Mid Level Emergency Department Registered Nurse Jobs
Mid level emergency department registered nurse jobs go to nurses ready to own complex patient scenarios, mentor newer staff, and make rapid clinical decisions with minimal supervision. Most openings are on-site across Healthcare & Medical Services, Non-Profit & Social Services, and Education, with employers like Boston Medical Center, Kaiser Permanente, and United Hospital Center hiring at this level now.
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The Advanced Practice Provider (APP- NP, PA) provides high-quality medical and/or surgical patient care. This position provides care to patients with acute and chronic complaints in collaboration with the Attending Physician.
The Advanced Practice Provider provides diagnostic, therapeutic, and/or preventive healthcare service on a Collaborative APP/Physician team. The Advanced Practice Provider may perform any or all of the following: histories and physicals; order and interpret tests; make diagnosis; treat injuries/illness; assist with surgical procedures; counsel patient and/or prescribe medication and those invasive procedures defined by the Virginia Board of Medicine.
The Advanced Practice Provider works collaboratively with the medical team to deliver organized, timely, cost effective and quality patient care.
The Advanced Practice Provider will provide patient care under a defined departmental and state-approved scope of practice with the collaboration of an Attending Physician(s).
Essential Job Statements
Performance Expectation: Clinical & Patient Care Responsibilities
Demonstrates mastery of treatment and patient care of specialty population served. Demonstrates expert knowledge to coordinate patient care across the continuum of services through the patient’s trajectory of illness. Assesses the health status of individuals through health histories, by performing physical examination, initiating screening, ordering or performing diagnostic tests, providing direct patient care, assisting with surgical procedure, therapeutic intervention, prescribing medication and/or counseling patients to a specified patient population. Initiates emergency procedures as needed. Practices safety, environmental and/or infection control methods. Makes rounds with the attending physicians as necessary. Supervises and/or coordinates the activities of patient care and support staff within assigned area. Documents all pertinent information and data in the patient’s medical record. Interpreting information obtained from history and physical and develops a treatment plan. Formulates and prioritizes appropriate short-term and long-term therapeutic plans when indicated. Incorporates in the plan of care the physical, spiritual, cultural and psychosocial aspects of patients and families to promote optimum levels of health. Explores strategies to decrease length of stay and resource consumption within specialty area. Establishes priorities to meet the health needs of the individual, family or community. Maintains effective communications about patient care with all members of the health care team to assure care is coordinated. Assists with the coordination of care between primary and specialty health care services when needed.
Performance Expectation: Consultation
Functions as a consultant to other health care professionals in the multi-disciplinary team regarding routine and unusual therapeutic interventions. Serves as a liaison, translator and negotiator for staff, patients and families. Collaborates in the development, implementation, communication and monitoring of the multi-disciplinary plan of care for complex patients. Shares responsibility for patient education which may include the patient, family members or other caregivers. May provide training to residents, fellows and other health care staff in area of specialty. Participates in the continual assessment and revision of practices and procedures in specialty area. Promotes teamwork through effective communication, feedback to team members. Recognizes team as integral to individual effectiveness and quality patient outcomes.
Performance Expectation: Research
Utilizes current research to develop, implement and evaluate critical paths and standards of care for identified patient population. Contributes to the profession through participation in research, publications, consultation and/or educational activities. Demonstrates knowledge and support for clinical trials within specialty area.
Performance Expectation: Ethical Decision Making Skills
Incorporates the use of clinical judgment in ethical decision making. Practices the principles of ethics in decision making for patients. Promotes the use of interdisciplinary collaborative processes to resolve ethical dilemmas. Demonstrates appropriate use of skills of negotiation, mediation, collaboration, compromise and accommodation to assist families struggling with ethical decisions. Displays the ability to examine patient’s values that impact treatment decision-making preferences. Recognizes patient rights as a foundation for ethical decisions.
Performance Expectation: Professional Development
Seeks out opportunities for professional growth through organizational affiliations. Functions in collaborative relationships with physicians, allied health professionals and administration. Assesses own learning needs and develops and implements a plan for professional growth. Enhances professional growth and development through participation in educational programs, current literature, in-service and workshops. Participates in teaching program as needed. Participates in continuing education activities to maintain competencies and to meet re-certification requirements. Maintain appropriate certification requirements to continue VCUHS privileges.
Performance Expectation: Miscellaneous Responsibilities
Performs other duties as assigned and/or participates in special projects in order to support the mission of VCU Health. Provides assistance to team members. Accepts alternate assignments, as required, graciously.
Patient Population
Age Specific groups served:
As appropriate based on unit assignment.
Employment Qualifications
Required Education:
Graduation from an accredited Nurse Practitioner, Nurse Midwife or Physician Assistant Program
Preferred Education:
Service-specific education
Licensure/Certification Required:
Current Virginia licensure from the appropriate Board as a Nurse Practitioner, Nurse Midwife, or Physician Assistant
Current national certification as appropriate for the role
Credentialing in accordance with medical staff by-laws for specific job titles
Current CPR and Basic Life Support (BLS) certifications; Additional certifications, including
Advanced Cardiac Life Support (ACLS) certifications, Pediatric Advanced Life Support (PALS) for Pediatric services, may be determined at the department level
Licensure/Certification Preferred:
Service-specific certification
Minimum Qualifications
Years and Type of Required Experience
Previous clinical experience with the population served
Other Knowledge, Skills and Abilities Required:
Cultural Responsiveness
Other Knowledge, Skills and Abilities Preferred:
Three (3) years of previous clinical experience with the population served
Previous experience in an academic healthcare system
Working Conditions
Physical Requirements
Physical Demands: Lifting/ Carrying (0-50 lbs.), Lifting/ Carrying (50-100 lbs.), Lifting/ Carrying (100+ lbs.), Push/ Pull (0-50 lbs.), Push/ Pull (50-100 lbs.), Stoop, Kneel, Squat, Crawling, Climbing, Balance, Bending
Work Position: Sitting, Walking, Standing
Additional Physical Requirements/ Hazards
Physical Requirements: Manual dexterity (eye/hand coordination), Perform Shift Work, Maneuver weight of patients, Hear alarms/telephone/tape recorder, Reach above shoulder, Repetitive arm/hand movements, Finger Dexterity, Color Vision, Acuity – near, Acuity – far
Hazards: Depth perception, Use of Latex Gloves, Exposure to toxic/caustic/chemicals/detergents, Exposure to moving mechanical parts, Exposure to dust/fumes, Exposure to potential electrical shock, Exposure to x ray/electromagnetic energy, Exposure to high pitched noises, Gaseous risk exposure
Mental/Sensory – Emotional
Mental / Sensory: Strong Recall, Reasoning, Problem Solving, Hearing, Speak Clearly, Write Legibly, Reading, Logical Thinking
Emotional: Fast pace environment, Steady Pace, Able to Handle Multiple Priorities, Frequent and Intense Customer Interactions, Noisy Environment, Able to Adapt to Frequent Change
EEO Employer/Disabled/Protected Veteran
The Advanced Practice Provider (APP- NP, PA) provides high-quality medical and/or surgical patient care. This position provides care to patients with acute and chronic complaints in collaboration with the Attending Physician.
The Advanced Practice Provider provides diagnostic, therapeutic, and/or preventive healthcare service on a Collaborative APP/Physician team. The Advanced Practice Provider may perform any or all of the following: histories and physicals; order and interpret tests; make diagnosis; treat injuries/illness; assist with surgical procedures; counsel patient and/or prescribe medication and those invasive procedures defined by the Virginia Board of Medicine.
The Advanced Practice Provider works collaboratively with the medical team to deliver organized, timely, cost effective and quality patient care.
The Advanced Practice Provider will provide patient care under a defined departmental and state-approved scope of practice with the collaboration of an Attending Physician(s).
Essential Job Statements
Performance Expectation: Clinical & Patient Care Responsibilities
Demonstrates mastery of treatment and patient care of specialty population served. Demonstrates expert knowledge to coordinate patient care across the continuum of services through the patient’s trajectory of illness. Assesses the health status of individuals through health histories, by performing physical examination, initiating screening, ordering or performing diagnostic tests, providing direct patient care, assisting with surgical procedure, therapeutic intervention, prescribing medication and/or counseling patients to a specified patient population. Initiates emergency procedures as needed. Practices safety, environmental and/or infection control methods. Makes rounds with the attending physicians as necessary. Supervises and/or coordinates the activities of patient care and support staff within assigned area. Documents all pertinent information and data in the patient’s medical record. Interpreting information obtained from history and physical and develops a treatment plan. Formulates and prioritizes appropriate short-term and long-term therapeutic plans when indicated. Incorporates in the plan of care the physical, spiritual, cultural and psychosocial aspects of patients and families to promote optimum levels of health. Explores strategies to decrease length of stay and resource consumption within specialty area. Establishes priorities to meet the health needs of the individual, family or community. Maintains effective communications about patient care with all members of the health care team to assure care is coordinated. Assists with the coordination of care between primary and specialty health care services when needed.
Performance Expectation: Consultation
Functions as a consultant to other health care professionals in the multi-disciplinary team regarding routine and unusual therapeutic interventions. Serves as a liaison, translator and negotiator for staff, patients and families. Collaborates in the development, implementation, communication and monitoring of the multi-disciplinary plan of care for complex patients. Shares responsibility for patient education which may include the patient, family members or other caregivers. May provide training to residents, fellows and other health care staff in area of specialty. Participates in the continual assessment and revision of practices and procedures in specialty area. Promotes teamwork through effective communication, feedback to team members. Recognizes team as integral to individual effectiveness and quality patient outcomes.
Performance Expectation: Research
Utilizes current research to develop, implement and evaluate critical paths and standards of care for identified patient population. Contributes to the profession through participation in research, publications, consultation and/or educational activities. Demonstrates knowledge and support for clinical trials within specialty area.
Performance Expectation: Ethical Decision Making Skills
Incorporates the use of clinical judgment in ethical decision making. Practices the principles of ethics in decision making for patients. Promotes the use of interdisciplinary collaborative processes to resolve ethical dilemmas. Demonstrates appropriate use of skills of negotiation, mediation, collaboration, compromise and accommodation to assist families struggling with ethical decisions. Displays the ability to examine patient’s values that impact treatment decision-making preferences. Recognizes patient rights as a foundation for ethical decisions.
Performance Expectation: Professional Development
Seeks out opportunities for professional growth through organizational affiliations. Functions in collaborative relationships with physicians, allied health professionals and administration. Assesses own learning needs and develops and implements a plan for professional growth. Enhances professional growth and development through participation in educational programs, current literature, in-service and workshops. Participates in teaching program as needed. Participates in continuing education activities to maintain competencies and to meet re-certification requirements. Maintain appropriate certification requirements to continue VCUHS privileges.
Performance Expectation: Miscellaneous Responsibilities
Performs other duties as assigned and/or participates in special projects in order to support the mission of VCU Health. Provides assistance to team members. Accepts alternate assignments, as required, graciously.
Patient Population
Age Specific groups served:
As appropriate based on unit assignment.
Employment Qualifications
Required Education:
Graduation from an accredited Nurse Practitioner, Nurse Midwife or Physician Assistant Program
Preferred Education:
Service-specific education
Licensure/Certification Required:
Current Virginia licensure from the appropriate Board as a Nurse Practitioner, Nurse Midwife, or Physician Assistant
Current national certification as appropriate for the role
Credentialing in accordance with medical staff by-laws for specific job titles
Current CPR and Basic Life Support (BLS) certifications; Additional certifications, including
Advanced Cardiac Life Support (ACLS) certifications, Pediatric Advanced Life Support (PALS) for Pediatric services, may be determined at the department level
Licensure/Certification Preferred:
Service-specific certification
Minimum Qualifications
Years and Type of Required Experience
Previous clinical experience with the population served
Other Knowledge, Skills and Abilities Required:
Cultural Responsiveness
Other Knowledge, Skills and Abilities Preferred:
Three (3) years of previous clinical experience with the population served
Previous experience in an academic healthcare system
Working Conditions
Physical Requirements
Physical Demands: Lifting/ Carrying (0-50 lbs.), Lifting/ Carrying (50-100 lbs.), Lifting/ Carrying (100+ lbs.), Push/ Pull (0-50 lbs.), Push/ Pull (50-100 lbs.), Stoop, Kneel, Squat, Crawling, Climbing, Balance, Bending
Work Position: Sitting, Walking, Standing
Additional Physical Requirements/ Hazards
Physical Requirements: Manual dexterity (eye/hand coordination), Perform Shift Work, Maneuver weight of patients, Hear alarms/telephone/tape recorder, Reach above shoulder, Repetitive arm/hand movements, Finger Dexterity, Color Vision, Acuity – near, Acuity – far
Hazards: Depth perception, Use of Latex Gloves, Exposure to toxic/caustic/chemicals/detergents, Exposure to moving mechanical parts, Exposure to dust/fumes, Exposure to potential electrical shock, Exposure to x ray/electromagnetic energy, Exposure to high pitched noises, Gaseous risk exposure
Mental/Sensory – Emotional
Mental / Sensory: Strong Recall, Reasoning, Problem Solving, Hearing, Speak Clearly, Write Legibly, Reading, Logical Thinking
Emotional: Fast pace environment, Steady Pace, Able to Handle Multiple Priorities, Frequent and Intense Customer Interactions, Noisy Environment, Able to Adapt to Frequent Change
EEO Employer/Disabled/Protected Veteran
See All 100 Mid Level Emergency Department Registered Nurse Jobs
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Find JobsMid Level Emergency Department Registered Nurse Job Market
Who's Hiring
- Boston Medical Center9
- Kaiser Permanente5
- United Hospital Center5
- CHRISTUS Health4
- Community Health Network4
Top Industries Hiring
- Healthcare & Medical Services85
- Non-Profit & Social Services7
- Education1
- Human Resources1
- Agriculture & Farming1
Mid Level Emergency Department Registered Nurse Jobs: Frequently Asked Questions
How do I get a mid level emergency department registered nurse job?
Position your application around clinical ownership rather than task completion. Highlight triage experience, independent assessment of high-acuity patients, and any charge or preceptor responsibilities you have taken on. Tailor your resume to emphasize protocols you have led, outcomes you have improved, and the breadth of presentations you manage confidently without escalating to a senior nurse.
Which companies hire mid level emergency department registered nurses?
Companies hiring mid level emergency department registered nurses right now include Boston Medical Center, Kaiser Permanente, and United Hospital Center, based on current listings on Migrate Mate as of July 2026. Hiring at this level covers large health systems, regional medical centers, and freestanding emergency departments that need experienced nurses who can function with strong autonomy during fast-paced shifts.
Are there remote mid level emergency department registered nurse jobs?
Yes, though remote roles are a smaller share of openings in this clinical specialty. About 0% of mid level emergency department registered nurse openings are remote or hybrid as of July 2026, and these tend to be telehealth triage, utilization review, or case management roles rather than traditional bedside emergency positions.
How do I move up to a mid level emergency department registered nurse role?
Progression from entry level into mid level comes from accumulating breadth across acuity types and taking on ownership beyond your own patient assignment. Seek out charge coverage, preceptorship of newer nurses, and involvement in quality improvement initiatives. Earning a relevant certification such as CEN demonstrates readiness for greater independence and signals to employers that you are operating above a foundational level.
Which industries hire the most mid level emergency department registered nurses?
Mid Level emergency department registered nurse roles concentrate in Healthcare & Medical Services, Non-Profit & Social Services, and Education, based on current listings on Migrate Mate as of July 2026. These sectors drive hiring at this level because high patient volume, regulatory staffing requirements, and the complexity of emergency presentations demand nurses who can operate with confidence and depth from the moment they walk through the door.