About The Position

This on-site, full-time contract position provides high-quality patient care in a specialized cardiothoracic surgical environment, supporting surgical teams with comprehensive pre-operative, intra-operative, and post-operative care. In this Associate-level role, the clinician works closely with cardiothoracic surgeons, anesthesiologists, and multidisciplinary clinical staff to evaluate patients, manage surgical care pathways, and support recovery outcomes. The position involves locum assignments and adapting to varying practice protocols. The APP is responsible only for the surgical aspects of care in a 16-bed ICU. The daily census is 3–6 patients plus consults. Shifts are 12, 13, or 24 hours. Epic is the EMR. Required skills include ECMO, ventricular support, central and arterial lines, and catheter insertion and removal. Travel and expenses are paid.

Requirements

  • Current, unrestricted licensure as a Nurse Practitioner or Physician Assistant in Massachusetts.
  • Valid DEA registration and board certification as an NP or PA-C.
  • Experience in cardiothoracic surgery or cardiac surgical care settings.
  • Strong knowledge of cardiac physiology, perioperative management, and critical care principles.
  • Proficiency with electronic health record systems and clinical documentation.
  • Excellent clinical judgment, communication, and interpersonal skills.
  • Ability to work effectively in fast-paced, high-acuity surgical environments.
  • Current BLS and ACLS certifications.
  • Flexibility to adapt to varying locum assignments and practice protocols.
  • Skills in ECMO, ventricular support, central and arterial lines, and catheter insertion and removal.

Responsibilities

  • Conduct pre-operative assessments and prepare patients for cardiothoracic procedures.
  • Assist surgeons during operative procedures as required.
  • Perform post-operative patient evaluations and manage recovery plans.
  • Order, interpret, and follow up on diagnostic tests and imaging studies.
  • Prescribe medications and manage pain, fluid, and cardiac care protocols.
  • Document patient encounters accurately in electronic health records.
  • Coordinate care with surgical, nursing, and allied health teams.
  • Educate patients and families on post-surgical care, medications, and lifestyle modifications.
  • Ensure compliance with clinical guidelines, safety standards, and regulatory requirements.
  • Participate in rounds, case reviews, and quality improvement initiatives.
  • Provide care for the surgical aspects of ICU patients.

Benefits

  • Paid travel and expenses.
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