Holyoke Medical Center, a member of Valley Health Systems, is a 219-bed independent community hospital serving individuals and families throughout the cities and towns of the Pioneer Valley. Holyoke Medical Center is a nationally-accredited hospital and received the Top Hospital Award in 2020, 2016, and 2014 from the Leapfrog Group for excellence in quality of care and patient safety. This full-service hospital provides a complete line of inpatient and outpatient medical and surgical services

The Advanced Practice Provider (Nurse Practitioner or Physician Assistant) Nocturnist is responsible for delivering high-quality inpatient medical care during overnight hours in collaboration with supervising physicians and the hospital medicine team. The APP Nocturnist manages admissions, cross-coverage, urgent clinical issues, and coordination of care to ensure safe, efficient, and evidence-based treatment for hospitalized adult patients.

Essential Responsibilities

• Perform comprehensive history and physical examinations for new admissions.
• Evaluate and manage acute changes in patient condition overnight.
• Provide cross-coverage for hospitalized patients, including responding to nursing concerns and critical laboratory or imaging results.
• Develop and implement diagnostic and treatment plans in collaboration with attending hospitalists.
• Order and interpret laboratory tests, imaging studies, and other diagnostic procedures.
• Document all encounters, admissions, progress notes, and discharge summaries in the electronic medical record.
• Participate in rapid response and code blue events as part of the inpatient care team.
• Communicate effectively with nursing staff, consultants, emergency department clinicians, and attending physicians.
• Coordinate transfers to higher levels of care, including the intensive care unit, when clinically indicated.
• Ensure compliance with hospital policies, regulatory standards, and clinical protocols.
• Participate in quality improvement, patient safety, and utilization management initiatives.

Schedule and Coverage

• Primarily works overnight shifts (typically 7:00 PM to 7:00 AM).
• Provides coverage for inpatient medical and observation patients.
• May assist with admissions from the Emergency Department and direct admissions from outside providers.

Qualifications

• Graduate of an accredited Nurse Practitioner or Physician Assistant program.
• Current licensure as a Nurse Practitioner or Physician Assistant in the Massachusetts Current DEA registration and Massachusetts Controlled Substance Registration (if prescribing controlled substances).
• Board certification as an NP or PA.
• Current BLS and ACLS certification.
• Minimum of 1–3 years of hospital medicine, emergency medicine, or critical care experience preferred.

Knowledge and Skills

• Strong clinical assessment and decision-making abilities.
• Ability to recognize and respond to urgent and emergent clinical situations.
• Excellent communication and teamwork skills.
• Proficiency with electronic medical records.
• Familiarity with evidence-based inpatient medicine practices.

Reporting Relationship

Reports to the Chief/Assistant Chief of Hospital Medicine and collaborates closely with attending physicians, nursing leadership, and ancillary departments.

Performance Expectations

• Timely and accurate clinical documentation.
• Effective management of overnight admissions and cross-coverage.
• Adherence to quality and patient safety standards.
• High levels of professionalism, patient satisfaction, and teamwork.

We offer a competitive salary & benefit package, including:

• low cost health insurance with no deductibles when using HMC services
• dental and vision insurance
• free disability and life insurance
• 403(b) plan
• free onsite parking