Pulmonary Medicine Associates logo
Pulmonary Medicine Associates
Sacramento, California

Acute Care Nurse Practitioner

Nurse PractitionerIncludes weekendsNo callFull-Time Physician-Supervised State

Listed compensation

$165k-$190k

The week · per this posting · weekdays assumed

Ask the employer about the work setting and time off.

Posted 1mo ago

Job Description

Are you interested in working for a leading medical practice in Northern California?

Pulmonary Medicine Associates (PMA), treating patients in the greater Sacramento area for over 50 years, currently has an opening for an Advanced Practice Provider to be part of our hospital ICU care team in the Greater Sacramento area. APP's work closely with our physicians to provide high-quality medical care.

Training provided. This is a full time position. Must be able to work night shifts. Competitive salary and excellent benefits. Visit our website at pmamed.com

ACNP Duties Include

  • Under the general supervision of a physician, provide care to hospital ICU patients using established protocols as required by PMA and Hospital policy.
  • Perform comprehensive histories and physical examinations for critically ill adult patients.
  • Assess, diagnose, and develop treatment plans for patients with acute, complex, and life-threatening conditions.
  • Order, interpret, and evaluate laboratory, radiologic, and diagnostic studies.
  • Prescribe medications, blood products, fluids, and other therapies within scope of practice.
  • Perform invasive procedures
  • Monitor ventilator management in collaboration with respiratory therapy and intensivists.
  • Participate in daily multidisciplinary rounds and develop individualized plans of care.
  • Respond to rapid response and code blue activations as assigned.
  • Provide consultation regarding critical care management.
  • Communicate effectively with patients and families regarding treatment plans, prognosis, and goals of care.
  • Collaborate with consulting specialists and ancillary services to coordinate patient care.
  • Document patient assessments, treatment plans, procedures, and progress notes in the electronic medical record.
  • Ensure compliance with evidence-based practice guidelines, quality initiatives, and patient safety standards.
  • Participate in quality improvement projects, peer review, and clinical education.
  • Assist with discharge planning and transitions of care when appropriate.
  • Maintain continuing education and competency requirements.

Requirements

Graduate of Accredited School offering an Advanced Degree in Nurse Practice (ARNP)

  • Current, unrestricted California NP license ACNP preferred
  • Current Board certification in relevant specialty
  • Current DEA certificate without restriction
  • ACLS required.

Knowledge, Skills, and Abiliities

  • Advanced knowledge of critical care medicine and pathophysiology.
  • Strong clinical decision-making and diagnostic skills.
  • Ability to manage multiple critically ill patients simultaneously.
  • Proficiency in interpreting ECGs, ABGs, imaging studies, and hemodynamic monitoring.
  • Excellent communication and interdisciplinary collaboration skills.
  • Ability to perform under pressure in rapidly changing clinical situations.
  • Strong organizational and documentation skills.
  • Commitment to evidence-based practice and patient-centered care.

Key Responsibilities

The Acute Care Nurse Practitioner will provide comprehensive care to critically ill patients in the ICU, including diagnosing conditions and developing treatment plans. They will also perform invasive procedures, manage ventilators, and collaborate with a multidisciplinary team to ensure high-quality patient outcomes.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Certifications

DEA License

Key Skills

ECG interpretationABG interpretationPatient assessmentTreatment planningElectronic medical record documentation

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Acute Care Nurse Practitioner at Pulmonary Medicine Associates a 6.1 out of 10 for work-life balance — classified as good. This places the position in the top 25% in Critical Care Medicine (NP) — ranked against 109 active Critical Care Medicine (NP) listings on WeekdayDoc. Contributing factors include no on-call duties.

Critical Care Medicine — Nurse Practitioner Career Context

Of the 50 active Critical Care Medicine listings this role was benchmarked against, 30% are remote, 50% have no call, 82% require no weekends.

Critical Care Medicine pay on WeekdayDoc is up 5.8% vs. the prior quarter (through Sep 2026).

The cost-of-living index for California is 110.7 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$178k midpoint carries the purchasing power of roughly $160k in an average-cost state. 63.6% of California clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Nurse Practitioner Jobs

48 matches · ranked by pay

Salary Distribution48 jobs · 41 employers

22
<$170k
11
$170k-200k
6
$200k-230k
6
$230k-260k
3
$260k+

Annual compensation range

Benefits & Perks36 jobs

401k / retirement match
86%
CME allowance
61% this job
Sign-on bonus
42%
Loan repayment
17%
PSLF eligible
8%

Share of similar jobs offering each benefit

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Work-life snapshot

median 2.8this job 6.1
Better work-life than 80% of Critical Care Medicine (NP) listings

Listing-based score, 0–10, across 109 comparable listings. Shaded area = the share scoring below this one.

  • No call
  • Includes weekends

Living in Sacramento

Typical 3-bedroom home value
$455k≈ 2.8× annual pay
Typical market rent
$2,056/mo≈ 15% of gross pay
Residents’ average commute
25 min
Metro price indexU.S. average = 100
106.7
State income tax
Up to 13.3%
Sources & methodology

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

BEA 2024 · Sacramento-Roseville-Folsom, CA metro prices. Housing figures are city-level.

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

Pulmonary Medicine Associates logo

About Pulmonary Medicine Associates

Medical Practices
Sacramento, CA
51-200 employees

Benefits & Perks

Training provided
Excellent benefits