PA) – Medical ICU MICU

UVA Health

7d•$129,323

About The Position

The Medical Intensive Care Unit (MICU) at UVA Health is a high-acuity, academically driven critical care environment dedicated to delivering exceptional, evidence-based care to some of the most medically complex adult patients in the region. As part of the Division of Pulmonary & Critical Care Medicine, our MICU team operates at the intersection of clinical excellence, teaching, and innovation—making it an ideal setting for advanced practice providers seeking both autonomy and robust interdisciplinary collaboration. Our APPs are integral members of a cohesive team that includes PCCM faculty, fellows, residents, pharmacists, respiratory therapists, and nurses. The MICU culture prioritizes open communication, mutual respect, and shared decision-making, allowing APPs to practice at the top of their licensure while still benefiting from the mentorship and support of expert faculty and seasoned colleagues. Following a structured onboarding process, MICU APPs progress toward independent management of 4–6 ICU patients spanning a broad range of complex and high-acuity diagnoses. The practice model emphasizes APP autonomy supported by close collaboration with physician colleagues. As an academic medical center, UVA offers a rich environment grounded in continuous learning, teaching, and professional development. Additional Position Details: • 12-hour shifts, structured to meet the equivalent of a 40 hour work week • MICU APPs work a rotating schedule that includes days, nights, weekends, and holidays. • Major holidays are assigned on a yearly rotational basis. Background checks and pre-employment health screenings will be conducted on all new hires prior to employment. All safety-sensitive positions with direct patient interaction also require a drug screen. Leadership Function as a clinical leader in a dynamic, high-acuity environment, effectively guiding the care team during urgent and high‑stress situations. Provide mentorship, education, and support to trainees and interdisciplinary team members. Participate in unit‑based initiatives, quality improvement projects, and process optimization efforts Administrative Perform accurate, timely documentation in compliance with institutional, state, and federal regulations. Consistently bill for critical and non‑critical care services in accordance with UVA Health guidelines. Contribute to protocol development, performance improvement strategies, and data‑driven evaluation of MICU operations. Support effective interdisciplinary communication and workflow management. Clinical Conduct daily interdisciplinary rounds, including full patient presentations and care plan updates. Independently develop evidence‑based treatment plans for a critically ill patient population. Respond to ICU consultations from the Emergency Department and acute care units, evaluate patient acuity, perform triage, and formulate initial management plans. Perform and document comprehensive histories, physicals, differential diagnoses, and treatment plans. Prescribe medications and non‑pharmacologic therapies, monitor treatment response, and adjust plans as clinically appropriate. Obtain competency in bedside procedures, including but not limited to: Central & arterial line insertion Paracentesis Thoracentesis Lumbar puncture Effectively lead and participate in complex conversations, including goals‑of‑care and end‑of‑life discussions. Coordinate subspecialty consultation and ensure cohesive, multidisciplinary care delivery. Professional Communicate clearly and compassionately with patients, families, nursing staff, and the broader care team. Demonstrate self‑directed learning and active participation in ongoing education and professional development. Engage in quality improvement, patient safety initiatives, and evidence-based practice integration. Maintain active licensure, national certification, credentialing, and continuing education requirements. Participate in professional activities through the Center for Advanced Practice and Department of Pulmonary and Critical Care Medicine, including education, committees, or scholarly efforts as appropriate. Represent UVA Health and the MICU with professionalism, integrity, and respect in all interactions.

Requirements

Education: Graduate of an accredited graduate school of nursing or physician assistant program with a master’s degree.
Experience: Department and unit specific.
Licensure: License or license eligible as an Advance Practice Provider (Nurse Practitioner, Physician Associate, Certified Registered Nurse Anesthetist, and Certified Nurse Midwife) as set forth by the state of Virginia. If Nurse Practitioner, license to Practice as a Registered Nurse in the Commonwealth of Virginia is required. Must demonstrate and maintain all credentialing and licensing requirements of UVA Health System, the Virginia Board of Medicine or the Virginia Board of Nursing, and appropriate certifying bodies. Current Basic Life Support (BLS) required. Current PALS/NRP, as required, specific to position. Advanced Cardiac Life Support (ACLS) as required, specific to position.

Nice To Haves

Prior experience in a high-acuity medical ICU
Experience working in an academic medical center or teaching environment, with comfort collaborating alongside residents, fellows, and medical students

Responsibilities

Function as a clinical leader in a dynamic, high-acuity environment, effectively guiding the care team during urgent and high‑stress situations.
Provide mentorship, education, and support to trainees and interdisciplinary team members.
Participate in unit‑based initiatives, quality improvement projects, and process optimization efforts
Perform accurate, timely documentation in compliance with institutional, state, and federal regulations.
Consistently bill for critical and non‑critical care services in accordance with UVA Health guidelines.
Contribute to protocol development, performance improvement strategies, and data‑driven evaluation of MICU operations.
Support effective interdisciplinary communication and workflow management.
Conduct daily interdisciplinary rounds, including full patient presentations and care plan updates.
Independently develop evidence‑based treatment plans for a critically ill patient population.
Respond to ICU consultations from the Emergency Department and acute care units, evaluate patient acuity, perform triage, and formulate initial management plans.
Perform and document comprehensive histories, physicals, differential diagnoses, and treatment plans.
Prescribe medications and non‑pharmacologic therapies, monitor treatment response, and adjust plans as clinically appropriate.
Obtain competency in bedside procedures, including but not limited to: Central & arterial line insertion Paracentesis Thoracentesis Lumbar puncture
Effectively lead and participate in complex conversations, including goals‑of‑care and end‑of‑life discussions.
Coordinate subspecialty consultation and ensure cohesive, multidisciplinary care delivery.
Communicate clearly and compassionately with patients, families, nursing staff, and the broader care team.
Demonstrate self‑directed learning and active participation in ongoing education and professional development.
Engage in quality improvement, patient safety initiatives, and evidence-based practice integration.
Maintain active licensure, national certification, credentialing, and continuing education requirements.
Participate in professional activities through the Center for Advanced Practice and Department of Pulmonary and Critical Care Medicine, including education, committees, or scholarly efforts as appropriate.
Represent UVA Health and the MICU with professionalism, integrity, and respect in all interactions.