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DIRECT HIRE Physician Assistant Assignment in West Des Moines, Iowa with Sign-On Bonus

Clinical Magnet
West Des Moines, IA Full Time
POSTED ON 6/3/2026
AVAILABLE BEFORE 7/1/2026

Physician Assistant (PA-C) - Nocturnal Hospitalist | 7 On / 7 Off
Clinical Magnet (part of ICON Medical) is hiring a Nocturnal Hospitalist Physician Assistant for a full-time, permanent opportunity with a highly respected physician-owned healthcare organization in the Des Moines, Iowa area. This is an excellent opportunity for an experienced provider who thrives in an autonomous hospital setting and enjoys collaborative, team-based patient care.
This role is ideal for Physician Assistants with Emergency Medicine, Critical Care, Hospitalist, or Med-Surg experience who are confident making independent clinical decisions while having physician support readily available when needed.
Compensation & Schedule

  • 7 on / 7 off nocturnal schedule
  • Shifts: 4:30pm - 4:30am or 6:00pm - 6:00am
  • Competitive compensation based on experience:
  • 0-2 years: $141,900
  • 2.1-5 years: $148,500
  • 5.1-10 years: $159,500
  • 10 years: $167,200
  • Additional nocturnist differential available
  • $5,000 sign-on bonus
  • CME allowance
  • 401(k) profit sharing retirement plan
  • Health, dental, and vision insurance options
  • Flexible spending accounts
Job SummaryAs a Nocturnal Hospitalist Physician Assistant, you will provide overnight coverage and first-call response for hospitalized Internal Medicine, Family Medicine, Cardiology, and Hematology-Oncology patients. You will perform admissions, assess acute patient needs, and collaborate closely with physicians and inpatient teams to ensure high-quality patient care throughout the night shift.
This position offers a high level of autonomy while maintaining strong physician support and a collaborative team environment. Two APPs are scheduled on every night shift, and a backup physician is always available for escalation and consultation.
Key Responsibilities
  • Provide overnight first-call coverage for hospitalized patients within:
  • Internal Medicine
  • Family Medicine
  • Cardiology
  • Hematology-Oncology
  • Perform hospital admissions
  • Respond to acute patient needs and changes in condition
  • Take first calls from answering services regarding hospitalized patients
  • Collaborate with physicians, nursing staff, and interdisciplinary teams
  • Exercise strong independent clinical judgment overnight
  • Escalate patient concerns appropriately to backup physicians when necessary
Qualifications
  • Master’s degree required
  • Certified Physician Assistant (PA-C) required
  • Prior Emergency Medicine, Critical Care, Hospitalist, or Med-Surg experience strongly preferred
  • Strong clinical assessment and decision-making skills
  • Ability to work independently in a fast-paced hospital environment
  • Excellent communication and collaboration skills
Why Des Moines?Des Moines offers an exceptional quality of life with a low cost of living, short commute times, excellent schools, and a strong healthcare community. The metro area combines the amenities of a larger city with a welcoming, family-friendly atmosphere, making it an ideal place to build both a career and a lifestyle.
KeywordsPhysician Assistant, PA-C, Hospitalist PA, Nocturnist PA, Critical Care, Emergency Medicine, Med Surg, Hospital Medicine, APP Jobs, Inpatient Medicine, Iowa Healthcare Jobs, Night Shift Hospitalist#CMAll

Salary : $141,900 - $167,200

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