDIES, INITIATES APPROPRIATE INTERVENTIONS, AND

Coordinates Patient Disposition.

Essential Duties and Responsibilities

Clinical Assessment and Patient Care

  • Obtain comprehensive and focused patient histories and perform physical examinations.
  • Assess, diagnose, and manage acute illnesses, injuries, and other emergency medical conditions within the provider’s scope of practice.
  • Establish differential diagnoses and develop appropriate treatment and management plans.
  • Order, perform as authorized, and interpret diagnostic tests, including laboratory studies, imaging, and electrocardiograms.
  • Prescribe medications and treatments in accordance with applicable laws, prescriptive authority, and hospital policies.
  • Perform approved procedures within demonstrated competency and granted clinical privileges.
  • Recognize patients requiring immediate intervention, escalation of care, specialist consultation, or transfer to a higher level of care.
  • Initiate emergency interventions as appropriate to training, competency, and assigned responsibilities.
  • Determine appropriate patient disposition, including discharge, observation, admission, or transfer, in collaboration with the supervising or collaborating physician as required.

Collaboration and Care Coordination

  • Collaborate with emergency physicians and healthcare delivery team to coordinate patient care.
  • Communicate clinical findings, treatment plans, and changes in patient condition effectively.
  • Provide appropriate patient and family education regarding diagnoses, treatment, medications, discharge instructions, and follow-up care.
  • Coordinate referrals, consultations, and transitions of care to promote continuity and patient safety.
  • Support efficient Emergency Department operations, including patient throughput and timely disposition.

Documentation and Regulatory Compliance

  • Complete accurate, timely, and thorough documentation in the electronic health record.
  • Comply with applicable federal and state laws, Ohio Board of Nursing requirements, prescribing regulations, hospital bylaws, and credentialing and privileging requirements.
  • Follow organizational policies related to patient safety, infection prevention, medication management, confidentiality, and quality assurance.
  • Participate in peer review, clinical documentation improvement, utilization review, and quality improvement activities as assigned.
  • Maintain required licensure, certifications, continuing education, and clinical competencies.

Professional Responsibilities

  • Demonstrate professionalism, sound clinical judgment, accountability, and effective communication.
  • Participate in department meetings, staff education, and interdisciplinary initiatives as appropriate.
  • Identify opportunities to improve clinical processes, patient experience, and operational efficiency.
  • Maintain confidentiality and adhere to organizational standards of conduct.
  • Perform other related duties consistent with the position’s scope and qualifications.

Required Knowledge, Skills, and Abilities

ER - PA

Graduate of a Physician Assistant program certified by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA). Licensed and in good standing in the State of Ohio. Must have national certification (PA-C) and must have or be eligible for a DEA number.

ER -NP

Nurse Practitioner Master’s Level prepared with a focus on Emergency Room medicine. Current Nurse Practitioner license in good standing in the State of Ohio. Requires Advanced Registered Nurse Practitioner (ARNP) or Certified Registered Nurse Practitioner (CRNP).

Current Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS) and Pediatric Advanced Life Support (PALS) certifications.

A minimum of five years of APP experience working emergency medicine or another relevant clinical setting required.

Demonstrated experience with emergency procedures, acute diagnostic evaluation, and management of patients with complex or time-sensitive conditions required.

Knowledge of emergency medicine standards, evidence-based clinical guidelines, and emergency department workflows required.

Experience with electronic health records and interdisciplinary care coordination.

Must be focused and observant to evaluate and treat patients properly. Must have the ability to evaluate patients’ symptoms and administer the appropriate treatments.

Must be diligent when investigating complicated medical issues in order to determine the best course of treatment for each patient.

Key Responsibilities

The ER NP/PA provides comprehensive, evidence-based care to patients with acute illnesses and injuries in the emergency department. They collaborate with the healthcare team to perform assessments, develop treatment plans, and coordinate patient disposition.

Requirements

Candidates must hold a valid Ohio license as a Nurse Practitioner or Physician Assistant with at least five years of emergency medicine experience. Required certifications include BLS, ACLS, and PALS, along with a Master's degree for NPs or an ARC-PA certified program for PAs.

Qualifications

Education
Master's degree (postgraduate degree)
Experience
5+ years of experience

Certifications

DEA License

Key Skills

Patient assessmentDiagnostic testingTreatment planningAcute careInterdisciplinary collaborationPatient education

Emergency Medicine — Physician Assistant Career Context

Of the 50 active Physician Assistant listings this role was benchmarked against, 6% are remote, 80% have no call, 68% require no weekends.

The cost-of-living index for Ohio is 92.8 (US average = 100; BEA Regional Price Parities (2024)). 61.3% of Ohio clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

What does the Physician Assistant market look like in Ohio?
MeasureThis jobMarket
Listed paynot listedPhysician Assistant median $128k (middle half $113k–$155k)37 comparable listings, Oct 2026
Cost of livingOhio index 92.8US average = 100BEA Regional Price Parities (2024)
Physician Assistant listings in Ohio122 active4,648 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 6% remote · 80% no call · 68% no weekends50 benchmarked listings
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Physician Assistant Jobs

39 matches · ranked by pay

Salary Distribution

35 jobs · 30 employers
12
<$145k
3
$145k-165k
11
$165k-185k
8
$185k-205k
1
$225k

Annual compensation range

Benefits & Perks

35 jobs · 30 employers
401k / retirement match
83%
CME allowance
66% this job
Sign-on bonus
43%
Relocation assistance
17%
Loan repayment
9%

Share of similar jobs offering each benefit

#1

Family Nurse Practitioner - NP/PA

CVS Health · Gaithersburg, Maryland

$50.22-$108.15/hr
#2

Urgent Care Advanced Practice Clinician (PA-C or ARNP)

Evergreen Emergency Services · Snohomish, Washington

$92-$96/hr
#3

Physician Assistant (PA) or Nurse Practitioner (NP)

$95/hr
#4

Physician Assistant OR Nurse Practitioner Float

$132k-$189k
+ 37 more · ranked by pay

Work-life snapshot

median 1.5this job 1.5
Better work-life than 50% of Emergency Medicine (PA) listings

Listing-based score, 0–10, across 106 comparable listings. Shaded area = the share scoring below this one.

Living in Sandusky

Typical 3-bedroom home value
$157k
Median resident rent
$905/mo
Residents’ average commute
18 min
Metro price indexU.S. average = 100
89.3
State income tax
Up to 4%
Sources & methodology

Sources: Zillow home values (Sep 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Sandusky, OH metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.