Highland Hospital logo
Highland Hospital
Rochester Hills, Michigan

NP / Physician Assistant

Physician AssistantIncludes weekendsFull-Time

Listed compensation

$98k-$130k

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, nights and shift pattern and time off.

Posted 1mo ago · Verified live

Job Description

*Highland Hospital is seeking a Full Time Physician Assistant or Nurse Practitioner to join its team. This newly created role has been created to assist with increased patient volumes. Candidates for this role would join our other APP's working Days/Evenings/Nights/Weekends and a Holiday rotation.

Some Duties Include But Are Not Limited To

The Physician Assistant/ Nurse Practitioner will work under the direct supervision of the Emergency Department Attending Physician. The PA/ NP will evaluate and treat the acute and non-acute medical, surgical, orthopedic, OB/ GYN, pediatric and psychiatric patients through appropriate history and physical examinations, radiology and laboratory data. Will also provide coverage in the ED Observation unit as needed.

Demonstrates actions consistent with Highland Hospital Values, Promise Standards and Performance Behaviors as well as HIPAA Guidelines in performing

clinical responsibilities:

Obtains a detailed, accurate medical history, performs physical examinations and writes orders for treatments, medications and appropriate and cost effective tests: laboratory, radiological and EKG’s

  • Develops a differential and working diagnosis.
  • Coordinates test results, history and physical examination to assure proper patient disposition.
  • Discharges or admits patients, assuring the patient and family have a through understanding of the findings and necessary follow-up.
  • Documents all findings clearly in the Medical Record.
  • Contacts the patient’s primary care physician to review the patient’s assessment, work-up, treatment and admission or discharge disposition as appropriate. Obtains consultation from a specialist as needed.
  • Maintains consistent on going communication with the Emergency Department Physician about the patient’s status.

Salary Range

$98,000.00 - $130,083.20 annually

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job’s compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

Job Requirements

Education: Fulfilled the requirements to be a licensed PA or NP in NYS.

Experience

At least two years experience as a practicing Physician Assistant or Nurse Practitioner with evaluation of urgent and non-urgent patients. Would prefer Emergency Medicine experience. New graduates will be considered.

License/Certification Required: Must be licensed or eligible for licensure by the NY State Board of Medicine. Prescription license and DEA required.

Advanced Cardiac Life Support (ACLS) and Basic Life Support (BLS) required at time of hire.

Skills

The ability to work autonomously as a physician extender is required as is the ability to work well under stressful situations and attention to details.

Key Responsibilities

The Physician Assistant or Nurse Practitioner will evaluate and treat acute and non-acute patients under the supervision of an Emergency Department Attending Physician. Responsibilities include performing physical exams, ordering diagnostic tests, developing diagnoses, and coordinating patient admissions or discharges.

Requirements

Candidates must be licensed or eligible for licensure as a PA or NP in New York State and possess current ACLS and BLS certifications. At least two years of clinical experience is preferred, though new graduates will be considered.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Certifications

DEA License

Key Skills

Patient evaluationMedical history takingTreatment planningDiagnostic testingClinical documentationCollaborationPrescription managementAttention to detail

Emergency Medicine — Physician Assistant Career Context

Of the 46 active Physician Assistant listings this role was benchmarked against, 4% are remote, 74% have no call, 76% require no weekends.

The cost-of-living index for Michigan is 96.2 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$114k midpoint carries the purchasing power of roughly $119k in an average-cost state. 61.8% of Michigan clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

What does the Physician Assistant market look like in Michigan?
MeasureThis jobMarket
Listed pay$98k–$130kPhysician Assistant median $126k (middle half $110k–$155k)42 comparable listings, Nov 2026
Cost-of-living adjusted pay~$119k in purchasing powerMichigan index 96.2 (US = 100)BEA Regional Price Parities (2024)
Physician Assistant listings in Michigan133 active4,692 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 4% remote · 74% no call · 76% no weekends46 benchmarked listings
Sign-on & loan repaymentnot statedMichigan Physician Assistant listings: 19% state a sign-on bonus · 2% offer loan repayment133 active listings, Nov 2026
Emergency Medicine hiring demandnot ranked this monthpostings stay open a median 35 daysWeekdayDoc Hiring Index, October 2026 · 46 postings, 65 closed
New Emergency Medicine listings463 in the last 30 days439 the 30 days before (+5%)U.S., first seen on WeekdayDoc, Nov 2026
Physician Assistant pay trend+2.6% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024), WeekdayDoc Hiring Index; as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Physician Assistant Jobs

29 matches · ranked by pay

Salary Distribution

29 jobs · 19 employers
12
<$130k
6
$130k-150k
4
$150k-170k
5
$170k-190k
2
$190k+

Annual compensation range

Benefits & Perks

29 jobs · 19 employers
401k / retirement match
90%
CME allowance
72%
Sign-on bonus
69%
Loan repayment
10%
Relocation assistance
10%

Share of similar jobs offering each benefit

#1

Nurse Practitioner (NP) or Physician Assistant (PA) - Bangor/Brewer, ME

Constellation Health Services · Bangor, Maine

$110k-$200k
#2

Clinic Director - Physician Assistant (PA-C) or Nurse Practitioner (NP)

Ageless Mens Health · Atlanta, Georgia

$195k
#3

Physician Assistant or Nurse Practitioner

$165k-$185k
#4

Physician Assistant OR Nurse Practitioner Columbia MD

compensation $165k-$180k
+ 27 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 116 comparable listings. Shaded area = the share scoring below this one.

  • Includes weekends
Highland Hospital logo

About Highland Hospital

Hospitals and Health Care
Rochester, New York
1,001-5,000 employees

Benefits & Perks

Collaborative Practice Agreement Required

Living in Rochester Hills

Typical 3-bedroom home value
$401k≈ 4.1× annual pay
Typical market rent
$1,772/mo≈ 22% of gross pay
Residents’ average commute
24 min
Metro price indexU.S. average = 100
100.3
State income tax
Up to 4.3%
Sources & methodology

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

BEA 2024 · Detroit-Warren-Dearborn, MI metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.