Locum NP (Nurse Practitioner), PA (Physician's Assistant) Critical Care
Listed compensation
$100-$125/hr
The week · per this posting · Tuesday – Friday
Weekend work is also flagged as required; confirm which days and how often.
Ask the employer about the work setting, nights and shift pattern and time off.
Job Description
This on-site, contract position offers the opportunity to provide high-acuity patient care in a dynamic clinical environment while working alongside experienced intensivists, critical care physicians, and interdisciplinary specialists.
As a Locum NP/PA in Critical Care, you will be integral to the assessment, diagnosis, and management of critically ill patients in the intensive care unit (ICU) and other acute care settings.
Your expertise will directly impact patient outcomes, ensuring timely interventions, evidence-based treatments, and comprehensive continuity of care.
This role is ideal for an associate-level clinician seeking flexible contract work with a reputable healthcare staffing consultancy dedicated to excellence in medical practice.
Responsibilities
Perform comprehensive patient assessments, including history taking, physical examinations, and diagnostic evaluations for critically ill patients.
Develop, implement, and adjust individualized treatment plans under the supervision of attending physicians in the critical care setting.
Order, interpret, and analyze laboratory tests, imaging studies, and other diagnostic procedures to guide clinical decision-making.
Perform invasive procedures such as central line placement, arterial line insertion, intubation, and chest tube placement as credentialed and privileged.
Prescribe medications, fluids, and interventions according to established protocols and scope of practice.
Monitor patient progress, document clinical findings accurately, and communicate effectively with the interdisciplinary care team.
Provide emergency response and resuscitation support, including code blue management and rapid response team participation.
Educate patients, families, and caregivers on diagnoses, treatment plans, and post-discharge care requirements.
Collaborate with intensivists, nurses, respiratory therapists, and pharmacists to ensure coordinated, high-quality patient care.
Participate in quality improvement initiatives, clinical rounds, and case conferences to enhance critical care outcomes.
Maintain compliance with hospital policies, regulatory standards, and infection control protocols at all times.
Ensure accurate and timely documentation of all patient interactions and clinical procedures in the electronic health record (EHR) system.
Requirements
Active and unrestricted Nurse Practitioner (NP) or Physician's Assistant (PA) licensure in the state of Virginia or eligibility for Virginia licensure.
Graduation from an accredited NP or PA program with current national certification (AANP, ANCC, NCCPA, or equivalent).
Minimum of 1-2 years of experience in critical care, intensive care, or acute care settings (associate-level experience accepted).
- Current certification in Advanced Cardiovascular Life Support (ACLS) and Basic Life Support (BLS).
- Strong clinical assessment and diagnostic reasoning skills with the ability to manage complex, multi-system conditions.
- Proficiency in performing and interpreting common critical care procedures and interventions.
Excellent communication, interpersonal, and collaboration skills for effective teamwork in high-pressure environments.
Ability to work flexible shift schedules, including nights, weekends, and holidays as required in a contract locum role.
- Experience with electronic health record (EHR) systems and accurate clinical documentation.
- Commitment to evidence-based practice, patient safety, and continuous professional development.
- Ability to remain calm, focused, and decisive in emergency and high-acuity situations.
Active Drug Enforcement Administration (DEA) registration or eligibility for prescriptive authority is preferred.
Schedule: Tuesday-Friday, 7a-4p, Saturday-Sunday, 8a-12p
No call requirement
Setting: Intermediate care unit (IMCU)
Patient Census: 8-12 per day
Primarily post-op CTS patients, with occasional pre-op management
Support Staff: APP
EMR: Epic
Must be board-certified
Paid travel & expenses
Qualifications
- Education
- Professional certificate or licensure
- Experience
- 2+ years of experience
Certifications
Key Skills
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Locum NP (Nurse Practitioner), PA (Physician's Assistant) Critical Care at Rinvio Recruitment a 6.6 out of 10 for work-life balance — classified as good. This places the position in the top 10% in Critical Care Medicine (NP) — ranked against 111 active Critical Care Medicine (NP) listings on WeekdayDoc. Contributing factors include no on-call duties.
Critical Care Medicine — Nurse Practitioner Career Context
In Virginia, the Nurse Practitioner weighted monthly median benchmark on WeekdayDoc is ~$135k (266 salary observations; 1,141 listings), vs ~$138k nationally (9,208 salary observations; 46,471 listings). Monthly aggregates cover 2025-11-01 through 2026-10-01; these are not the modal's selected comparable-job medians.
Of the 50 active Nurse Practitioner listings this role was benchmarked against, 30% are remote, 48% have no call, 64% require no weekends.
The cost-of-living index for Virginia is 101.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$234k midpoint carries the purchasing power of roughly $231k in an average-cost state. 61.1% of Virginia clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
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