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Vituity
Tulare, California

Physician Assistant or Nurse Practitioner - Emergency Medicine - Adventist Health Tulare

Nurse PractitionerIncludes callFull-Time Physician-Supervised State

Listed compensation

$60 - $75 per hour

Listing transparency3 of 6 stated

Ask the employer about the work setting, weekend coverage and nights and shift pattern.

Employment & setting
Full-Time
Call expectations
Includes call
Weekends
Not specified
Posted 3mo ago

Job Description

Tulare, CA – Seeking Emergency Medicine Advanced Providers

Become a Valued Member of Your Emergency Team

As an Advanced Provider, you play a critical role in our mission to improve lives in the Emergency Department and are a valued member of the full care team. At Vituity we know the impact you can have.

Join the Vituity Team. At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.

Vituity Locations: Vituity has opportunities at 890 practices across the country, serving 14.5 million patients a year. With Vituity, if you ever need to move, you can take your job with you.

The Opportunity

  • Seeking Emergency Department/Urgent Care Center physician assistants and nurse practitioners.
  • Candidates wanting to work in an academic setting with current residents desired.
  • Providers will be cross credentialed at Adventist CVN sites: Hanford, Reedley, Selma, and Tulare.

Vituity offers an internship program at all 4 Adventist Health Hospital locations for those inexperienced in Emergency Medicine. This Vituity internship/new grad training program is up to three months long and involves both clinical and didactic experiences to help focus on learning good, quality medicine, so you can be a safe and confident Advanced Provider.

  • Current national certification, DEA, ACLS, PALS, and BLS are required.
  • Current CA state license is a plus.
  • The Practice – A Four-Hospital System
  • Adventist Health Tulare – Tulare, California
  • Primary Stroke Center.
  • 50-bed facility with a 12-bed Emergency Department.
  • Annual volume of 36,000 with a 20% admit rate.
  • Large network with availability of multiple specialists.
  • Adventist Health Selma – Selma, California
  • A small, community hospital with a well-equipped ER and hardworking staff and great team culture.
  • 45-bed facility with 10 ED beds and six other patient care areas.
  • Annual volume of 45,000 with a 5% admit rate.

Site utilizes PA/NP’s for Rapid Medical Evaluation® (RME) to reduce wait times and increase patient satisfaction.

  • Previously granted Vituity’s Practice of the Year award.
  • Adventist Medical Center – Reedley, California
  • Part of the Adventist Health Central Valley Network (CVN) along with locations in Selma, Hanford, and Tulare.
  • Excellent door-to-provider and throughput times.
  • Cerner EMR and Vituity scribe support.
  • 49-bed hospital with 10 main ER beds, one procedure room, one overflow room, and two triage rooms.
  • Annual ED volume of approximately 39,000.
  • Great culture with low turnover and a supportive atmosphere.
  • Adventist Health Hanford – Hanford, California
  • A busy 26-bed ED, seeing roughly 150-170 patients per day.
  • 173-bed acute care rural/suburban hospital in the Central Valley.
  • Primary Stroke Center and soon-to-be STEMI Receiving Center.
  • Robust call panel, flexible scheduling, protection of care.

The Joint Commission Gold Seal of Approval and the American Heart Association’s Heart-Check mark for Advanced Primary Stroke Certification.

  • Adventist hospitals across the Valley recognize Vituity as a leader in Academics.
  • The Community

Tulare, California, located in the heart of the San Joaquin Valley, is a vibrant agricultural hub with a rich history and a welcoming community.

Known for its role in the dairy industry, Tulare is home to the World Ag Expo, the largest agricultural trade show in the world, showcasing the region’s deep farming roots.

The city is surrounded by scenic landscapes, including the nearby Sequoia National Park, where residents and visitors can enjoy hiking, camping, and exploring giant sequoia trees.

Tulare’s Mediterranean climate offers hot summers and mild winters, making it ideal for outdoor activities year-round.

The city’s family-friendly atmosphere, affordable housing, and strong sense of community make it an attractive place to call home.

With its central location, Tulare provides easy access to nearby cities like Fresno and Visalia, while still maintaining a peaceful, small-town charm.

Benefits & Beyond*

Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.

  • Superior health plan options
  • Dental, Vision, Life and AD&D coverage, and more

Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6% plus discretionary profit-sharing contributions (eligible January following 18 months of service)

Variety of Pre-Tax Savings Accounts including HSA, FSA, Dependent Care and Commuter Benefits

Time Off when you need it: Start with 4 weeks PTO annually and increase to 6 weeks with tenure, plus generous sick leave

  • Flexible scheduling for work/life balance
  • Annual cash bonus

Professional Expense Reimbursement for medical staff dues, states licenses, DEA license, and national recertification fees

  • Up to $1,500 annual allowance for medical education courses and professional memberships
  • Student Loan Refinancing Discounts
  • EAP and travel assistance included
  • Free education opportunities for personal and professional growth
  • Several wellness programs that focus on provider wellbeing and health
  • Purpose-driven culture focused on improving the lives of our patients, communities, and employees

Salary range for this role is $60 - $75 per hour. Please speak with a recruiter for more information.

We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.

Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.

*Benefits for part-time and per diem vary. Please speak to a recruiter for more information.

Applicants only. No agencies please.

Key Responsibilities

Provide critical care as an Advanced Provider within the Emergency Department and Urgent Care settings across multiple Adventist Health sites. Collaborate with a full care team to improve patient lives and maintain high standards of quality medicine.

Requirements

Requires national certification, DEA, ACLS, PALS, and BLS certifications. A current California state license is preferred, and candidates should be Physician Assistants or Nurse Practitioners.

Qualifications

Education
Professional certificate or licensure

Key Skills

Clinical DiagnosisPatient ThroughputInterdisciplinary Collaboration

Emergency Medicine — Nurse Practitioner Career Context

Of the 50 active Emergency Medicine listings this role was benchmarked against, 20% are remote, 60% have no call, 74% require no weekends.

Emergency Medicine pay on WeekdayDoc is down 10.7% vs. the prior quarter (through Aug 2026).

The cost-of-living index for California is 110.7 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$140k midpoint carries the purchasing power of roughly $127k 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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401k / retirement match
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CME allowance
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Loan repayment
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Work-life snapshot

2.6/ 10
Listing-based score
  • Includes call

Living in Tulare

Typical 3-bedroom home value
$343k
Typical market rent
$1,826/mo
Residents’ average commute
23 min
Metro price indexU.S. average = 100
99.8
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 · Visalia, CA metro prices. Housing figures are city-level.

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

Vituity logo

About Vituity

Hospitals and Health Care
Emeryville, CA
1,001-5,000 employees

Benefits & Perks

Superior health plan options
Dental, Vision, Life and AD&D coverage
Top Tier 401(k) with $1.20 match per dollar up to 6% plus profit-sharing
Pre-Tax Savings Accounts (HSA, FSA, Dependent Care, Commuter)
4 weeks PTO starting, increasing to 6 weeks
Flexible scheduling
Annual cash bonus
Professional Expense Reimbursement