Cardiothoracic Nurse Practitioner

Hire Caliber Staffing • Fort Worth, TX

6d • Onsite

About The Position

We are staffing for a premier, well-established cardiothoracic surgery team based in the dynamic Dallas-Fort Worth metroplex. This is a rare first assisting opportunity to join a tight-knit team that genuinely values your work-life balance while offering unlimited, productivity-based earning potential. Beyond the exceptional clinical environment, the DFW area offers an unmatched quality of life. Texas residents benefit from having no state income tax, allowing you to maximize your take-home pay. The region boasts a booming healthcare economy, an incredibly reasonable cost of living compared to other major medical hubs, and world-class amenities, from a legendary arts district and top-tier professional sports to renowned dining and sprawling master-planned communities. Whether you are seeking vibrant city energy or relaxed suburban charm with top-rated school districts, the metroplex provides the perfect backdrop for a thriving career and a fulfilling lifestyle. The Cardiothoracic Surgery Nurse Practitioner will function as a vital member of a high-volume surgical service, working directly with multiple attending surgeons across a major hospital network. Focused entirely on first assisting, the ideal candidate is an experienced, technically strong NP who thrives in a fast-paced OR environment. You must be comfortable adapting to various surgeon preferences and be highly motivated by a blend of clinical excellence and productivity-based compensation.

Requirements

• 1–2+ years of dedicated Cardiac Surgery experience as a Nurse Practitioner (CABG, valves, thoracic, or transplant).
• Experience in a high-volume cardiac program is strongly preferred.
• Prior exposure to transplant or congenital cardiac surgery is a plus, but not required.
• Highly proficient in Endoscopic Vein Harvesting (EVH) using the Maquet system, with consistent harvest times in the 30–45 minute range.
• Ability to function confidently as first or second assist in: Adult cardiac surgery, Thoracic surgery (open, VATS, robotic), Transplant surgery (heart, lung, kidney)
• Willingness to cross-train into congenital cardiac surgery if desired.
• Adaptable and collaborative, able to work with multiple surgeons who each have unique preferences and styles.
• Calm, steady, and reliable in high-acuity or rapidly changing situations.
• Strong communication skills with surgeons, anesthesia, ICU teams, and nursing staff.
• High degree of intellectual curiosity and commitment to ongoing learning, especially if pursuing transplant or congenital training.
• Active Advanced Practice Registered Nurse (APRN) license in the United States.
• National certification as an Acute Care Nurse Practitioner (AGACNP or ACNP).
• RNFA (Registered Nurse First Assistant) certification is required/strongly preferred for OR billing and privileges.
• Ability to obtain Texas licensure; expedited temporary privileges available.

Nice To Haves

• Experience in a high-volume cardiac program is strongly preferred.
• Prior exposure to transplant or congenital cardiac surgery is a plus, but not required.
• RNFA (Registered Nurse First Assistant) certification is required/strongly preferred for OR billing and privileges.

Responsibilities

• Intraoperative First and Second Assist
• Adult Cardiac: First or second assist for CABG, valve repairs and replacements, and complex aortic and vascular procedures.
• Thoracic & Transplant: Assist in open, minimally invasive, and robotic thoracic cases, as well as heart, lung, and kidney transplants.
• Congenital Track (Optional): Assist in complex pediatric procedures (e.g., VSD/ASD, Norwood); requires ongoing self-study in congenital anatomy.
• Endoscopic Vein Harvesting (EVH): Efficiently perform EVH via the Maquet system to deliver high-quality, low-trauma conduit while ensuring smooth OR case flow.

Benefits

• Exceptional Work-Life Balance: The team actively manages workloads, offering lighter assignments after demanding OR days to prevent burnout.
• Uncapped Earning Potential: High-volume environment offering a transparent, productivity-based structure with a daily call rate plus per-case compensation.
• Advanced Training: Supportive environment for expanding your skills, including cross-training opportunities in heart, lung, and kidney transplants, as well as congenital cardiac surgery.
• Stability and Culture: Join a decades-old practice with deep hospital roots, an exceptional retention rate (many providers stay 10 to 30+ years), and a highly collaborative, respectful culture.
• 1099 Financial Advantages: Maximize your take-home pay with no state income tax and robust business deductions (CME, travel, equipment, health insurance). Leadership will personally guide you on optimizing your LLC structure.
• DFW Lifestyle: Enjoy an affordable cost of living, family-friendly communities with top-tier schools, year-round outdoor activities, easy airport access, and a thriving cultural scene.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior