Nurse Practitioner or Physician Assistant - Adult Congenital Heart Disease and Heart Failure
About The Position
Texas Children’s is seeking a motivated Advanced Practice Provider to provide inpatient and outpatient care for patients with heart failure, cardiomyopathy, adult congenital heart disease (ACHD), and ventricular assist devices (VADs). Outpatient duties include new patient evaluations; routine ACHD and heart failure follow-up; CardioMEMS management; optimization of medical therapy and lifestyle interventions; and coordination of referrals, diagnostic testing, and clinic visits. The APP will help improve patient access, continuity of care, and program growth. Inpatient duties include daily rounding on patients with active heart failure and/or VADs, multidisciplinary care coordination, and support for LVAD education and appropriate billing practices. The position may be filled by a Nurse Practitioner or Physician Assistant. The role requires respiratory fit testing for successful candidates in compliance with occupational health and safety standards.
Requirements
- Nurse Practitioner: Master’s degree in nursing.
- Nurse Practitioner: RN license from the Texas Board of Nursing or Nursing Licensure Compact.
- Nurse Practitioner: Certification as FNP, NNP, PNP-BC, WHNP-BC, CPNP-AC, or AG-ACNP from the Texas Board of Nursing.
- Physician Assistant: Bachelor’s degree.
- Physician Assistant: PA-Cert-Physician Assistant certification by the Texas Medical Board.
- Successful candidates must undergo respiratory fit testing in compliance with occupational health and safety standards.
Nice To Haves
- FNP or AG-ACNP certification is strongly preferred.
Responsibilities
- Provide inpatient and outpatient care for patients with heart failure, cardiomyopathy, adult congenital heart disease, and ventricular assist devices.
- Evaluate new outpatients and provide routine ACHD and heart failure follow-up.
- Manage CardioMEMS and optimize medical therapy and lifestyle interventions.
- Coordinate referrals, diagnostic testing, and clinic visits.
- Help improve patient access, continuity of care, and program growth.
- Round daily on inpatients with active heart failure and/or VADs.
- Coordinate multidisciplinary inpatient care and support LVAD education and appropriate billing practices.
- For Nurse Practitioners: collect and evaluate health assessment data; manage patient caseloads; obtain histories; examine patients; distinguish normal from abnormal findings; recommend age-appropriate screening; perform and evaluate diagnostic procedures and laboratory tests; collaborate on differential diagnoses and care plans; evaluate patient responses and adjust plans; document assessments and plans; communicate effectively; collaborate with healthcare disciplines, patients, and families; request consultations and referrals; educate patients, families, communities, and healthcare professionals; maintain professional knowledge through literature, staff development, and continuing education; participate in committees and quality improvement; and demonstrate advanced nursing practice role behaviors.
- For Physician Assistants: provide medical services within their education, training, scope of practice, and supervising physician delegation; obtain and document patient histories; distinguish and document normal and abnormal findings; prescribe or administer delegated medications; administer appropriate vaccines under physician observation; order diagnostic tests consistent with differential diagnoses; foster interdisciplinary collaboration; and establish respectful, empathetic, collaborative relationships with patients and families.
