Cardiac ICU (Nocturnal) - Full-Time NP/PA

The Cardiac ICU Advanced Practice Provider (APP) — Nurse Practitioner (NP) or Physician Assistant (PA) — will be an integral member of a high-acuity multidisciplinary team managing critically ill patients with advanced cardiac conditions. The APP will provide comprehensive care for patients with cardiogenic shock, advanced heart failure, post-myocardial infarction complications, and those requiring temporary mechanical circulatory support (MCS), including ECMO, Impella, and IABP. This role involves direct patient management, procedural skills, and close collaboration with cardiology, cardiac surgery, critical care, and ancillary services. The APP will also play a key role in education, coordination, and working with residents rotating through the cardiac ICU.

Responsibilities

Perform comprehensive assessment, diagnosis, and management of critically ill cardiac patients; Manage patients with acute decompensated heart failure, cardiogenic shock, and post-myocardial infarction complications; Manage temporary mechanical circulatory support devices including ECMO, Impella, IABP, and ventricular assist devices under established protocols; Collaborate closely with attending cardiologists, intensivists, cardiac surgeons, and the broader care team; Provide ongoing monitoring, titration, and weaning of vasoactive medications, inotropes, and mechanical support devices; Coordinate patient transitions between levels of care; Work collaboratively with nursing staff, pharmacists, physical therapists, nutritionists, and other team members; Participate in quality improvement initiatives, protocol development, and research activities related to cardiac critical care

Requirements

Master's degree in nursing (MSN) or Physician Assistant Studies (MPAS); Active, unrestricted NP or PA license in NC; National certification (ACNP, AGACNP, or NCCPA certification); Current BLS and ACLS certification; Advanced clinical assessment and critical thinking skills; Strong proficiency in hemodynamic interpretation and mechanical support management; Effective interdisciplinary communication and teamwork; Commitment to evidence-based practice and continuous learning; Ability to work in a fast-paced, high-acuity environment

Nice to have

Critical care or cardiac certification (CCRN, CSC, or equivalent); Minimum 2–3 years of experience in cardiac critical care, CVICU, or related specialty; Proficiency with ECMO, Impella, IABP, and advanced hemodynamic monitoring; Prior experience in academic or teaching hospital settings

Benefits

Paid Time Off programs; Health and welfare benefits (medical, dental, vision, life, Short- and Long-Term Disability); Flexible Spending Accounts; Family benefits (adoption assistance and paid parental leave); Defined contribution retirement plans with employer match and other financial wellness programs; Educational Assistance Program; Premium pay (shift, on call); Incentive pay; Annual increase opportunities; Ongoing professional development, advanced procedure training, and research opportunities