Cardiac ICU - Full-Time NP/PA

Advocate Health and Hospitals Corporation•Charlotte, NC

5d•Onsite

About The Position

The Cardiac ICU Advanced Practice Provider (APP)—a Nurse Practitioner (NP) or Physician Assistant (PA)—is an integral member of a high-acuity multidisciplinary team caring for 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 collaborates with cardiology, cardiac surgery, critical care, residents, and ancillary services, and contributes to education, care coordination, quality improvement, protocol development, and research related to cardiac critical care. The primary location is CMC in Charlotte, North Carolina, in an inpatient Cardiac Intensive Care Unit. The APP provides direct patient management, including advanced assessment, diagnosis, treatment planning, monitoring, and coordination of care. The role includes managing acute decompensated heart failure, cardiogenic shock, post-MI complications, vasoactive medications, inotropes, and mechanical support devices, as well as coordinating transitions between levels of care and transfers to tertiary facilities when needed. The APP works closely with attending cardiologists, intensivists, cardiac surgeons, residents, nursing, pharmacy, physical therapy, nutrition, and other ancillary team members. The position offers opportunities for resident education, professional development, advanced procedure training, and participation in quality improvement, protocol development, and research activities. The cardiac critical care center has a high volume of mechanical circulatory support and provides exposure to advanced procedures and a broad interdisciplinary team. This is a full-time position with 32 hours per week and a schedule of approximately 12–13-hour shifts per month. Shifts vary and include rotating weekend and holiday coverage; there are no call requirements. The listed pay range is $54.90–$82.35. The position is sign-on bonus eligible.

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

Assess, diagnose, and manage critically ill cardiac patients.
Develop treatment plans and provide ongoing monitoring and direct patient management in a high-acuity Cardiac ICU.
Manage acute decompensated heart failure, cardiogenic shock, post–myocardial infarction complications, vasoactive medications, and inotropes.
Manage 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.
Contribute to 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) options with employer contributions and access to 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.
Potential premium pay, including shift and on-call pay where applicable.
Potential incentive pay for select positions.
Opportunity for annual increases based on performance.