Cardiac ICU - Full-Time NP/PA

Advocate Health•Charlotte, NC

6d•Onsite

About The Position

The Cardiac ICU Advanced Practice Provider (APP)—Nurse Practitioner (NP) or Physician Assistant (PA)—is an integral member of a high-acuity multidisciplinary team managing critically ill patients with advanced cardiac conditions. The role provides comprehensive care for patients with cardiogenic shock, advanced heart failure, post–myocardial infarction complications, and those requiring temporary mechanical circulatory support, including ECMO, Impella, and IABP. The APP provides direct patient management in an inpatient Cardiac Intensive Care Unit in Charlotte, North Carolina. The position involves advanced assessment, diagnosis, treatment planning, monitoring, care coordination, and collaboration with cardiology, cardiac surgery, critical care, residents, nursing, pharmacy, physical therapy, nutrition, and other ancillary services. The APP also contributes to education, coordination, quality improvement, protocol development, and research activities related to cardiac critical care. The schedule varies and includes rotating shifts, weekends, and holidays, with approximately 12 13-hour shifts per month and no call requirements. The role offers opportunities for advanced procedure training, resident education, professional development, and participation in quality improvement and research at a cardiac critical care center with a high volume of mechanical circulatory support.

Requirements

Master’s degree in Nursing (MSN) or Physician Assistant Studies (MPAS).
Active, unrestricted Nurse Practitioner or Physician Assistant license in North Carolina.
National certification, including ACNP, AGACNP, or NCCPA certification.
Current BLS and ACLS certification.
Advanced clinical assessment and critical thinking skills.
Strong proficiency in hemodynamic interpretation and mechanical support management.
Effective interdisciplinary communication and teamwork.
Commitment to evidence-based practice and continuous learning.
Ability to work precisely and collaboratively in a fast-paced, high-acuity environment.

Nice To Haves

Two to three years of experience in cardiac critical care, CVICU, or a related specialty.
Critical care or cardiac certification such as CCRN, CSC, or equivalent.
Proficiency with ECMO, Impella, IABP, and advanced hemodynamic monitoring.
Prior experience in an academic or teaching hospital setting.

Responsibilities

Provide direct patient management, advanced assessment, diagnosis, treatment planning, monitoring, and care coordination in a fast-paced Cardiac ICU.
Assess, diagnose, and manage critically ill cardiac patients, including patients with acute decompensated heart failure, cardiogenic shock, and post–myocardial infarction complications.
Manage vasoactive medications, inotropes, and temporary mechanical circulatory support devices, including ECMO, Impella, IABP, and ventricular assist devices, under established protocols.
Support advanced hemodynamic monitoring and the titration and weaning of vasoactive medications, inotropes, and mechanical support devices.
Coordinate transitions between levels of care, including step-down care and transfers to tertiary facilities when necessary.
Collaborate with attending cardiologists, intensivists, cardiac surgeons, residents, nursing, pharmacy, physical therapy, nutrition, and other ancillary team members.
Participate in resident education, quality improvement initiatives, protocol development, and research activities related to cardiac critical care.

Benefits

Sign-on bonus eligibility.
Paid time off programs for eligible positions.
Medical, dental, vision, life, and disability coverage.
401(k) retirement options with employer contributions and financial wellness resources.
Flexible spending accounts for eligible health care and dependent care expenses.
Family support benefits, which may include parental leave, adoption assistance, and surrogacy support.
Educational assistance and professional development programs.
Paid medical liability insurance.
Continuing Medical Education (CME) allowances.
Relocation assistance.
Premium pay such as shift or on-call pay, as applicable.
Incentive pay for select positions.
Opportunity for annual performance-based increases.