Medical Critical Care Nurse Practitioner or Physician Assistant

ChristianaCare•Newark, DE

1d•$122,903 - $154,147•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. This full-time role provides clinical management for patients in the Medical ICU 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 standard-day rotating or dedicated off-shift scheduling. Standard-day clinicians rotate among day, evening, night, and weekend shifts. Day shifts are 10 or 12 hours (7 a.m.–5 p.m., 9 a.m.–7 p.m., or 7 a.m.–7 p.m.); evening shifts are 4 p.m.–2 a.m.; and night shifts are 7 p.m.–7 a.m. The standard-day schedule includes one weekend in three to four, three to five evening or night shifts per four weeks, and one major and one to two minor holidays per year. Nocturnists work 12-hour shifts, 7 p.m.–7 a.m., rotating between the Wilmington and Cecil campuses, with one weekend in three to four and one major and one to two minor holidays per year. Candidates may choose partial nocturnist scheduling, with 50% of shifts off-shift and 50% days, or full nocturnist scheduling, with all shifts at night. Weekendists work a minimum of 78 weekend shifts per year (three out of four weekends). The role includes assessing, diagnosing, and managing patients; developing care plans with the interdisciplinary team; ordering, performing, and interpreting diagnostic tests; monitoring treatment and adjusting plans; coordinating referrals and care transitions; educating patients and families; documenting, billing, and coding in the EHR; and contributing to quality improvement, research, and clinical protocols. The clinician is also expected to provide patient-centered care, uphold professional standards, collaborate in team development, pursue continuous learning, and maintain licensure, certifications, clinical privileges, and regulatory compliance.

Requirements

Licensed or eligible for Nurse Practitioner or Physician Assistant licensure in Delaware and Maryland.
Acute Care Nurse Practitioner license required for Nurse Practitioner candidates.
Prescriptive authority in Delaware and Maryland.
DEA registration in 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 RRT 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 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 in the electronic health record.
Participate in quality improvement initiatives, research activities, and the development of clinical protocols and best practices.
Deliver patient-centered care and contribute to a positive patient experience while maintaining clinical excellence, professionalism, and accountability.
Support team development through collaboration, onboarding, and knowledge sharing.
Maintain continuing learning and required licensure, certifications, clinical privileges, mandatory education, and regulatory compliance.
Work assigned shifts, weekends, and holidays according to the selected standard-day, nocturnist, or weekendist schedule.

Benefits

Competitive compensation.
Premium pay for dedicated off-shift roles; premium is determined by market conditions, position, and full versus partial off-shift status.
Yearly incentive plan with payout of up to 5% of base salary.
Optional APC Professional Advancement Model with stipend.
Generous PTO and PTO Cash Out Program.
$2,750 CME allowance and five 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.