Trauma and Surgical Critical Care APP

Advocate Health•Charlotte, NC
•$55 - $82•Onsite

About The Position

Atrium Health Carolinas Medical Center is seeking an experienced Nurse Practitioner or Physician Assistant to join its Trauma and Surgical Critical Care team in Charlotte, North Carolina. The role serves complex, high-acuity patients in a Level I Trauma Center and rotates between Trauma and Surgical Critical Care. The team includes surgeons, APPs, and other multidisciplinary care professionals, with opportunities for hands-on procedures and teaching military PAs, residents, and APP Fellows. The position uses 13-hour shifts on variable scheduled days. Trauma day shifts begin at 6:00 AM, and Surgical Critical Care/ICU day shifts begin at 6:30 AM. Schedules are developed six months in advance. Weekend rotation is approximately every third weekend, and holiday coverage is required. Trauma primarily uses day-shift APP coverage, while the ICU maintains 24/7 APP coverage. Call is generally not part of the role, but may be needed in rare circumstances. The Division of Acute Care Surgery includes Trauma, Surgical Critical Care, and Acute/Emergency General Surgery. Services are provided at Atrium Health Carolinas Medical Center, an 874-bed tertiary/quaternary care hospital and ACS-verified Level I Trauma Center. The Trauma service manages approximately 7,000 Trauma Code activations annually, resulting in approximately 4,500 trauma admissions. Surgical Critical Care handles approximately 1,500 patient consults annually across specialties including transplant, HEENT, surgical oncology, emergency general surgery, orthopedics, hepatobiliary surgery, trauma, and vascular surgery.

Requirements

  • Experienced Nurse Practitioner or Physician Assistant.
  • Nurse Practitioner applicants must have a Master’s Degree or Doctorate of Nursing Practice.
  • Nurse Practitioner applicants must have acute care board certification appropriate to the population and acuity served.
  • Nurse Practitioner applicants must have at least 1 year of ACNP or AGACNP experience.
  • Physician Assistant applicants must graduate from an accredited Physician Assistant program.
  • Physician Assistant applicants must have at least 1 year of Physician Assistant experience.
  • Must have or be eligible for a DEA license.
  • Must be approved to practice as a Nurse Practitioner or Physician Assistant in North Carolina.
  • Must be eligible to apply for prescriptive authority through the appropriate North Carolina licensing board.
  • BLS for Healthcare Provider through the American Heart Association is required, with an expiration date more than 90 days after the date of beginning practice.
  • Strong critical-thinking and interpersonal skills.
  • Ability to prioritize effectively and make proactive clinical decisions.

Nice To Haves

  • Master’s degree for Physician Assistant applicants.
  • NCCPA certification for Physician Assistant applicants.
  • Critical care experience.
  • Current BCLS/BLS, ACLS, PALS, and ATLS.

Responsibilities

  • Perform comprehensive histories and physical assessments.
  • Evaluate patients and develop, implement, and monitor individualized plans of care.
  • Manage medical conditions and comorbidities associated with critical illness and traumatic injury.
  • Manage ventilator settings and vasopressor therapy.
  • Evaluate and manage complex clinical cases.
  • Collaborate with surgeons, physicians, APPs, nurses, and other members of the care team.
  • Rotate between Trauma and Surgical Critical Care service lines.
  • Participate in the education of military PAs, residents, and APP Fellows.
  • Following appropriate Medical Staff privileging, perform procedures that may include chest tube placement, central line placement, arterial line placement, bronchoscopy, and intubation.
  • Following appropriate Medical Staff privileging, assist with bedside tracheostomy and percutaneous gastrostomy tube placement.

Benefits

  • Paid Time Off programs.
  • Medical, dental, vision, life, and Short- and Long-Term Disability benefits.
  • Flexible Spending Accounts for eligible health care and dependent care expenses.
  • Adoption assistance and paid parental leave.
  • Defined contribution retirement plans with employer match and other financial wellness programs.
  • Educational Assistance Program.
  • Premium pay such as shift and on-call pay, based on the teammate's job.
  • Incentive pay for select positions.
  • Opportunity for annual increases based on performance.
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