Nocturnal Cardiac ICU - Full-Time NP/PA

Advocate Health and Hospitals Corporation • Charlotte, NC

7d • Onsite

About The Position

The Cardiac ICU Advanced Practice Provider (APP)—Nurse Practitioner (NP) or Physician Assistant (PA)—will be an integral member of a high-acuity multidisciplinary team managing critically ill patients with advanced cardiac conditions. This 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 will work closely with cardiology, cardiac surgery, critical care, residents, and ancillary services while contributing to education, coordination, quality improvement, protocol development, and research activities related to cardiac critical care. The primary location is Charlotte, NC, within an inpatient Cardiac Intensive Care Unit / high-acuity cardiac critical care environment. The APP will manage critically ill cardiac patients with advanced cardiac conditions, including cardiogenic shock, advanced heart failure, post-MI complications, and temporary mechanical circulatory support needs. The schedule involves rotating weekends with 12-13 hour shifts and no call requirements.

Requirements

• Master’s degree in Nursing (MSN) or Physician Assistant Studies (MPAS) required
• Active, unrestricted NP or PA license in NC
• National certification required, 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 in a fast-paced, high-acuity environment with precision and collaboration

Nice To Haves

• 2–3 years of experience in cardiac critical care, CVICU, or related specialty preferred
• Critical care or cardiac certification such as CCRN, CSC, or equivalent preferred
• Proficiency with ECMO, Impella, IABP, and advanced hemodynamic monitoring strongly desired
• Prior experience in academic or teaching hospital settings is a plus

Responsibilities

• Provide direct patient management, advanced assessment, diagnosis, treatment planning, monitoring, care coordination, and collaboration within a fast-paced, high-acuity Cardiac ICU.
• Perform comprehensive assessment, diagnosis, and management of critically ill cardiac patients.
• Manage acute decompensated heart failure, cardiogenic shock, post-MI complications, vasoactive medications, inotropes, and mechanical support devices.
• Coordinate transitions between levels of care, including step-down and transfer to tertiary facilities when necessary.
• Manage temporary mechanical circulatory support devices, including ECMO, Impella, IABP, and ventricular assist devices under established protocols.
• Support advanced hemodynamic monitoring, titration, and weaning of vasoactive medications, inotropes, and mechanical support devices.
• Contribute to education, coordination, quality improvement, protocol development, and research activities related to cardiac critical care.

Benefits

• Paid Time Off programs available for eligible positions
• Comprehensive health and welfare benefits, including medical, dental, vision, life, and disability coverage
• Retirement benefits, including 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

What This Job Offers

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