About The Position

Somnia Anesthesia is seeking full-time OB Nocturnist Certified Registered Nurse Anesthetists to join its collaborative, clinician-led team at St. Joseph’s Medical Center in Stockton, California. The role offers high clinical autonomy in an independent-practice model, competitive compensation of $2,400 per shift, and a flexible schedule. The hospital provides a high-acuity teaching environment, with opportunities to collaborate with residents and other learners and to care for an underserved patient population. The primary location is St. Joseph’s Medical Center, a 355-bed regional medical center in the CommonSpirit Hospital System. Its anesthesia department includes 14 physicians, more than 30 independent-practice CRNAs, and 24 residents, with 8–10 residents on site daily. The department provides anesthesia services across up to 19 locations, including acute care and cardiac operating rooms, obstetrics, GI/endoscopy, the cath lab, interventional radiology, and an ambulatory surgery center. Annual anesthesia volume is approximately 14,300 cases. The hospital’s obstetric service has approximately 3,000 births annually, with an average of 250–300 births per month, four epidurals and three C-sections per day, two obstetric operating rooms, and eight labor rooms in a recently renovated pavilion. Compensation is $2,400 per shift, with eight shifts per pay period, and a $60,000 sign-on bonus tied to a three-year commitment. Benefits are prorated based on FTE and include PTO, an annual CME allowance, medical, dental, vision, life and disability coverage, a 401(k) with employer contribution, flexible spending accounts, and malpractice insurance for W-2 clinicians. The organization also offers professional development, mentoring, and wellness support. Candidates may be considered for stacked shifts combining daytime OR work with nocturnist OB coverage for 24 total hours. Somnia describes itself as a clinician-led, physician-owned group with no private equity. The organization has focused on anesthesia since 1996. St. Joseph’s is the largest hospital in San Joaquin County; a new hospital build is planned for completion by 2030, including 10 new operating rooms, 155 additional inpatient beds, and new emergency department space.

Requirements

  • Active state RN and CRNA licenses.
  • Board certification.
  • Current ACLS, PALS, and BLS certifications.
  • Proficiency with spinals and epidurals.
  • Decision-making skills and ability to work with an underserved, high-acuity patient population.
  • Strong interest in collaborating with learners and students.

Nice To Haves

  • Experience at an independent-practice site is preferred.
  • Prior obstetric experience is preferred.
  • Candidates with less than two years of experience may be considered.

Responsibilities

  • Provide obstetric anesthesia services as an OB nocturnist at St. Joseph’s Medical Center.
  • Perform anesthesia procedures including spinals and epidurals.
  • Work collaboratively with the anesthesia team and learners in a high-acuity teaching environment.
  • Provide care for an underserved patient population.
  • Potentially combine daytime OR work with nocturnist OB coverage in a stacked 24-hour shift, if arranged.

Benefits

  • $60,000 sign-on bonus with a three-year commitment.
  • Paid time off, prorated based on FTE.
  • Annual CME allowance.
  • Medical, dental, and vision coverage.
  • Life and disability coverage.
  • 401(k) with employer contribution.
  • Flexible spending accounts.
  • Malpractice insurance for W-2 clinicians.
  • Professional development, mentoring, and wellness support.
  • Referral bonus of up to $5,000 if a referred colleague is hired.
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