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Mary Washington Healthcare
Fredericksburg, Virginia

NP or PA - PRN - Interventional Radiology - Fredericksburg, VA

Nurse PractitionerPer Diem Physician-Supervised State

Listed compensation

$54.52-$73.26/hr

The week · per this posting

Schedule not stated in this posting — no days, weekends, call or nights given.

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 1h ago · Verified live

Job Description

Start the day excited to make a difference…end the day knowing you did. Come join our team.

Job Summary

The Nurse Practitioner (NP) or Physician Assistant (PA) provides clinical services in the inpatient setting. The NP/PA is actively involved in providing comprehensive care and education and participates in the review and development of specific policies, procedures, and practice guidelines. The incumbent in this position must be able to demonstrate effective interpersonal skills and an understanding of the interdependent roles of various allied health professions.

The NP/PA will assess physical, psychosocial, cognitive, and functional components, develop a treatment plan, order and interpret diagnostic components of the plan, and prescribe non-pharmacological and pharmacological agents.

The NP/PA functions professionally under a practice agreement with the supervising physician and operationally under the Mary Washington Medical Group.

Essential Functions & Responsibilities

In collaboration with physician, demonstrates the ability to communicate with patients and family members about diagnosis, testing, and risk of procedures.

Performs comprehensive health assessments for the purpose of diagnosing and treating individuals.

Formulates appropriate treatment plans to include appropriate diagnostics; identifies non-pharmacological interventions, appropriate pharmacological agents and education. The plan is based on mutually established priorities to maximize the heath potential of the patient.

Provides relevant patient and family education; makes appropriate referrals to other professional and community agencies.

Orders and provides preliminary interpretation of diagnostic studies.

Prescribes non-pharmacological therapies and pharmacological agents within the defined scope of service and according to guidelines established by the supervising physician.

Demonstrates the ability to use effective organizational/prioritization problem-solving and decision-making abilities in practice.

  • Provides emergency treatments and initiates emergency life saving measures per ACLS guidelines.
  • Meets all the requirements of the practice agreement with the supervising physician under the regulations and requirements of the Commonwealth of Virginia.
  • Performs other duties as assigned.

Delineation of Privileges

  • Obtain, record and dictate medical histories
  • Perform, record and dictate physical examinations

Make daily rounds, record progress notes, write comfort and diet orders, order laboratory tests and non-invasive examinations, write approved orders, and change dressings

Clinical Procedures

  • Apply and change dressings
  • Remove sutures and staples
  • Perform venipunctures
  • Insert IV needles/catheters, midlines and PICC lines, and sheaths
  • Catheterize urinary bladder
  • Pass nasogastric tubes
  • Place and remove chest tubes and monitoring lines
  • Irrigate chest tubes and catheters
  • Assess I&O; remove drainage catheters as indicated
  • Perform thyroid biopsies and fine needle aspirations
  • Perform thoracentesis and paracentesis
  • Assess IR surgical site
  • Assess pulse pre/post IR procedure

Communication

Educate patient/family regarding disease, procedures, medication, nutrition, healthcare, and post-discharge care

  • Dictate letters to physicians, patients
  • Act as liaison between patients and physicians
  • Act as liaison between nursing and physicians
  • Request consults from health agencies and act as liaison
  • Make and receive phone calls to/from patients, physicians and nurses for information, advise, triage

Other

Maintain Statistics

  • Complete appropriate forms (i. e., insurance, home health)
  • Maintain written material; teach devices and special equipment for use of personnel and patients

Qualifications

  • MSN required
  • Registered Nurse licensed to practice in Virginia or eligible required
  • Current Virginia state certification as a Nurse Practitioner required
  • Master's degree in Physician Assistant studies required
  • Virginia Physician Assistant license required
  • AHA BLS Provider CPR required at hire

ACLS Required at Hire

  • Minimum of three years recent relevant advanced practice experience required (i. e., Med/Surg, IR, Cardiology, Critical Care)
  • Ability to work effectively in emergency situations and under stress

Proficient Leadership Skills

Ability to work cooperatively/collaboratively as part of a team, developing productive working relationships with diverse groups of people

MWHC will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status (EOE). We are also committed to equitable and transparent compensation practices and comply with all applicable pay transparency and pay equity laws.

Compensation Pay Range

$54.52 - $73.26

Key Responsibilities

The NP/PA provides comprehensive clinical care in an inpatient interventional radiology setting, including performing assessments, ordering diagnostics, and executing clinical procedures. They collaborate with physicians to develop treatment plans and educate patients and families throughout the care process.

Qualifications

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

Key Skills

Patient AssessmentTreatment PlanningDiagnostic InterpretationPharmacological ManagementPatient EducationVenipuncturePICC Line Insertion

Radiology — Nurse Practitioner Career Context

In Virginia, the Nurse Practitioner weighted monthly median benchmark on WeekdayDoc is ~$134k (351 salary observations; 1,059 listings), vs ~$138k nationally (12,362 salary observations; 46,273 listings). Monthly aggregates cover 2025-11-01 through 2026-10-01; these are not the modal's selected comparable-job medians.

Of the 40 active Nurse Practitioner listings this role was benchmarked against, 33% are remote, 45% have no call, 78% require no weekends.

Nurse Practitioner pay on WeekdayDoc is up 1.1% vs. the prior quarter (through Sep 2026).

The cost-of-living index for Virginia is 101.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$133k midpoint carries the purchasing power of roughly $131k in an average-cost state. 61.1% of Virginia clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top contract/1099 Nurse Practitioner Jobs

39 matches · ranked by pay

Salary Distribution13 jobs

4
<$165k
7
$165k-190k
0
$190k-215k
2
$215k-240k

Annual compensation range

Benefits & Perks12 jobs

401k / retirement match
92%
Sign-on bonus
25%
CME allowance
17%
PSLF eligible
17%
Loan repayment
8%

Share of similar jobs offering each benefit

#1

Physician Assistant or Nurse Practitioner PRNPer Diem

SynergenX Health Holdings · Downers Grove, Illinois

$65-$400/hr
#2

Remote Psychiatric Mental Health Nurse Practitioner (PMHNP) - Arizona

Prosper Health · Arizona

$140 per hour
#3

Psychiatric Mental Health Nurse Practitioner/Outpatient Clinic/Independent Contractor/Crystal River

$130 per hour
#4

Psychiatric Mental Health Nurse Practitioner/Outpatient Clinic/Independent Contractor/The Villages

$130 per hour
+ 37 more · ranked by pay

Work-life snapshot

median 4.5this job 1.5
Below most Radiology (NP) listings for work-life

Listing-based score, 0–10, across 52 comparable listings. Shaded area = the share scoring below this one.

Living in Fredericksburg

Typical 3-bedroom home value
$419k
Typical market rent
$2,042/mo
Residents’ average commute
32 min
Metro price indexU.S. average = 100
108.9
State income tax
Up to 5.8%
Sources & methodology

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

BEA 2024 · Washington-Arlington-Alexandria, DC-VA-MD-WV metro prices. Housing figures are city-level.

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