Advanced Practice Provider (APP/PA/NP) - Emergency Department

Bring your emergency medicine skills to a role where clinical judgment, procedural growth, and thoughtful patient disposition all matter. This APP opportunity offers a distinctive blend of ED Observation Medicine, Main Emergency Department practice, Rapid Medical Evaluation, and academic collaboration within UVA Health's nationally recognized clinical environment.

As an Advanced Practice Provider in the Emergency Department, you will care for patients across a broad range of acuity levels with a primary focus on UVA's APP-lead ED Observation Unit. This is an excellent opportunity for a PA or NP seeking progressive autonomy, strong attending physician support, exposure to diverse emergency presentations, and the opportunity to help grow an innovative observation medicine service.

The Role

In this role, you will spend most of your clinical time in the ED Observation Unit, where APPs serve as primary providers managing patients through evidence-based pathways that promote high-quality care while avoiding unnecessary admissions. You will also rotate through the Main ED and Rapid Medical Evaluation areas, gaining exposure to high-acuity emergency medicine, procedural care, and collaborative decision-making in a busy academic environment.

Providers practice alongside emergency medicine residents, fellows, attending physicians, nurses, 24/7 emergency medicine clinical pharmacists, case managers, and consultants in a collaborative academic setting that values teaching, evidenced based care, and continous professional growth.

The schedule includes full-time clinical coverage of 144 hours every four-week period, primarily through 12-hour shifts with one 8-hour shift. The scheduling model supports meaningful PTO flexibility, allowing providers to reduce their clinical requirements and/or redistribute hours within coverage requirements when taking vacation time.

On an average day, you may:

• Perform comprehensive H&Ps, develop treatment plans, write progress notes, complete discharge summaries, and coordinate discharge planning.
• Manage observation pathways such as TIA evaluations, chest pain workups, syncope, pneumonia, pyelonephritis, and other pathway-driven presentations.
• Evaluate adult patients across the full spectrum of Emergency Severity Index acuity levels in a fast-paced academic emergency department.
• Collaborate closely with Emergency Medicine attendings, residents, specialty consulting services, case management, nursing teams, APP colleagues, and Observation Medicine leadership.
• Build procedural confidence through opportunities such as laceration repair, splinting, point-of-care ultrasound, and additional emergency medicine procedures as competency develops.
• Practice in a highly collaborative environment where Observation Medicine is a strongly APP-led service, with attending backup available and increasing responsibility as skills progress.

Advanced Practice Provider Scope of Practice:

Clinical

• Provides expert evidence-based, top-of-scope care in their clinical practice
• Acts as part of a specialty team, collaborating with other clinicians as appropriate
• Provides health education to patients
• Maintains accurate, timely, and thorough documentation
• Ensures compliance with institutional and regulatory standards

Leadership

• Supports development of best practices and protocols in specialty
• Serves on committees and workgroups to enhance patient care
• Provides education to learners in the clinical space
• Mentors new team members

Administration

• Contributes to clinical quality improvement work
• Participates in professional governance through the APP Council
• Attends team development meetings at local and departmental levels

Professional

• Adheres to ASPIRE values in all professional interactions
• Maintains appropriate licenses, certifications, and specialty training competencies
• Participates in local, state, and national professional organizations

http://app.uvahs.org/

Background checks and pre-employment health screenings will be conducted on all new hires prior to employment. All safety-sensitive positions with direct patient interaction also require a drug screen.

Why UVA Health

UVA Health offers the kind of environment where APPs can see more, learn more, and do more. As part of an integrated academic health system anchored by UVA Health University Medical Center, you will practice within a setting known for advanced specialty care, teaching, research, and interdisciplinary collaboration.

This opportunity is especially compelling for APPs who want emergency medicine complexity with structured support:

• UVA Health University Medical Center includes a Level I trauma center, creating exposure to a wide range of emergency presentations and clinical decision-making.
• The Emergency Department is part of a collaborative, interdisciplinary team focused on shaping the future of emergency medicine.
• APPs work with guidance and autonomy, contributing directly to patient care, consultation, education, and care coordination.
• The ED Observation program is receiving strong institutional support, with potential growth from 10 beds to 18 beds being explored.
• The role offers a rare combination of observation medicine leadership, ED acuity, procedural development, resident interaction, and specialty collaboration.
• Future department growth may create additional opportunities for APP role development and expanded clinical exposure.
• UVA Health's academic model supports clinicians who value teaching, learning, professional development, and team-based care.
• Relocation assistance may be available for qualified candidates.

This is a strong fit for an APP who is adaptable, team-oriented, clinically curious, and excited by the balance of independence, physician collaboration, procedural learning, and patient-centered disposition planning.

Why People Love Living in Charlottesville

Charlottesville offers a quality of life that is especially appealing for healthcare professionals seeking both career momentum and personal balance. The area combines access to the Blue Ridge Mountains, hiking, wineries, local restaurants, music, arts, and the energy of a vibrant university community. With a mix of culture, outdoor recreation, historic neighborhoods, and family-friendly amenities, Charlottesville makes it possible to build a meaningful clinical career while enjoying a community that supports life outside the hospital.

MINIMUM REQUIREMENTS

Education: Graduate of an accredited graduate school of nursing or physician assistant program with a master's degree.

Experience: Department and unit specific.

Licensure: License or license eligible as an Advance Practice Provider (Nurse Practitioner, Physician Associate, Certified Registered Nurse Anesthetist, and Certified Nurse Midwife) as set forth by the state of Virginia. If Nurse Practitioner, license to Practice as a Registered Nurse in the Commonwealth of Virginia is required. Must demonstrate and maintain all credentialing and licensing requirements of UVA Health System, the Virginia Board of Medicine or the Virginia Board of Nursing, and appropriate certifying bodies. Current Basic Life Support (BLS) required. Current PALS/NRP, as required, specific to position. Advanced Cardiac Life Support (ACLS) as required, specific to position.

PHYSICAL DEMANDS

Job requires standing for prolonged periods, frequently bending/stooping, reaching (overhead, extensive, and repetitive); Repetitive motion: computer keyboard. Proficient communicative, auditory and visual skills; Attention to detail and ability to write legibly; Ability to lift/push/pull 50 - 100lbs. May be exposed to noise, radiation, radioactive materials, blood/body fluids and infectious disease.

Benefits

• Comprehensive Benefits Package: Medical, Dental, and Vision Insurance

• Paid Time Off, Long-term and Short-term Disability, Retirement Savings

• Health Saving Plans, and Flexible Spending Accounts

• Certification and education support

• Generous Paid Time Off

UVA Health is a world-class Magnet Recognized academic medical center and health system with a level 1 trauma center. 2023-2024 U.S. News & World Report "Best Hospitals" guide rates UVA Health University Medical Center as "High Performing" in 5 adult specialties and 14 conditions/procedures. We are one of 70 National Cancer Institute designated cancer centers. UVA Health Children's is named by 2023-2024 U.S. News & World Report as the best children's hospital in Virginia with 9 specialties ranked among the best in the nation. Our footprint also encompasses 3 community hospitals and an integrated network of primary and specialty care clinics throughout Charlottesville, Culpeper, Northern Virginia, and beyond.

The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Learn more about UVA's commitment to non-discrimination and equal opportunity employment.