Mid Level Neonatal Nurse Practitioner Jobs
Mid level neonatal nurse practitioner jobs go to clinicians ready to take independent ownership of complex patient cases, guide less experienced staff through high-acuity situations, and shape unit-level clinical decisions without constant attending oversight. Openings are concentrated in Education and Healthcare & Medical Services, with employers like The University of Michigan, Endeavor Health, and Valley Children's Healthcare hiring at this level now.
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Location: Fresno, California, 93721
About us:
The Neonatal Intensive Care Unit (NICU) at Valley Children’s Hospital is Central California’s only Regional Level IV NICU - the highest level of medical care available for premature and critically ill newborns. With a focus on family-centered care, our patients have access to a full range of pediatric and surgical specialists that treat potentially life-threatening illnesses due to extreme prematurity, congenital defects, injury, chronic illnesses and more. Our NICU patient ratios are 1:1 or 2:1 in the ICU and 1:3 in Intermediate Care. Collectively, our NICUs provide specialized care for more than 1,400 fragile babies and nearly 25,000 patient days a year. Our team supports a network of NICUs throughout Central California, providing services for Madera County, Merced County, Fresno County, Kings County and Tulare County.
Our level II and level III satellite NICUs (Fresno, Merced & Hanford) are staffed with Valley Children’s team of experts to provide patients the opportunity to receive treatment closer to home. The nurses in these satellite units are trained to attend high-risk deliveries and resuscitate babies in the delivery room if needed. Our NICU is ranked as one of the best children’s hospitals in Neonatology by U.S. News & World Report for 2023-2024 - the seventh such ranking for our NICU. Our expert team consists of more than 250 neonatal nurses, constantly striving to innovate and improve patient care so babies have the best outcomes.
Job Summary:
The Nurse Practitioner is an Advanced Practice Practitioner who is accountable for a "defined" patient population. Functions in the roles of expert practitioner, consultant, educator, patient advocate, care coordinator and researcher within a specialized area of practice. Possesses and exhibits a high degree of knowledge, skill and competence in the provision of health care directly to the patient, family or community, or indirectly through guidance of care by other professional personnel. Provision of patient care is conducted and performed utilizing the medical model under the supervision of the CCS paneled Neonatologist and functions in accordance to standardized procedures within the scope of licensure and in accordance with applicable law, regulations, and in accordance with policies of Valley Children's Healthcare.
Qualifications
Education
- Masters Degree Nursing (required)
- Program Graduate of a Neonatal Nurse Practitioner program (required)
Licenses and Certifications
- BLS - Basic Life Support within 30 days of hire or transfer into position (required)
- RN - Reg Nurse (required)
- NP - Nurse Practitioner (required)
- NRP - Neonatal Resuscitation Program (required)
- NP-C - Nurse Practitioner Natl Certification National certification from an accredited certifying board within six (6) months of hire or transfer into position (required) Or
- NCC - Neonatal Intensive Care Nurse (required)
Work Experience
- Minimum three (3) years Related experience (required)
- Minimum five (5) years Increasingly responsible experience which demonstrates professional working knowledge of nursing theory and practice, with competence in physical assessment, differential diagnosis, pathophysiology, pharmacology and management of acute and chronic pediatric problems (preferred)
Skills and Abilities
- Bilingual Skills Preferred
- Other Must successfully complete the credentialing process through the Medical Staff office via CIDP for the appropriate scope of practice, written standardized protocols, and furnishing privileges.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Compensation Range:
$84.64 - $122.73
Workshift:
Position Exempt:
Yes
FTE %:
90
Scheduled Weekly Hours:
36
Daily Hours:
16
Have Questions?
Call Recruitment Services at 559-353-7071 or email us at recruiting@valleychildrens.org
Disclaimer: Final compensation will be dependent upon skills and experience.
ALERT: Valley Children's Healthcare has been made aware of malicious employment scams targeting candidates with false job offers and requests for personal information. Please stay vigilant. If you believe you've encountered a potential hiring scam claiming to be from Valley Children's Healthcare, please report it to Recruiting@valleychildrens.org.
Job Details
Career area
Nursing - Critical Care
Position Type
Full Time
Date Posted
10/01/2026
Location
Fresno, CA 93721, United States
Job ID
JOB_POSTING-3-2814
About Valley Children's
With more than 670 physicians and 3,500 staff, Valley Children’s Healthcare delivers high-quality, comprehensive care to more than 1.3 million children across Central California. Our 358-bed stand-alone children’s hospital and network of specialty care centers and primary care practices offer advanced pediatric services - from cancer and blood disorders to heart care and neonatal intensive care, serving children with conditions ranging from routine to rare and complex. Beyond clinical care, Valley Children’s is also a catalyst for community health - partnering with schools, nonprofits and public agencies to expand access, promote wellness and support the long-term success of children and families throughout the region.
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Top Industries Hiring
- Education
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Mid Level Neonatal Nurse Practitioner Jobs: Frequently Asked Questions
How do I get a mid level neonatal nurse practitioner job?
Position yourself by leading with clinical complexity, not just years worked. Highlight independent management of high-acuity neonates, any charge or preceptor experience, and measurable outcomes like length-of-stay improvements or protocol contributions. Tailor your application to show you operate with limited oversight and can serve as a resource for less experienced colleagues, which is exactly what hiring managers at this level look for.
Which companies hire mid level neonatal nurse practitioners?
Companies hiring mid level neonatal nurse practitioners right now include The University of Michigan, Endeavor Health, and Valley Children's Healthcare, based on current listings on Migrate Mate as of November 2026. At this level, hiring is driven by large health systems, children's hospitals, and academic medical centers that maintain dedicated level III or IV NICUs requiring experienced practitioners who can function with significant clinical autonomy.
Are there remote mid level neonatal nurse practitioner jobs?
Yes, though most neonatal nurse practitioner roles are bedside by nature. About 0% of mid level neonatal nurse practitioner openings are remote or hybrid as of November 2026, and these positions typically involve telehealth consultations, care coordination, or utilization review rather than direct NICU patient care. If flexibility matters, filtering specifically for those role types will surface the best options.
How do I move up to a mid level neonatal nurse practitioner role?
The path from entry level to mid level centers on building independent clinical judgment in complex, high-acuity scenarios. Focus on expanding your exposure to varied gestational ages and diagnoses, volunteering to precept new graduates, contributing to unit quality improvement projects, and earning recognition as a reliable resource in acute situations. Demonstrating consistent ownership over a full patient panel without close supervision signals readiness for mid level responsibility.
Which industries hire the most mid level neonatal nurse practitioners?
Mid Level neonatal nurse practitioner roles concentrate in Education and Healthcare & Medical Services, based on current listings on Migrate Mate as of November 2026. These sectors drive hiring at this level because they operate high-volume, resource-intensive NICUs where experienced practitioners who can manage complex cases independently are essential to maintaining safe staffing ratios and strong patient outcomes.