Supervisor, Advanced Practice Providers - Pediatric Critical Care

Seattle Children's•Seattle, WA

6d•$142,120 - $209,020•Onsite

About The Position

Seattle Children’s Hospital is seeking an experienced, clinically adept Advanced Practice Provider (APP) Supervisor to lead its Pediatric Intensive Care Unit (PICU) APP team. This is a dual administrative and clinical role, balancing operational leadership, people management, and program development with frontline inpatient practice. The supervisor partners with Medical Directors, APP Leadership, Nursing Leadership, and Division Administration to support clinical excellence, 24/7 staffing, APP development, and continuous quality improvement. The role includes direct inpatient care for critically ill infants, children, adolescents, and young adults in a 40-bed, high-acuity PICU. Clinical practice involves managing complex pediatric medical and surgical patients, responding to emergencies, providing advanced organ support, performing procedures, contributing to multidisciplinary rounds, and facilitating safe transitions of care. The position is based at Seattle Children’s Hospital Main Campus in Seattle, Washington, in a single-patient-room PICU in the Forest Zone. The administrative portion includes direct supervision, mentorship, career development, performance evaluations, credentialing and competency oversight, recruitment, scheduling, onboarding, clinical education, and quality and safety initiatives. The role supports a 24/7/365 care model with 12-hour day and 14-hour night shifts, including weekends and holidays, and requires flexibility to work variable shifts to support staff across tours of duty. Candidates must meet the applicable education, experience, licensure, certification, prescribing, and staff-privilege requirements for either the Nurse Practitioner or Physician Assistant pathway. Compensation is listed as $142,120.42–$209,019.62 per year, with a 12% off-shift premium and a leadership stipend equal to 10% of base pay. Relocation support is available for qualified candidates. Seattle Children’s offers medical, dental, and vision plans, 403(b), life insurance, paid time off, tuition reimbursement, and other benefits.

Requirements

For Nurse Practitioners: Master’s degree or higher in Nursing with a Pediatric Nurse Practitioner concentration.
For Nurse Practitioners: Completion of a Pediatric Acute Care Nurse Practitioner (PNP-AC) program.
For Nurse Practitioners: Three years of work experience in a pediatric or family-focused clinical area.
For Physician Assistants: Graduation from a nationally accredited Physician Assistant program.
For Physician Assistants: Completion of a formal postgraduate critical care training program, including precepted clinical experience.
For Physician Assistants: Three years of work experience in a pediatric or family-focused clinical area.
Active, unencumbered Washington State license as a PA-C or RN/ARNP.
For Physician Assistants: Initial and maintained certification by the NCCPA.
For Nurse Practitioners: Current national certification as a Pediatric or Family Nurse Practitioner (PNP or FNP).
Active Pediatric Advanced Life Support (PALS) certification.
Active Drug Enforcement Administration (DEA) registration.
Obtain and maintain full medical or allied health professional staff privileges before the employment start date. Privileges cannot be limited, revoked, suspended, conditioned, or probationary, except for standard initial appointment probation.
Flexibility to work variable shifts supporting staff across all tours of duty.

Responsibilities

Provide direct supervision, mentorship, and career development for the PICU APP cohort.
Conduct annual performance evaluations and oversee professional credentialing and competencies.
Lead recruitment, hiring, and retention initiatives for PICU APPs.
Direct scheduling for a 24/7/365 care model, including schedule equity, cross-coverage, PTO requests, and clinical surge plans.
Design and maintain onboarding and preceptorship curricula for new PICU APPs.
Facilitate continuing education, simulation drills, and advanced organ-support competency assessments.
Partner with Division Leadership on clinical quality improvement programs, Root Cause Analyses, clinical pathways, and patient safety reporting.
Act as a clinical and administrative liaison among APPs, intensivists, trainees, nursing leadership, pharmacy, respiratory therapy, and surgical subspecialists.
Manage a high-acuity inpatient panel of critically ill pediatric medical and surgical patients within a multidisciplinary team.
Respond to bedside clinical decompensation and provide acute resuscitation and rapid airway or cardiorespiratory interventions.
Direct and titrate ECMO/ECLS in partnership with perfusion and critical care faculty.
Prescribe, initiate, and manage CRRT and continuous hemodialysis.
Execute invasive and non-invasive mechanical ventilation strategies, including HFOV.
Provide specialized care for complex conditions including multi-organ failure, transplants, CAR-T complications, sepsis, neuro-trauma, status epilepticus, and severe DKA.
Lead inpatient postoperative recovery for complex craniofacial, neurosurgical, general pediatric, otolaryngology, and orthopedic surgical cases.
Lead and participate in daily multidisciplinary rounds.
Perform necessary diagnostic and therapeutic procedures and interpret point-of-care diagnostics.
Facilitate safe transitions of care to step-down or acute care units.