Cardiac ICU - Full-Time NP/PA

Department: 02050 GCMG SHVI: Kenilworth - Cardiology Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: 13 hr shifts, rotating weekend and holiday coverage Pay Range: $54.90 - $82.35 Position Overview 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. This role provides comprehensive care for patients with cardiogenic shock, advanced heart failure, post–myocardial infarction complications, and those requiring temporary mechanical circulatory support, including ECMO, Impella, and IABP. The APP will work closely with cardiology, cardiac surgery, critical care, residents, and ancillary services while contributing to education, coordination, quality improvement, protocol development, and research activities related to cardiac critical care.  *Sign-On Bonus Eligible* Location & Setting: Primary location(s): Charlotte, NC – CMC Care setting: Inpatient Cardiac Intensive Care Unit / high-acuity cardiac critical care environment Service area / coverage: Critically ill cardiac patients with advanced cardiac conditions, including cardiogenic shock, advanced heart failure, post-MI complications, and temporary mechanical circulatory support needs Schedule & Call Expectations: Schedule (days, shifts): Varies, rotating weekends, 12 13hr shifts/month No call requirements Scope of Practice/What You’ll Do: Provide direct patient management, advanced assessment, diagnosis, treatment planning, monitoring, care coordination, and collaboration within a fast-paced, high-acuity Cardiac ICU. Core responsibilities: Perform comprehensive assessment, diagnosis, and management of critically ill cardiac patients; manage acute decompensated heart failure, cardiogenic shock, post-MI complications, vasoactive medications, inotropes, and mechanical support devices; coordinate transitions between levels of care, including step-down and transfer to tertiary facilities when necessary Patient population: Critically ill cardiac patients with advanced cardiac conditions, including cardiogenic shock, advanced heart failure, post–myocardial infarction complications, and patients requiring temporary mechanical circulatory support Procedures / clinical skills: Manage temporary mechanical circulatory support devices, including ECMO, Impella, IABP, and ventricular assist devices under established protocols; support advanced hemodynamic monitoring, titration, and weaning of vasoactive medications, inotropes, and mechanical support devices Autonomy vs collaboration: Direct patient management role with close collaboration alongside attending cardiologists, intensivists, cardiac surgeons, residents, nursing, pharmacy, physical therapy, nutrition, and other ancillary team members Team & Support Structure Team composition: Multidisciplinary cardiac critical care team including cardiology, cardiac surgery, critical care, residents rotating through the Cardiac ICU, nursing staff, pharmacists, physical therapists, nutritionists, and other ancillary services Collaboration model: Works closely with attending cardiologists, intensivists, cardiac surgeons, and the broader care team to optimize patient outcomes in a high-acuity ICU setting Onboarding/training support: Opportunity to participate in resident education, ongoing professional development, advanced procedure training, protocol development, and research activities related to cardiac critical care Why This Role / Differentiators Unique aspects of the role: High-acuity cardiac ICU role focused on advanced heart failure, cardiogenic shock, post-MI complications, and temporary mechanical circulatory support including ECMO, Impella, and IABP Program strengths / growth opportunities: Work at a leading cardiac critical care center with one of the region’s highest volumes of mechanical circulatory support and access to advanced procedure training and professional development Academic/research opportunities: Participate in quality improvement initiatives, protocol development, research activities, and education/coordination with residents rotating through the Cardiac ICU Culture / community / leadership strengths: Collaborate with renowned cardiologists, cardiac surgeons, intensivists, and a broad interdisciplinary team in a cutting-edge cardiac critical care environment Qualifications Minimum Education and Experience Required: Master’s degree in Nursing (MSN) or Physician Assistant Studies (MPAS) required; active, unrestricted NP or PA license in NC; national certification required, including ACNP, AGACNP, or NCCPA certification; current BLS and ACLS certification Preferred: 2–3 years of experience in cardiac critical care, CVICU, or related specialty preferred; critical care or cardiac certification such as CCRN, CSC, or equivalent preferred; proficiency with ECMO, Impella, IABP, and advanced hemodynamic monitoring strongly desired; prior experience in academic or teaching hospital settings is a plus Knowledge, Skills, and Abilities Required: 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 with precision and collaboration Physical Requirements and Working Conditions: Fast-paced, high-acuity inpatient Cardiac ICU environment caring for critically ill patients; additional physical requirements should be confirmed against Workday standard requirements Benefits/Supplemental Benefits: Paid Time Off programs available for eligible positions Comprehensive health and welfare benefits, including medical, denta