Medical Critical Care Nurse Practitioner or Physician Assistant

Christiana Care Health Services•Newark, DE

13d•Onsite

About The Position

ChristianaCare is seeking a Nurse Practitioner or Physician Assistant to join its Medical Critical Care Team, serving three hospital campuses in Newark and Wilmington, Delaware, and Elkton, Maryland. The full-time role provides clinical management for Medical ICU patients in collaboration with a medical intensivist. The clinician also responds to code blues, performs ICU admissions, and manages rapid responses as part of the Rapid Response Team; RRT coverage is at the Cecil campus only. The position offers a standard rotating schedule or a dedicated off-shift schedule. Standard-day clinicians rotate through day, evening, night, and weekend shifts. A nocturnist works 12-hour night shifts rotating between the Wilmington and Cecil campuses; candidates may choose a partial nocturnist schedule, with half of shifts off-shift and half days, or a full nocturnist schedule. Weekendists work at least 78 weekend shifts per year, or three out of four weekends. Clinical work includes assessing, diagnosing, and managing patients; developing individualized care plans with physicians, nurses, and the interdisciplinary team; ordering, performing, and interpreting diagnostic tests and laboratory studies; monitoring patient progress and adjusting treatment; coordinating referrals, resources, transitions, and discharge planning; educating and counseling patients and families; and documenting, billing, and coding in the electronic health record. The role also contributes to quality improvement, research, clinical protocols, team development, and ongoing professional learning. ChristianaCare is headquartered in Wilmington, Delaware, and operates a network of primary care and outpatient services, home health care, urgent care centers, three hospitals, a freestanding emergency department, and specialty centers. The organization describes the region as offering housing options in Delaware, Pennsylvania, Maryland, and New Jersey, along with access to transportation, cultural attractions, major cities, airports, beaches, and ski resorts.

Requirements

Licensed or eligible for Nurse Practitioner or Physician Assistant licensure in Delaware and Maryland.
Acute Care Nurse Practitioner licensure is required for Nurse Practitioners.
Prescriptive authority for Delaware and Maryland.
DEA registration for Delaware and Maryland.
ACLS certification required.

Responsibilities

Provide clinical management to Medical ICU patients in collaboration with a medical intensivist.
Respond to code blues, perform ICU admissions, and manage rapid responses as part of the Rapid Response Team; RRT coverage is at the Cecil campus only.
Assess, diagnose, and manage patients through comprehensive histories, physical examinations, and ongoing evaluation.
Develop and implement individualized plans of care in collaboration with physicians, nurses, and the interdisciplinary care team.
Order, perform, and interpret diagnostic tests and laboratory studies as appropriate.
Monitor patient progress, evaluate treatment effectiveness, and adjust management plans as needed.
Coordinate referrals, resource utilization, care transitions, and discharge planning.
Educate and counsel patients and families using evidence-based teaching strategies, including teach-back methods.
Serve as a liaison among patients, families, and healthcare team members to support coordinated, patient-centered care.
Complete timely and accurate documentation, billing, and coding within the electronic health record.
Participate in quality improvement initiatives, research activities, and development of clinical protocols and best practices.
Deliver patient-centered care and contribute to a positive patient experience.
Support team development through collaboration, onboarding, and knowledge sharing.
Maintain required licensure, certifications, clinical privileges, mandatory education, and regulatory compliance.

Benefits

Competitive compensation, with a generous premium for dedicated off-shift roles; premium pay depends on market conditions, position, and full versus partial off-shift commitment.
Yearly incentive plan with payout of up to 5% of base salary.
Optional APC Professional Advancement Model with stipend.
Generous paid time off and PTO cash-out program.
$2,750 CME allowance and 5 CME days.
Health, dental, and vision benefits.
403(b) and Defined Contribution Plans.
Fully paid malpractice insurance.
12 weeks of paid parental leave.
Employee assistance program.