NP or PA - Surgical CVICU - Nights

Vanderbilt University Medical Center•Nashville, TN

About The Position

The Advanced Practice Provider (APP) is an integral member of the multidisciplinary healthcare team, delivering expert care to high-acuity patients in the Cardiovascular Intensive Care Unit (CVICU). The role manages unstable patients who require intensive oversight, frequent rounding, specialized care, and advanced interventions. It calls for advanced medical knowledge, clinical judgment, technical proficiency, professionalism, and strong interpersonal communication. The APP is also responsible for timely, compliant documentation, continued professional development, and competency validation, applying evidence-based practice alongside clinical expertise. The CVICU uses a multidisciplinary approach to care for adult general and congenital cardiology, cardiac surgery, thoracic, transplant, and vascular patients. Its care includes pre- and post-cardiac and vascular surgery, heart failure, STEMI, post-PCI, cardiac arrhythmias, structural heart disease, post-cardiac arrest, ECMO, heart and lung transplant, and mechanical assist devices. The unit’s mission is to provide high-quality, evidence-based and compassionate care to patients and their loved ones in a respectful, team-oriented, quality-focused environment. This is a full-time night-shift position with three 13-hour shifts per week. A $15,000 sign-on bonus is available to candidates with at least one year of Critical Care Nurse Practitioner or Critical Care Physician Assistant experience. The bonus is not available to current VUMC staff or former staff who worked for VUMC within the past twelve months, and is limited to full-time positions.

Requirements

  • Adult-Gerontology Acute Care Nurse Practitioner (AGACNP) or Acute Care Nurse Practitioner (ACNP), or Physician Assistant (PA).
  • Master’s education.
  • Applicable Tennessee licensure/certification: Licensed Nurse Practitioner, Physician’s Assistant Certified, or Registered Nurse, as listed for the position.
  • Advanced clinical knowledge, judgment, and technical proficiency for critical care practice.
  • Ability to provide care within scope of licensure and certification, including assessment, diagnosis, treatment, medication prescribing, and documentation.
  • Professionalism, ethical practice, effective communication, and commitment to ongoing professional development.
  • The position qualifications list relevant work experience and an experience level of less than one year.

Nice To Haves

  • At least one year of Critical Care Nurse Practitioner or Critical Care Physician Assistant experience qualifies candidates for the sign-on bonus.
  • Previous APP experience in a CVICU setting is preferred.
  • Previous RN experience in an ICU setting is preferred.

Responsibilities

  • Obtain and document health histories; perform and document complete, system-focused, or symptom-specific examinations, assessments, and plans of care.
  • Collaborate in providing primary, acute, and complex healthcare; manage patients’ overall care and identify expected outcomes for diagnoses.
  • Order, perform, interpret, and collect data using appropriate assessment techniques, diagnostic information, and procedures where indicated.
  • Form differential diagnoses and treat acute and chronic conditions.
  • Prescribe pharmacologic, non-pharmacologic, and surgical therapeutic interventions needed to achieve expected outcomes.
  • Use evidence-based, approved practice protocols to plan and implement care.
  • Initiate appropriate referrals and consultations.
  • Provide specialty-specific consultation services when requested and within scope of practice.
  • Facilitate patient transitions between and within healthcare settings, including admission, transfer, and discharge.
  • Document clinical findings, assessments, and plans of care clearly and compliantly.
  • Support patient- and family-centered care, education, quality improvement, professional development, and safe practice.

Benefits

  • Affordable high-quality health plan options
  • Dental and/or vision plan
  • 403(b) retirement plan
  • Paid time off (flex PTO)
  • Tuition reimbursement
  • Adoption assistance, subject to maximums
  • Short- and long-term disability
  • Subsidized backup childcare
  • An inpatient nursing supplemental pay program is available; ask about current details.
  • A $15,000 sign-on bonus for qualifying candidates, subject to stated experience and eligibility restrictions
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