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MultiCare Health System
Tacoma, Washington

Physician Assistant (PA-C) or Nurse Practitioner (ARNP) - Nocturnist ACS and Urology

UrologyIncludes callFull-Time

Listed compensation

$180.75K–$214.5K

The week · per this posting

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

Posted 1mo ago · Verified live

Job Description

Join a Team That Shares Your Calling

At MultiCare, you’re more than just a job title — you’re part of a team built on trust that cares for each other, our patients and our communities. Belonging here means living our mission and values every day. If your purpose and passions align with ours, you’ll find a place to grow, do meaningful work and build a career you love in a community that feels like home.

  • FTE: 1.0, Shift: Night, Schedule: 4 10's
  • Inpatient Acute Care Surgery (ACS) and Urology Night Shift Opportunity!
  • Join a collaborative team working at Tacoma General / Allenmore Hospital
  • Open to Physician Assistant or Nurse Practitioner with a minimum of one year experience post graduation
  • Work autonomously in an inpatient setting to include rounding, ED consults, inpatient consults, discharging
  • First assist as needed with robotics experience is preferred
  • Contact Sheree Keen for more information @sheree.keen@multicare.org

#LI-SK1

Position Summary

MultiCare is seeking a nocturnist Advanced Practice Provider to deliver high‑quality inpatient care across Acute Care Surgical Services and Urology.

The role provides overnight coverage for inpatient and ED consults, rounding, minor bedside procedures, first-assisting for urgent/emergent cases as appropriate to scope, and seamless care coordination with on‑call surgeons and day teams.

This provider will practice in a highly collaborative, integrated environment and contribute to the growth of General Surgery and Urology services with community partners across the Puget Sound region.

Responsibilities

  • Core (shared) Responsibilities
  • Perform inpatient and ED consults; round on admitted patients; manage active patient lists overnight
  • Place pre‑ and post‑operative orders and conduct/complete comprehensive histories & physicals (H&Ps) per privileging
  • Provide patient and family education; ensure diligent follow‑up consistent with community standards
  • Manage in‑basket communications and coordinate cross‑coverage handoffs to day teams
  • Respond to pages/messages via PerfectServe and other approved channels in accordance with MultiCare policies

ACS Responsibilities

  • Assist with urgent/emergent general surgery cases consistent with privileging and surgeon direction (first‑assist)
  • Support bedside procedures and resuscitation/initial management workflows for surgical patients
  • Participate in APP/staff onboarding and ongoing training as requested by the service

Urology Responsibilities

Perform Urology inpatient/ED consults and rounding, including minor bedside urologic procedures within scope and competency

Coordinate urgent operative cases with the OR; facilitate pre‑op planning and post‑op care for urologic patients.

As service needs allow, support clinic follow‑ups and procedure‑related care coordination (primarily daytime teams)

Requirements

  • Washington State Advanced Practice license: Nurse Practitioner or Physician Assistant required.
  • WA DEA, NPI & prescriptive authority required
  • ACLS, ATLS & BLS for Healthcare providers – certification by AHA required

Trauma Certification as Required by Facility

Surgical Experience Preferred with competency in either urologic or general surgery workflows; prior first‑assist experience strongly preferred

About Allenmore Hospital

MultiCare Allenmore Hospital has served Tacoma since 1929, offering convenient access to primary and specialty care services. This 130-bed hospital provides advanced diagnostic and treatment technologies and a 24-hour Emergency Department, all located on a patient-friendly, easily accessible campus.

About the Tacoma Community

Tacoma, just 30 miles south of Seattle, blends big-city amenities with the beauty of the Pacific Northwest. From scenic waterfronts and mountain trails to vibrant arts, dining and brewery scenes, Tacoma offers something for everyone — outdoor enthusiasts, families and young professionals alike. With strong schools and universities, it’s a city where you can live, work and play.

Why MultiCare?

Rooted in the local community – Partnering with patients, families and neighbors across the Pacific Northwest for more than 140 years

Growth and education – Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in your future

Well-being and support – Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared for at work and in life

Living our values – Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other

Belonging for all – Employee Resource Groups, inclusion initiatives and outreach programs support a workplace where every voice is valued

Pacific Northwest lifestyle – Work and live where natural beauty, adventure and strong community connections are part of everyday life

Pay and Benefit Expectations

We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $180,750.00 - $214,500.00 USD.

However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education.

If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align.

Associated benefit information can be viewed here.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Certifications

DEA License

Key Skills

Patient educationH&P completion

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Physician Assistant (PA-C) or Nurse Practitioner (ARNP) - Nocturnist ACS and Urology at MultiCare Health System a 6.1 out of 10 for work-life balance — classified as good. This places the position in the Above average in Urology — ranked against 261 active Urology listings on WeekdayDoc.

Urology — Physician Career Context

Physician pay on WeekdayDoc is up 4.8% vs. the prior quarter (through Aug 2026).

The cost-of-living index for Washington is 107.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$198k midpoint carries the purchasing power of roughly $185k in an average-cost state. 59.8% of Washington clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$198k midpoint, that is roughly $8k–$14k a year versus a typical 4–7% state rate.

Top Urologist Jobs

10 matches · ranked by pay

Salary Distribution8 jobs

3
<$420k
2
$420k-530k
1
$535k
1
$675k
1
$750k

Annual compensation range

Work-Life Balance Distribution10 jobs · 8 employers

0
1-2
0
3-4
0
5-6
9
7-8
1
9-10

Higher = better work-life balance

#1

Full-Time Urologist - Flexible Options Available

CHS Recruiting · Berkeley Heights, New Jersey

$425k-$750k
#2

Urologist: Welcoming New Graduates & Experienced Physicians

Seasoned Recruitment · Buffalo, New York

$625k-$675k
#3

General Neurologist

$320k-$535k
#4

Physician, Urology general with URPS-FPMRS interest (Santa Rosa, CA)

$439k-$486k
+ 8 more · ranked by pay

Work-life snapshot

median 3.9this job 6.1
Better work-life than 70% of Urology listings

Listing-based score, 0–10, across 261 comparable listings. Shaded area = the share scoring below this one.

  • Includes call

Living in Tacoma

Typical 3-bedroom home value
$488k≈ 2.7× annual pay
Typical market rent
$1,740/mo≈ 12% of gross pay
Residents’ average commute
29 min
Metro price indexU.S. average = 100
111.1
State income tax
None
Sources & methodology

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

BEA 2024 · Seattle-Tacoma-Bellevue, WA metro prices. Housing figures are city-level.

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

MultiCare Health System logo

About MultiCare Health System

Hospitals and Health Care
Tacoma, WA
10,000+ employees

Benefits & Perks

Competitive salary
Medical, dental, retirement benefits
Paid time off
Tuition assistance
Award-winning residencies and fellowships
Career development
Well-being support
Employee Assistance Programs