APP ( NP or PA) - Cardiothoracic Surgery

Carilion Clinic•Roanoke, VA

22h•Onsite

About The Position

We are excited to offer an exceptional opportunity to join our Cardiothoracic Surgery Critical Care Team as a Physician Assistant / Associate (PA) or Acute Care Nurse Practitioner (ACNP / AGACNP / ACNP-AG). This role is ideal for an advanced practitioner seeking a highly autonomous, clinically challenging, and collaborative team environment. Why Join Our Team? Take your career to the next level as part of a dynamic Cardiothoracic Surgery Critical Care Service. Our APPs play an integral role in comprehensive perioperative care, managing patients across the full continuum—from initial consultation through postoperative recovery and discharge. You will work alongside experienced cardiothoracic surgeons, APPs, and multidisciplinary professionals in a high-acuity, cutting-edge environment.

Requirements

Education: Graduate of an Accredited Nurse Practitioner or Physician Assistant program.
Experience: 0
Licensure/Certification: Current state Licensed Nurse Practitioner (NP) and RN licensure required or Physician Assistant ( PA) , DEA license . AHA BLS-HCP certification required. Advanced Life Support certification preferred.
Eligible for prescriptive authority in accordance with State regulations and as authorized by the Virginia Boards of Nursing and Medicine.
Other: Able to work collaboratively with physicians and other health care providers, good written and oral communication skills. Computer literacy required for automated computer systems, including electronic medical records.

Nice To Haves

Physician Assistant or Acute Care Nurse Practitioner
Strong interest or background in cardiothoracic surgery and/or critical care
Comfortable practicing with a high level of autonomy in a fast-paced ICU setting
Committed to teamwork, clinical excellence, and continuous professional growth

Responsibilities

Critical Care Management Manage patients recovering from complex cardiothoracic surgeries, including: Aortic surgery Coronary artery bypass grafting (CABG) Thoracic surgery Valve surgery Mechanical Circulatory Support
Collaboration Partner closely with attending physicians and APP colleagues in the management of advanced mechanical circulatory support devices, including: ECMO Intra-Aortic Balloon Pumps (IABPs) Left Ventricular Assist Devices (LVADs) Impella Right Ventricular Assist Devices (RVADs)
Procedural Skills Development Perform and refine common ICU procedures, including: Bronchoscopy Central venous catheter placement Arterial line insertion Chest tube management
Patient Experience & Quality of Care Focus on optimizing patient experience, satisfaction, and clinical outcomes Deliver high-quality, evidence-based perioperative care
Diagnostic & Clinical Decision-Making Order and interpret relevant diagnostic studies Apply clinical judgment to guide timely and appropriate interventions
Emergency Response Respond to critical and emergent situations Provide rapid assessment and stabilization until definitive treatment is implemented