Physician Assistant Nurse Practitioner - Regular ER Shifts

Flint Medical Staffing; Texas; On-site; USD 120,000 - 170,000; Full time

Job summary

Flint Medical Staffing is seeking an experienced Physician Assistant or Nurse Practitioner to act as the solo ER provider in a rural Texas hospital environment. The role involves independent management of emergency and acute care with limited onsite resources across multiple rural hospital locations.

You will deliver comprehensive emergency care, perform procedures, coordinate with on-call physicians, and ensure high-quality patient flow and documentation.

Qualifications

• Active, unrestricted Physician Assistant license (state-specific).
• Minimum of 1–2 years of solo ER provider experience in rural/critical access settings.
• Current certifications: ATLS, ACLS, PALS.
• DEA registration and state prescriptive authority.

Responsibilities

• Serve as the solo ER provider, delivering comprehensive emergency care to patients of all ages.
• Perform rapid assessment, stabilization, diagnosis, and treatment for a full spectrum of emergencies.
• Coordinate care with remote or on-call physicians per hospital protocols.
• Manage patient flow, including triage, documentation, and disposition.
• Provide ongoing evaluation and medical decision-making for admitted patients within scope.
• Order, interpret, and act on labs, imaging, and other diagnostics.
• Perform essential emergency procedures and interventions as required.
• Communicate with nursing staff and outside facilities to ensure continuity of care.
• Maintain accurate medical records per standards.

Skills

Autonomous practice

Emergency medicine

Procedural skills

Clinical judgment

Education

Physician Assistant degree

Job description

Job Description

Physician Assistant – Rural Hospital (Solo Provider)

Position Type: Full-Time independent contractor

Overview

We are seeking an experienced Physician Assistant or Nurse Practitioner to serve as the solo provider in a critical access, rural hospital environment. This role is ideal for a highly capable, confident PA who can independently deliver high-quality emergency and acute care with limited onsite resources. The provider will manage the Emergency Department and support inpatient needs as appropriate.

This role encompasses multiple hospital ER locations throughout Texas.

Key Responsibilities

• Serve as the solo ER provider, delivering comprehensive emergency medical care to patients of all ages.
• Perform rapid assessment, stabilization, diagnosis, and treatment for a full spectrum of emergency presentations.
• Coordinate care with remote or on-call physicians when necessary, following established hospital protocols.
• Manage patient flow efficiently, including triage, documentation, and disposition.
• Provide ongoing evaluation and medical decision-making for admitted patients within scope of practice.
• Order, interpret, and act on laboratory tests, imaging studies, and other diagnostics.
• Perform essential emergency procedures and interventions as required.
• Communicate effectively with nursing staff, ancillary teams, and outside facilities to ensure continuity of care.
• Maintain accurate, timely medical records in accordance with hospital and regulatory standards.

Required Qualifications

• Active, unrestricted Physician Assistant license (state-specific).
• Minimum of 1–2 years of solo ER provider experience in a rural, critical access, or similarly resource-limited setting.
• Current certifications:
• • ATLS (Advanced Trauma Life Support)
  • ACLS (Advanced Cardiovascular Life Support)
  • PALS (Pediatric Advanced Life Support)
• DEA registration and state-specific prescriptive authority.
• Strong procedural competency, including airway management, trauma stabilization, suturing, splinting, and emergency interventions.
• Proven ability to work autonomously with sound clinical judgment in high-acuity situations.

Preferred Qualifications

• Experience with telemedicine physician backup or remote physician consultation workflows.
• Previous work in frontier or underserved communities.
• Familiarity with critical access hospital operations.

Key Competencies

• Excellent critical-thinking and independent decision-making skills.
• Confidence in managing undifferentiated patients across all ages and acuity levels.
• Strong communication and teamwork.
• Ability to adapt to variable patient volumes typical of rural emergency settings.