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Independent Practice Management
Sacramento, California

Acute Care Nurse Practitioner Full Time Float

Nurse PractitionerIncludes callFull-Time Physician-Supervised State

Listed compensation

$185K

The week · per this posting

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

Posted 2mo ago

Job Description

Description

Are you interested in working for a leading medical practice in Northern California?

Pulmonary Medicine Associates (PMA), treating patients in the greater Sacramento area for over 50 years, currently has an opening for an Advanced Practice Provider to be part of our hospital ICU care team in the Greater Sacramento area. APP's work closely with our physicians to provide high-quality medical care.

Training provided. This is a full time float position. Must be able to work night shifts. Competitive salary and excellent benefits. Visit our website at www.pmamed.com

ACNP Duties Include

Under the general supervision of a physician, provide care to hospital ICU patients using established protocols as required by PMA and Hospital policy.

  • Perform comprehensive histories and physical examinations for critically ill adult patients.
  • Assess, diagnose, and develop treatment plans for patients with acute, complex, and life-threatening conditions.
  • Order, interpret, and evaluate laboratory, radiologic, and diagnostic studies.
  • Prescribe medications, blood products, fluids, and other therapies within scope of practice.

Perform Invasive Procedures

  • Monitor ventilator management in collaboration with respiratory therapy and intensivists.
  • Participate in daily multidisciplinary rounds and develop individualized plans of care.
  • Respond to rapid response and code blue activations as assigned.
  • Provide consultation regarding critical care management.
  • Communicate effectively with patients and families regarding treatment plans, prognosis, and goals of care.
  • Collaborate with consulting specialists and ancillary services to coordinate patient care.
  • Document patient assessments, treatment plans, procedures, and progress notes in the electronic medical record.
  • Ensure compliance with evidence-based practice guidelines, quality initiatives, and patient safety standards.
  • Participate in quality improvement projects, peer review, and clinical education.
  • Assist with discharge planning and transitions of care when appropriate.
  • Maintain continuing education and competency requirements.

Requirements

Education/Licensure/Certifications:

  • Graduate of Accredited School offering an Advanced Degree in Nurse Practice (ARNP)
  • Current, unrestricted California NP license ACNP preferred
  • Current Board certification in relevant specialty
  • Current DEA certificate without restriction
  • ACLS required.
  • Knowledge, Skills, and Abiliities
  • Advanced knowledge of critical care medicine and pathophysiology.
  • Strong clinical decision-making and diagnostic skills.
  • Ability to manage multiple critically ill patients simultaneously.
  • Proficiency in interpreting ECGs, ABGs, imaging studies, and hemodynamic monitoring.
  • Excellent communication and interdisciplinary collaboration skills.
  • Ability to perform under pressure in rapidly changing clinical situations.
  • Strong organizational and documentation skills.
  • Commitment to evidence-based practice and patient-centered care.

Key Responsibilities

Provide comprehensive care to critically ill adult patients in the hospital ICU, including diagnosing complex conditions and developing treatment plans. Collaborate with multidisciplinary teams to manage ventilators, perform invasive procedures, and coordinate patient care goals.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Certifications

DEA License

Key Skills

ECG InterpretationABG InterpretationPatient AssessmentElectronic Medical Records

Hospital Medicine — Nurse Practitioner Career Context

Of the 50 active Nurse Practitioner listings this role was benchmarked against, 20% are remote, 56% have no call, 78% require no weekends.

Nurse Practitioner pay on WeekdayDoc is down 1.4% 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 ~$185k midpoint carries the purchasing power of roughly $167k in an average-cost state. 63.6% of California clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Nurse Practitioner Jobs

32 matches · ranked by pay

Salary Distribution32 jobs · 24 employers

8
<$145k
6
$145k-170k
9
$170k-195k
6
$195k-220k
3
$220k+

Annual compensation range

Benefits & Perks31 jobs · 24 employers

401k / retirement match
84%
CME allowance
65% this job
Sign-on bonus
42%
Loan repayment
16%
Relocation assistance
6%

Share of similar jobs offering each benefit

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+ 30 more · ranked by pay

Work-life snapshot

median 1.5this job 1.5
Better work-life than 50% of Hospital Medicine (NP) listings

Listing-based score, 0–10, across 271 comparable listings. Shaded area = the share scoring below this one.

  • Includes call

Living in Sacramento

Typical 3-bedroom home value
$455k≈ 2.5× annual pay
Typical market rent
$2,056/mo≈ 13% of gross pay
Residents’ average commute
25 min
Metro price indexU.S. average = 100
106.7
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 · Sacramento-Roseville-Folsom, CA metro prices. Housing figures are city-level.

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

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About Independent Practice Management

Medical Practices
Sacramento, CA
51-200 employees