Inpatient NP or PA, Per Diem in Richmond, TX

Discover the advantages of Advanced Independent Practice - Texas Digestive Disease Consultants (TDDC) Richmond - powered by GI Alliance.

As a member of GI Alliance (GIA), TDDC - Richmond is supported by the nation’s leading patient-focused, excellence-driven gastroenterology network that is physician-owned and led. This partnership empowers TDDC to deliver superior, individualized patient care by leveraging GI Alliance’s robust, world-class business and organizational support, ensuring our clinicians can focus on what they do best – providing top-notch care in a successful and dynamic private practice setting.

TDDC - Richmond is seeking a Per Diem Inpatient Acute Care Nurse Practitioner or Physician Assistant.

• Perform comprehensive histories and physical examinations for GI consults, admissions, and follow-up encounters at the hospital.
• Evaluate and manage patients with acute GI bleeding, pancreatitis, inflammatory bowel disease flares, bowel obstruction, and other urgent GI presentations.
• Develop, implement, and adjust evidence-based plans of care in collaboration with supervising gastroenterologist and hospital teams.
• Counsel patient and family on health and disease.
• Order, interpret, and follow up on laboratory tests, imaging studies, and other diagnostic relevant to GI and hepatology conditions.
• Document encounters, order, and care plans clearly and efficiently in the electronic medical record, ensuring accurate handoffs and discharge summaries.
• Educate patients and families about diagnosis, procedures, medications, lifestyle modifications, and follow-up needs, supporting safe transition of care.
• Contribute to quality improvement and patient-safety initiatives related to GI.

• Per‑Diem - 4 to 8 shifts a month - all day shifts.

• Graduate of an accredited Nurse Practitioner or Physician Assistant Program.
• Current Texas State NP or PA license with eligibility for hospital privileges.
• For NP's Acute Care Certification is required.
• BLS and ACLS is required.
• Demonstrated ability to work independently within a collaborative practice model, manage multiple priorities in a high acuity environment, and provide compassionate, patient-centered care.

Every decision we make is anchored in strengthening patient care. Our physicians lead with a commitment to quality, access, and outcomes, and our shared infrastructure ensures they have the tools, data, and support to continually elevate care in every community we serve.

Our model is built on physician leadership. Through our Physician Executive Committee, Regional Clinical Governance Boards, and Local Head Physicians, clinical decision-making remains with those who deliver care. This physician-led structure, supported by national-scale resources, preserves autonomy while strengthening specialty excellence.

Instead of a traditional management model, we operate as a Management Services Organization (MSO). Our national infrastructure, which includes analytics, technology, revenue cycle, compliance, and operational support, reduces administrative burden so physicians can devote their time and expertise to patients. We enable, we support, and we align. We do not manage.

Our leadership is driven by the measurable value we deliver to physicians, practices, and patients. Our partnership-first approach, combined with data insights and operational strength, has fueled significant clinical, operational, and practice growth. As more top-tier physicians join our specialty-led ecosystem, we continue to expand access and raise the standard of specialty-care nationwide.

We are just a click away. No pressure. Just information and a partnership built for physicians who want to lead the future of specialty care.

Be empowered to make your best next career move!

The Specialty Alliance is a physician-led Management Services Organization (MSO) that supports leading specialty practices with national-scale infrastructure, data, and resources. Our partnership model preserves clinical autonomy while enabling responsible growth and high-quality specialty care nationwide. To learn more about The Specialty Alliance, visit