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Med America
Selma, California

Physician Assistant or Nurse Practitioner - Emergency Medicine

Nurse PractitionerFull-Time Physician-Supervised State

Listed compensation

$60-$70/hr

The week · per this posting · weekdays assumed

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

Posted 1mo ago

Job Description

Selma, 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.
  • Previous ED/UCC experience preferred.
  • New grads welcome to apply.
  • Candidates wanting to work in an academic setting with current residents desired.

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 DEA, ACLS, PALS, and BLS are required.
  • Current CA state license is a plus.
  • H1-B/H1B Visa applicants are encouraged to apply.
  • The Practice – A Four – Hospital System
  • Adventist Health Hanford – Hanford, California
  • Adventist Health Tulare – Tulare, California
  • Adventist Medical Center – Reedley, California
  • 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%25 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.

The Community

Selma, California, located in the heart of Fresno County, is a charming community known as the “Raisin Capital of the World.”

Its agricultural heritage is reflected in its picturesque vineyards and orchards, which play a vital role in the local economy.

  • The city hosts annual events like the Raisin Festival, celebrating its rich farming traditions.
  • Nearby, residents can explore the Blossom Trail, a scenic route showcasing vibrant spring blooms.

Selma offers small-town charm with easy access to larger cities like Fresno and landmarks such as Yosemite, Sequoia, and Kings Canyon National Parks for outdoor adventures.

The Mediterranean climate brings hot, dry summers and mild winters, perfect for enjoying outdoor activities year-round.

With a friendly community, affordable living, and a strong sense of tradition, Selma provides a peaceful yet connected lifestyle that appeals to families and professionals alike.

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%25 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 - $70 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

The Advanced Provider will deliver high-quality clinical care within the Emergency Department and participate in Rapid Medical Evaluation to improve patient flow. They will work collaboratively with the full care team to ensure positive patient outcomes and contribute to the department's shared goals.

Requirements

Candidates must hold current DEA, ACLS, PALS, and BLS certifications, with a California state license considered a plus. While previous ED/UCC experience is preferred, new graduates are welcome to apply and may participate in a specialized training program.

Key Skills

Clinical assessmentTriageEmergency department operationsAcute careDiagnostic skillsTeam collaborationMedical documentation

Emergency Medicine — Nurse Practitioner Career Context

Of the 49 active Emergency Medicine listings this role was benchmarked against, 35% are remote, 63% have no call, 65% require no weekends.

Emergency Medicine pay on WeekdayDoc is up 4.1% vs. the prior quarter (through Sep 2026).

Emergency Medicine by the numbers
MeasureThis jobMarket
Work-life score4.2 / 10 · top 25% in emergency medicine (np)ranked against 266 Emergency Medicine (NP) listingslisting-based score, 0–10
Listed pay$125k–$146kEmergency Medicine median $196k (middle half $158k–$226k)37 comparable listings, Oct 2026
Cost-of-living adjusted pay~$122k in purchasing powerCalifornia index 110.7 (US = 100)BEA Regional Price Parities (2024)
Emergency Medicine listings in California42 active270 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 35% remote · 63% no call · 65% no weekends49 benchmarked listings
Sign-on & loan repaymentsign-on bonus · loan repaymentCalifornia Nurse Practitioner listings: 18% state a sign-on bonus (median $20k) · 12% offer loan repayment1,110 active listings, Oct 2026
Emergency Medicine pay trend+4.1% vs prior quarter—through Sep 2026
Sources: WeekdayDoc live listing index (266 Emergency Medicine (NP) listings), BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Nurse Practitioner Jobs

38 matches · ranked by pay

Salary Distribution

38 jobs · 24 employers
11
<$170k
13
$170k-200k
6
$200k-230k
2
$230k-260k
6
$260k

Annual compensation range

Benefits & Perks

33 jobs · 24 employers
401k / retirement match
91% this job
Sign-on bonus
70% this job
CME allowance
64% this job
Relocation assistance
24%
Loan repayment
12% this job

Share of similar jobs offering each benefit

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+ 36 more · ranked by pay

Work-life snapshot

median 2.6this job 4.2
Better work-life than 80% of Emergency Medicine (NP) listings

Listing-based score, 0–10, across 266 comparable listings. Shaded area = the share scoring below this one.

Med America logo

About Med America

Hospitals and Health Care
Emeryville, CA
201-500 employees

Benefits & Perks

Superior health plan options
Dental, Vision, Life and AD&D coverage
Top Tier 401(k) retirement savings plans with $1.20 match for every dollar up to 6% plus discretionary profit-sharing contributions
Variety of Pre-Tax Savings Accounts including HSA, FSA, Dependent Care and Commuter Benefits
4 weeks PTO annually, increasing 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, state licenses, DEA license, and national recertification fees

Living in Selma

Typical 3-bedroom home value
$350k
Typical market rent
$1,717/mo
Residents’ average commute
24 min
Metro price indexU.S. average = 100
102.2
State income tax
Up to 13.3%
Sources & methodology

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

BEA 2024 · Fresno, CA metro prices. Housing figures are city-level.

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