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Johns Hopkins University
Columbia, Maryland

Sr. Nurse Practitioner (HCMC Adult ED)

Nurse PractitionerIncludes weekendsFull-Time Full Practice Authority

Listed compensation

$113k-$157k

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, nights and shift pattern and time off.

Posted 1h ago · Verified live

Job Description

We are seeking a Sr. Nurse Practitioner who will work collaboratively within a multidisciplinary health care team. Responsible for complex, standardized, patient care procedures that require experience and specialized training that would otherwise be performed by a physician.

Educates patients and families in matters pertaining to health maintenance, disease prevention and appropriate measures in acute and chronic illness. Direct supervision from appropriate licensed physician as designated.

Specific Duties & Responsibilities

Perform a comprehensive, accurate history and physical including chief compliant, presenting signs and symptoms, and past medical history and interval history. Recognize differences between normal and abnormal findings in H & P. Significant findings are validated or discussed with a physician as appropriate.

Order and interpret laboratory tests, x-rays, diets, physical therapy, inhalation therapy or other services when delegated by a supervising physician. Abnormal findings are discussed with a physician as appropriate.

Initiate IV therapy by peripheral, central, intraosseous routes. Perform injections, arterial puncture, and venipuncture. Initiate Basic/Advanced life support in response to emergency situations.

  • Prepare chart documentation for review and counter signature by the physician.
  • Determine differential diagnosis.
  • Maintain technical proficiency with approved procedures including suturing, wound care and orthopedic care.
  • Prescribe and regulate medications.
  • Evaluate outcomes of previously implemented interventions.
  • Arrange consultations and referrals when needed.

Attend staff meetings to discuss patient and unit requirements. Daily informal discussions are held with the physician and other health professionals to plan patient care.

Give input for design of research protocols and procedures.

Responsible for the conduct of EM sponsored clinical trials including regulatory issues, recruitment and good clinical practice. Coordinate the implementation of protocols in conjunction with the other staff members. Oversee daily operations for clinical research protocols in collaboration with other staff. Responsible to obtain informed consent from study participants.

Remain proficient in the utilization of commonly used clinical protocols and guidelines.

Remain abreast of new treatment modalities and technologies within the field of Emergency Medicine. Maintain competencies with the use of Med/Surg instruments and equipment.

Participate in the interviewing process of clinical staff. Makes hiring recommendations. Can recommend discipline.

Minimum Qualifications

  • Master's Degree in Nursing; Registered Nurse license and Certified as a Nurse Practitioner.
  • Must be licensed as NP in State of Maryland or other state where practicing.

Current CPR certification required. Must maintain current licensure and certification during duration of employment.

Minimum of 3 years experience in related clinical area and obtained proficiency in area of specialty.

Additional education may substitute for required experience to the extent permitted by the JHU equivalency formula.

Preferred Qualifications

  • Emergency Medicine experience.
  • Five years related experience.
  • Classified Title: Sr. Nurse Practitioner
  • Role/Level/Range: ACRP/04/MG
  • Starting Salary Range: $112,572 - $156,725 Annually (Commensurate w/exp.)
  • Employee group: Full Time
  • Schedule: Mon – Sun, Days, Nights, Weekends
  • FLSA Status: Exempt
  • Location: JH at Howard County Hospital
  • Department name: HC Emergency Med
  • Personnel area: School of Medicine

Key Responsibilities

The Senior Nurse Practitioner will provide complex patient care in an emergency department setting, including performing physical exams, ordering diagnostic tests, and managing acute and chronic illnesses. Additionally, they will oversee clinical research protocols, coordinate staff, and participate in hiring and disciplinary recommendations.

Requirements

Candidates must hold a Master's Degree in Nursing, a valid Registered Nurse license, and be certified as a Nurse Practitioner. A minimum of 3 years of clinical experience in a related area is required, with preference given to those with Emergency Medicine experience.

Qualifications

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

Key Skills

Physical examinationMedication prescriptionRegulatory complianceStaff supervision

Emergency Medicine — Nurse Practitioner Career Context

Johns Hopkins University holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 71/100, 35 active listings.

Of the 48 active Emergency Medicine listings this role was benchmarked against, 13% are remote, 71% have no call, 65% require no weekends.

Emergency Medicine pay on WeekdayDoc is up 3.8% vs. the prior quarter (through Sep 2026).

The cost-of-living index for Maryland is 105.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$135k midpoint carries the purchasing power of roughly $128k in an average-cost state. 62.9% of Maryland clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Nurse Practitioner Jobs

27 matches · ranked by pay

Salary Distribution27 jobs · 23 employers

5
<$115k
5
$115k-140k
10
$140k-165k
5
$165k-190k
2
$190k+

Annual compensation range

Benefits & Perks24 jobs · 23 employers

401k / retirement match
88%
Sign-on bonus
58%
CME allowance
42%
Relocation assistance
17%
Loan repayment
13%

Share of similar jobs offering each benefit

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#3

Physician Assistant OR Nurse Practitioner Columbia MD

compensation $165k-$180k
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$165K - $180K
+ 25 more · ranked by pay

Work-life snapshot

median 2.6this job 1.5
Better work-life than 20% of Emergency Medicine (NP) listings

Listing-based score, 0–10, across 268 comparable listings. Shaded area = the share scoring below this one.

  • Includes weekends

Living in Columbia

Typical 3-bedroom home value
$448k≈ 4.0× annual pay
Typical market rent
$2,259/mo≈ 24% of gross pay
Residents’ average commute
28 min
Metro price indexU.S. average = 100
104.5
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 · Baltimore-Columbia-Towson, MD metro prices. Housing figures are city-level.

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

Johns Hopkins University logo

About Johns Hopkins University

Education Administration Programs
Baltimore, Maryland
501-1,000 employees

Benefits & Perks

Full-time position
PSLF eligible employer