Emergency Medicine Nocturnist - Physician Assistant/Nurse Practitioner
Listed compensation
$187K - $208K
The week · per this posting · weekdays assumed
Ask the employer about the work setting, weekend coverage, nights and shift pattern and time off.
Job Description
Inspire Health Medical Group (IHMG), affiliated with UCSF Fresno, has an excellent opportunity for a licensed full-time Physician Assistant or Nurse Practitioner in the Emergency Department (ED) at Community Regional Medical Center (CRMC) in Fresno, California. Nocturnist position — 9:00 p. m. to 7:00 a. m., with night differential included.
CRMC is the only Level 1 Trauma Center/Burn Center serving multiple counties in Central California and is a teaching institution with Residency programs in all of the major medical specialties, including Emergency Medicine and an Emergency Medicine PA Residency.
The CRMC ED is one of the busiest in California with significant patient pathology. Multiple resources are available, such as bedside ultrasound, language interpreters, case managers, social workers, full specialty support, and more.
Physician assistants or Nurse Practitioners practice in all areas of the ED, see a wide range of acuities, and perform advanced procedures. Emergency medicine faculty are leaders within EM: RAP, the American College of Emergency Physicians, and the Society of Emergency Medicine Physician Assistants.
The department also has an active EMS, ultrasound, research, and wilderness medicine program. Numerous educational opportunities are available within the Emergency Medicine Residency.
Residents of Fresno enjoy a high standard of living combined with a low cost of living. While there is much to see and do in Fresno, the city is ideally located for fast, convenient getaways to the majestic Sierra, including renowned Yosemite National Park, as well as the scenic Central Coast.
We offer a competitive salary, full benefits (including 401k match), paid time off, malpractice, and CME allowance.
Compensation: $800 (10hr) or $720 (9hr) shift. 1.0 FTE = approximately 14 shifts/month
The range listed is exclusively for base compensation for full-time employment and does not include incentive compensation or benefits. Actual compensation may be adjusted for experience, training, hospital/community need and other factors. Actual compensation may also vary based on additional services, including call coverage, administrative services, performance bonus, and/or productivity
Requirements
California Physician Assistant/Nurse Practitioner license or eligible to obtain prior to hire.
2 years of ED/Urgent Care experience preferred or completion of an Emergency Medicine PA/NP residency/fellowship.
Key Responsibilities
Provide emergency medical care to patients in a high-acuity Level 1 Trauma Center setting during night shifts. Perform advanced procedures and collaborate with a multidisciplinary team including residents, case managers, and specialty support.
Qualifications
- Education
- Professional certificate or licensure
- Experience
- 2+ years of experience
Key Skills
Emergency Medicine — Physician Career Context
Of the 45 active Emergency Medicine listings this role was benchmarked against, 89% have no call, 64% require no weekends.
The cost-of-living index for California is 110.7 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$198k midpoint carries the purchasing power of roughly $179k in an average-cost state. 63.6% of California clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
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$200k-$350kWork-life snapshot
Listing-based score, 0–10, across 1,022 comparable listings. Shaded area = the share scoring below this one.
- Includes call
Living in Fresno
- Typical 3-bedroom home value
- $380k
- Typical market rent
- $1,941/mo
- Residents’ average commute
- 22 min
- Metro price indexU.S. average = 100
- 102.2
- 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 · Fresno, CA metro prices. Housing figures are city-level.
City-level figures. Not a cost-of-living guarantee.