Mid Level Emergency Medicine Physician Assistant Jobs
Mid level emergency medicine physician assistant jobs go to clinicians ready to own complex patient cases, mentor newer PAs, and make high-stakes decisions with limited physician oversight in fast-moving ED environments. Openings are predominantly on-site across Education, Healthcare & Medical Services, and Science & Research, with employers like Johns Hopkins University, Mayo Clinic, and Monogram Health hiring at this level now.
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Position: Emergency Medicine Physician, MH FIRST
The Emergency Medicine Physician is an experienced, board-certified physician who supports MH FIRST, Monogram Health’s 24/7 virtual acute care clinic. This physician provides real-time clinical escalation support for urgent and complex patient concerns and works closely with MH FIRST registered nurses, clinical leadership, field-based clinicians, and operations. The ideal candidate brings strong emergency medicine judgment, communicates calmly in high-stress situations, and is comfortable delivering care virtually to avoid Emergency Department utilization when appropriate. The physician team supports 24/7 incoming patient calls, which includes overnight, weekend, and holiday coverage for patients with multiple chronic conditions. This role is primarily remote but may require presence in an office setting within home state.
Responsibilities
- Provide real-time physician consultation and escalation support for urgent and complex patient concerns routed through the MH FIRST 24/7 triage team.
- Conduct real-time synchronous and asynchronous virtual clinical assessments within the physician’s licensed states and determine the appropriate next step, including emergency services, urgent in-person evaluation, clinician follow-up, or continued monitoring.
- Partner with MH FIRST registered nurses to support clinical decision-making, escalation pathways, and timely disposition of high-acuity or medically complex calls.
- Review available medical history, symptoms, medications, care plans, and clinical data to support safe, informed, and patient-centered decisions.
- Document virtual encounters, clinical reasoning, recommendations, and handoffs accurately and promptly in the designated electronic health record and supporting systems.
- Coordinate with field clinicians, regional medical leadership, care management, and other clinical partners to support seamless handoffs and continuity following an acute event.
- Participate in overnight, weekend, and holiday rotations; follow state-specific telehealth requirements, Monogram clinical standards, documentation expectations, privacy requirements, and escalation protocols.
- Conduct video first virtual visits in all instances where it is feasible and appropriate.
- Participate in a 24/7 physician coverage model, including assigned overnight shifts and/or equitable rotation schedules as determined by business and patient care needs.
- Weekly admin time (2-4hrs) will be allocated for required CME and other required documentation to efficiently obtain and maintain multi-state licensure.
Position Requirements
- Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree from an accredited medical school and completion of an accredited Emergency Medicine residency program.
- Current board certification in Emergency Medicine through the American Board of Emergency Medicine (ABEM) or American Osteopathic Board of Emergency Medicine (AOBEM).
- Minimum of five (5) years of post-residency clinical experience in Emergency Medicine.
- Active, unrestricted medical license in at least one U.S. state, with the ability and willingness to obtain and maintain the multi-state licenses and credentials required for assigned coverage.
- Experience evaluating high-acuity, medically complex, or polychronic patients; experience with Medicare Advantage, value-based care, home-based care, telehealth, or clinical triage is preferred.
- Comfort with virtual care, electronic health records, clinical communication technologies, and making timely decisions using incomplete or evolving information.
- Ability to work scheduled overnight, weekend, and holiday rotations and communicate calmly, clearly, and compassionately with patients, caregivers, nurses, and interdisciplinary clinical teams.
Compensation
The base salary range for this role is $350,000 to $440,000 and reflects the range of experience and qualifications we may consider. Final compensation will be determined based on geographic location and job-related factors such as experience, skills, education, board certification, state licensure, scheduling expectations, and internal compensation considerations. While a larger range is posted, most offers will typically fall within a narrower band based on these factors.
In addition to base salary, this role may be eligible for additional benefits, including malpractice coverage, continuing medical education support, and a comprehensive benefits package.
Benefits
- Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
- Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources
- Annual CME stipend to support continuing education
- Licensure reimbursement for all applicable required states
- Time Off & Leave – 20 PTO days, 7 paid holidays, and 1 floating day to make your own, and paid parental leave
- Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts
About Monogram Health
Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.
Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.
Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.
Licenses & Certifications
Preferred* Medical Doctor
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
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Mid Level Emergency Medicine Physician Assistant Jobs: Frequently Asked Questions
How do I get a mid level emergency medicine physician assistant job?
Position yourself by highlighting autonomous clinical decision-making, your procedural competency across emergent presentations, and any leadership you have taken on within a care team. Tailor your application to show breadth of acuity managed and depth in your documentation quality. Employers at this level want evidence that you function confidently without constant attending supervision, so concrete examples of independent case ownership carry the most weight.
Which companies hire mid level emergency medicine physician assistants?
Companies hiring mid level emergency medicine physician assistants right now include Johns Hopkins University, Mayo Clinic, and Monogram Health, based on current listings on Migrate Mate as of November 2026. At this level, hiring comes from a mix of large health systems, regional hospital networks, urgent care chains, and staffing groups that need experienced PAs who can carry a full shift with minimal supervision.
Are there remote mid level emergency medicine physician assistant jobs?
Yes, though options are limited given the hands-on nature of emergency medicine. About 50% of mid level emergency medicine physician assistant openings are remote or hybrid as of November 2026, and these tend to be telehealth triage, utilization review, or clinical documentation roles rather than traditional ED positions. If you are open to telehealth, filtering for those settings will surface the best remote opportunities.
How do I move up to a mid level emergency medicine physician assistant role?
Moving from entry level to mid level in emergency medicine means progressively taking ownership of higher-acuity patients, building procedural confidence across intubations, chest tubes, and trauma assessments, and demonstrating that you can run a pod or precept new staff. Employers look for PAs who have shown measurable growth in throughput, patient satisfaction, or quality metrics, and who have started contributing beyond their own caseload.
Which industries hire the most mid level emergency medicine physician assistants?
Mid Level emergency medicine physician assistant roles concentrate in Education, Healthcare & Medical Services, and Science & Research, based on current listings on Migrate Mate as of November 2026. These sectors drive hiring at this level because they operate high-volume emergency departments and urgent care networks that require experienced PAs capable of managing complex, undifferentiated presentations without close attending oversight.