Advanced Practice Provider (PA/NP/APP) - Thoracic CardioVascular Stepdown Unit 24/7

UVA Health•Charlottesville, VA

10d•$124,845 - $178,090

About The Position

UVA Health is hiring an Advanced Practice Provider for its Thoracic CardioVascular Stepdown Unit. The provider independently assesses and manages adult pre-operative and post-operative patients across thoracic, vascular, and cardiac surgery, working with surgeons, residents, fellows, nurses, case management, and other interdisciplinary partners. The role supports continuity of care and requires responding to changing clinical conditions in a dynamic stepdown environment. The unit operates a 24/7 coverage model with 12-hour rotating shifts, including days, nights, weekends, and holidays. An average shift includes comprehensive assessment, care planning, interdisciplinary communication, patient education, clinical prioritization, and post-operative management. New graduates and candidates nearing graduation are encouraged to apply. The APP provides evidence-based, top-of-scope specialty care; maintains accurate documentation and compliance with institutional and regulatory standards; supports development of best practices and protocols; teaches and mentors learners and team members; contributes to quality improvement and professional governance; and maintains required licenses, certifications, and competencies. Background checks and pre-employment health screenings are required for new hires. Safety-sensitive roles involving direct patient interaction also require a drug screen.

Requirements

Graduate of an accredited graduate school of nursing or physician assistant program with a master’s degree.
License or license eligibility as an Advanced Practice Provider under Virginia requirements.
For Nurse Practitioners, a license to practice as a Registered Nurse in the Commonwealth of Virginia is required.
Must meet and maintain UVA Health System, Virginia Board of Medicine or Virginia Board of Nursing, and applicable certifying-body credentialing and licensing requirements.
Current Basic Life Support (BLS) certification.
Current PALS/NRP and ACLS as required for the specific position.
Ability to work 12-hour rotating shifts covering days, nights, weekends, and holidays.
Ability to stand for prolonged periods; frequently bend or stoop and reach overhead, extensively, and repetitively; perform repetitive computer keyboard use; and lift, push, or pull 50–100 pounds.
Proficient communication, auditory, and visual skills; attention to detail; and ability to write legibly.

Nice To Haves

New graduates and candidates nearing graduation are encouraged to apply.
Experience or professional interest in thoracic, vascular, and cardiac surgical care, acute assessment, clinical prioritization, tube and line management, and escalation of care.
Interest in resident teaching, mentoring, quality improvement, and ongoing professional development.

Responsibilities

Assess and manage pre-operative and post-operative thoracic, vascular, and cardiac surgery patients.
Develop, implement, and adjust individualized plans of care.
Monitor complex post-operative patients and respond to changes in clinical status or escalating care needs.
Coordinate care with surgeons, residents, fellows, nursing staff, case management, and interdisciplinary partners.
Support line, tube, and post-operative clinical management.
Communicate patient status, priorities, and treatment plans clearly across care teams.
Provide education and support to patients and families.
Participate in resident education and clinical teaching.
Contribute to quality improvement initiatives and ongoing professional development.
Provide evidence-based, top-of-scope care as part of a specialty team.
Maintain accurate, timely, and thorough documentation and ensure compliance with institutional and regulatory standards.
Support the development of specialty best practices and protocols; serve on committees and workgroups to enhance patient care.
Mentor new team members and provide education to clinical learners.
Participate in professional governance through the APP Council and attend local and departmental team development meetings.
Maintain appropriate licenses, certifications, and specialty training competencies; participate in professional organizations.