Acute Care Nurse Practitioner
Listed compensation
$165k-$190k
The week · per this posting · weekdays assumed
Ask the employer about the work setting and time off.
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
Key Skills
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).
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