MI
Medical Imaging Management
Fredericksburg, Virginia

Nurse Practitioner - Hospital Based

Nurse PractitionerPer Diem Physician-Supervised State

Compensation

Pay not listed

The week · per this posting

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

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 6mo ago

Job Description

  • Job Location: Fredericksburg, VA 22408
  • Position Type: Full Time
  • Job Shift: Day

Nurse Practitioner – PRN VIVA (Virginia Interventional & Vascular Associates) VIVA is seeking a highly skilled and motivated Nurse Practitioner (NP) to join our growing outpatient interventional radiology team.

This is a dynamic, procedure-focused role ideal for a clinician who thrives in a fast-paced environment and is passionate about delivering high-quality, patient-centered care.

The individual in this role provides direct patient care, including the performance of image-guided procedures, management of pre- and post-procedural care, and collaborates with a multidisciplinary team of interventional radiologists, clinical staff, and administrative staff.

The position requires strong procedural experience, excellent clinical judgment, and a passion and commitment for providing high-quality outpatient care. This role is performed under the direct supervision of the Medical Director and is critical to upholding the mission, vision, and values of the Practice. Essential Duties and

Collaborate directly with Interventional Radiologists based on established privileges and protocols to provide procedural and clinical care. Participate in the triage and coordination of patient referrals for interventional services.

Assess patients, interpret signs and symptoms, and initiate diagnostic and therapeutic interventions within scope of practice as allowed by licensure and protocols. Develop individualized care plans in collaboration with the supervising physician.

Independently or under physician supervision, perform outpatient interventional procedures. Review medical records to verify that pre-procedure requirements and clinical standards are met.

Perform comprehensive pre-procedure evaluations, including history and physical examination, diagnostic test review, and risk assessment. Document clinical encounters and procedural details in the electronic medical record.

Ensure patient safety during and after procedures through continuous monitoring of EKG, vital signs, and clinical status, document thorough post-procedural assessments and care. Promptly communicate significant clinical changes or findings to supervising physicians to support timely decision-making and patient care.

Provide emergency response based on ACLS guidelines when required. Contribute to quality improvement efforts, protocol development, and continuing education initiatives as needed.

Qualifications

Qualifications/Requirements: 1. Holds a current, unrestricted license as a Nurse Practitioner in the Commonwealth of Virginia. 2. Submits a protocol acceptable to the Virginia Board of Medicine. 3. Submits evidence of successful completion of a minimum of 35 hours of acceptable training to the board in pharmacology. 4.

Requires a minimum of two years of experience in a similar position. 5. Active BLS and ACLS certification required within 90 days of start date. 6. Requires strong working knowledge of computer software/systems. 7. Excellent communication and customer service skills. Physical Demands: 1.

Prolonged periods of standing, including while wearing lead aprons and radiation protection apparel. 2. Substantial physical dexterity, primarily hand and fingers. 3. Requires moderate lifting of weight up to 35 pounds. 4. Requires periodic workdays in excess of nine hours. 5. Exposure to needle sticks and blood borne or air borne pathogens.

Key Responsibilities

The Nurse Practitioner will perform image-guided procedures and manage pre- and post-procedural patient care in an outpatient setting. They will collaborate with interventional radiologists to develop care plans and ensure patient safety through continuous clinical monitoring.

Requirements

Candidates must hold a current, unrestricted Nurse Practitioner license in Virginia and have at least two years of relevant experience. Successful completion of 35 hours of pharmacology training and active BLS/ACLS certifications are required.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Care PlanningDiagnostic Interpretation

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Nurse Practitioner - Hospital Based at MEDICAL IMAGING MANAGEMENT a 6.6 out of 10 for work-life balance — classified as good. This places the position in the top 25% in Radiology (NP) — ranked against 51 active Radiology (NP) listings on WeekdayDoc.

Radiology — Nurse Practitioner Career Context

In Virginia, the Nurse Practitioner weighted monthly median benchmark on WeekdayDoc is ~$135k (318 salary observations; 1,317 listings), vs ~$139k nationally (10,332 salary observations; 55,043 listings). Monthly aggregates cover 2025-11-01 through 2026-11-01; these are not the modal's selected comparable-job medians.

Of the 50 active Nurse Practitioner listings this role was benchmarked against, 24% are remote, 48% have no call, 68% require no weekends.

Nurse Practitioner by the numbers
MeasureThis jobMarket
Work-life score6.6 / 10 · top 25% in radiology (np)ranked against 51 Radiology (NP) listingslisting-based score, 0–10
Listed paynot listedNurse Practitioner median $140k (middle half $128k–$145k)10 comparable listings, Nov 2026
Virginia vs national$135k median in Virginia$139k nationally (−3%)318 state / 10,332 national salary observations
Cost of livingVirginia index 101.1US average = 100BEA Regional Price Parities (2024)
All nurse practitioner listings in Virginia454 active15,419 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 24% remote · 48% no call · 68% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedVirginia nurse practitioner listings (all specialties): 18% state a sign-on bonus (median $10k) · 16% offer loan repayment454 active listings, Nov 2026
Radiology NP hiring demandnot ranked this monthpostings stay open a median 34 daysWeekdayDoc Hiring Index, October 2026 · 17 postings, 28 closed
New Radiology NP listings15 in the last 30 days25 the 30 days before (−40%)U.S., first seen on WeekdayDoc, Nov 2026
Nurse Practitioner pay trend (all specialties)+2.1% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index (51 Radiology (NP) listings), BEA Regional Price Parities (2024), WeekdayDoc Hiring Index; as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page. Virginia figures use all nurse practitioners: too few Virginia Radiology postings state pay.

Top contract/1099 Nurse Practitioner Jobs

38 matches · ranked by pay

Salary Distribution

32 jobs · 28 employers
13
<$140k
6
$140k-160k
5
$160k-180k
5
$180k-200k
3
$200k+

Annual compensation range

Benefits & Perks

28 jobs
401k / retirement match
86%
Sign-on bonus
36%
CME allowance
36%
Loan repayment
14%
Relocation assistance
11%

Share of similar jobs offering each benefit

#1

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

Ageless Mens Health · Memphis, Tennessee

$210k
#2

NURSE PRACTITIONER

State of Franklin Healthcare Group · Gate City, Virginia

$100/hr
#3

Nurse Practitioner

$100/hr
#4

Nurse Practitioner

$41.85-$90.13/hr
+ 36 more · ranked by pay

Work-life snapshot

median 2.8this job 6.6
Better work-life than 80% of Radiology (NP) listings

Listing-based score, 0–10, across 51 comparable listings. Shaded area = the share scoring below this one.

MI

About Medical Imaging Management

Living in Fredericksburg

Typical 3-bedroom home value
$418k
Typical market rent
$2,061/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 (Sep 2026), Zillow market rents (Sep 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.