Nocturnist Physician Assistant

We are seeking an experienced Nurse Practitioner or Physician Assistant for a Nocturnist Hospital Medicine locum opportunity in Plainview, Texas, beginning November 2026. This assignment offers consistent overnight coverage with approximately 14 shifts per month, a relatively low overnight admission volume, physician backup, and no required procedures.

Assignment Details

Start: November 2026

Ongoing through the end of the year

Approximately 14 shifts per month

Nocturnist APP coverage

Minimum 2 years of experience required

Schedule

Night shifts

7:00 PM 7:00 AM

12-hour shifts

One APP onsite overnight

Day hospitalist physician provides overnight call support for the APP

Practice Setting

Acute care hospital

Hospital Medicine

45 medical/surgical beds

Open ICU

Epic EMR

Hospital Medicine admits all patients, including surgical and orthopedic patients

Patient Volume

Average overnight admissions: 1 3

Average daytime census: 9 11

Average daytime admissions: 3 9

Procedures

No procedures required

Procedures are described as rare

Intubation, central line placement, and ventilator management experience is preferred but not required

Emergency Medicine team can perform procedures when needed

Support Staff

Physician available on night call for APP support

Hospitalist coverage onsite during the day

Specialty services include Anesthesiology, Cardiology, OB/GYN, Radiology, Orthopedics, General Surgery, Pediatrics, and additional ancillary services

Requirements

Nurse Practitioner or Physician Assistant

Minimum 2 years of experience required

Active Texas license or Texas license currently in process

BLS

ACLS

No procedures required

Credentialing & Onboarding

Anticipated credentialing: days

Typical timeframe: approximately 3 4 months

Temporary privileges may be available with a complete file and required approvals

Epic training must be completed prior to orientation

Epic training is virtual and required for all clinicians

Ideal Candidate

An experienced NP or PA with at least two years of Hospital Medicine experience who is comfortable working independently overnight with physician backup. This opportunity is particularly well suited for an APP looking for consistent 7p 7a nocturnist shifts, approximately 14 shifts per month, low overnight admission volume, and no required procedures.

Full Time