Supervisor, Advanced Practice Providers - Pediatric Critical Care

Seattle Children's Hospital•Seattle, WA

5d•Onsite

About The Position

Seattle Children’s Hospital is seeking an experienced Advanced Practice Provider (APP) Supervisor to lead its Pediatric Intensive Care Unit (PICU) APP team. This is a dual administrative and clinical role, with approximately 20% of the position focused on leadership and operations and 80% on frontline inpatient practice. The supervisor provides direct care to critically ill infants, children, adolescents, and young adults in a 40-bed, high-acuity PICU while partnering with medical directors, APP leadership, nursing leadership, and division administration to support clinical excellence, staffing, staff development, and quality improvement. The role includes direct supervision and career development of PICU APPs; performance evaluation, credentialing and competency oversight; recruitment and retention; scheduling and workforce planning for continuous 24/7 coverage; and development of onboarding, preceptorship, and ongoing education. The supervisor also collaborates on quality improvement, patient safety, clinical pathways, and root cause analyses, and serves as a liaison among the APP team and interprofessional clinical groups. In the clinical portion of the role, the supervisor manages critically ill pediatric medical and surgical patients, responds to decompensation and resuscitations, and provides advanced organ-support care. This includes ECMO/ECLS, CRRT and continuous hemodialysis, invasive and non-invasive ventilation, and HFOV. The position supports patients with complex conditions including multi-organ failure, transplants, CAR-T therapy complications, sepsis, neuro-trauma, status epilepticus, and severe DKA, as well as postoperative recovery after complex pediatric surgeries. Duties also include multidisciplinary rounds, procedures, point-of-care diagnostics, and transitions to step-down or acute care. The position is based at Seattle Children’s Hospital Main Campus in Seattle, Washington, in a 40-bed single-patient-room PICU. The coverage model operates 24/7 and includes 12-hour day shifts and 14-hour night shifts, with flexibility to work variable shifts. Full-time 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, a 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 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.
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 must not be limited, revoked, suspended, conditioned, or probationary, excluding standard initial appointment probation.
Flexibility to work variable shifts to supervise, evaluate, and support 24/7 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.
Direct operational scheduling for a 24/7/365 care model, including schedule equity, cross-coverage, PTO requests, and 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, root cause analyses, clinical pathways, and patient safety reporting.
Serve as liaison among APPs, attending intensivists, fellows and residents, nursing leadership, pharmacy, respiratory therapy, and surgical subspecialists.
Manage a high-acuity inpatient panel of critically ill pediatric medical and surgical patients.
Respond to bedside clinical decompensation and acute resuscitations, including rapid airway and 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, severe sepsis, neuro-trauma, status epilepticus, and severe DKA.
Lead inpatient postoperative recovery for complex craniofacial, neurosurgical, general, otolaryngology, and orthopedic surgical cases.
Lead and contribute to daily multidisciplinary rounds.
Perform diagnostic and therapeutic procedures and interpret point-of-care diagnostics.
Facilitate safe transitions of care to step-down or acute care units.