Nocturnal Cardiac ICU - Full-Time NP/PA
Atrium Health Specialty Network, Inc
Charlotte, North Carolina
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.
Posted Sep 22
- Shift and hours
- 13-hour shifts · rotating, 12 13-hour shifts a month 13 hr shifts rotating weekend and holiday coverage Varies, rotating weekends, 12 13hr shifts/month40 hours a week
- Unit and setting
- Inpatient Cardiac Intensive Care Unit · Hospital
- License
- NP licenseactive, unrestricted NP or PA license in NC
- Term
- Per Diem Status: Full timeFull time
Do you qualify?
- License
- active, unrestricted NP or PA license in NC Check your license
- Certification
- ACNP, AGACNP or NCCPA national certification national certification required, including ACNP, AGACNP, or NCCPA certification
- Certification
- current BLS current BLS and ACLS certification
- Certification
- current ACLS
- Education
- MSN or MPAS Master’s degree in Nursing (MSN) or Physician Assistant Studies (MPAS) required
- Also asks
- advanced clinical assessment and critical thinking skills Advanced clinical assessment and critical thinking skills
- Also asks
- strong proficiency in hemodynamic interpretation and mechanical support management
Preferred
- Certification
- CCRN, CSC or equivalent critical care or cardiac certification such as CCRN, CSC, or equivalent preferred
- Experience
- 2-3 years in cardiac critical care, CVICU or related specialty 2-3 years of experience in cardiac critical care, CVICU, or related specialty preferred
- Also asks
- proficiency with ECMO, Impella, IABP and advanced hemodynamic monitoring proficiency with ECMO, Impella, IABP, and advanced hemodynamic monitoring strongly desired
- Also asks
- academic or teaching hospital experience prior experience in academic or teaching hospital settings is a plus
What it pays
- Extra pay
- premium pay for shift, on call and more Premium pay such as shift, on call, and more based on a teammate's job
- Bonus
- sign-on bonus eligible Sign-On Bonus Eligible
- Bonus
- incentive pay for select positions Incentive pay for select positions
- Eligibility
- benefits eligible Benefits Eligible: Yes
- Pay reviews
- base pay set within the listed range by qualifications, skills, experience and training Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
- Pay reviews
- annual increases Opportunity for annual increases based on performancebased on performance
Benefits
- BenefitsPaid time off for eligible positionsPaid Time Off programs available for eligible positions
- BenefitsMedical, dental, vision, life and disability coverageComprehensive health and welfare benefits, including medical, dental, vision, life, and disability coverage
- BenefitsRetirement benefits with 401(k) options and employer contributionsRetirement benefits, including 401(k) options with employer contributions and access to financial wellness resources
- BenefitsFlexible spending accounts for health care and dependent careFlexible spending accounts for eligible health care and dependent care expenses
- BenefitsFamily support including parental leave, adoption assistance and surrogacy supportFamily support benefits, which may include parental leave, adoption assistance, and surrogacy support
- BenefitsEducational assistance and professional development programsEducational assistance and professional development programs
More benefits (8)
- BenefitsPaid medical liability insurancePaid medical liability insurance
- BenefitsContinuing Medical Education (CME) allowancesContinuing Medical Education (CME) allowances
- BenefitsRelocation assistanceRelocation assistance
- Paid Time Off programs
- Medical, dental, vision, life, and disability coverage
- Retirement benefits including 401(k) with employer contributions
- Flexible spending accounts
- Family support benefits
The role and schedule
- Day to day
- comprehensive assessment, diagnosis and management of critically ill cardiac patients Perform comprehensive assessment, diagnosis, and management of critically ill cardiac patients
- Day to day
- manage acute decompensated heart failure, cardiogenic shock, post-MI complications, vasoactive medications, inotropes and mechanical support devices manage acute decompensated heart failure, cardiogenic shock, post-MI complications, vasoactive medications, inotropes, and mechanical support devices
- Day to day
- coordinate transfers between levels of care, including step-down and tertiary transfer coordinate transitions between levels of care, including step-down and transfer to tertiary facilities when necessary
- Day to day
- manage temporary mechanical circulatory support devices under established protocols Manage temporary mechanical circulatory support devices, including ECMO, Impella, IABP, and ventricular assist devices under established protocols
- Day to day
- support hemodynamic monitoring, titration and weaning of vasoactive medications, inotropes and mechanical support devices support advanced hemodynamic monitoring, titration, and weaning of vasoactive medications, inotropes, and mechanical support devices
- Day to day
- contribute to education, coordination, quality improvement, protocol development and research while contributing to education, coordination, quality improvement, protocol development, and research activities related to cardiac critical care
- Patients
- critically ill cardiac patients with cardiogenic shock, advanced heart failure, post-MI complications and temporary mechanical circulatory support needs
- Care model
- direct patient management with close collaboration across the care team
- Weekends
- rotating weekend coverage 13 hr shifts rotating weekend and holiday coverage
- On call
- no call requirements No call requirements
- Holidays
- rotating holiday coverage
- Details
- primary location Charlotte, NC - CMC Primary location(s): Charlotte, NC - CMC
- Details
- fast-paced, high-acuity inpatient environment Fast-paced, high-acuity inpatient Cardiac ICU environment caring for critically ill patients
- Details
- residents rotate through the Cardiac ICU residents rotating through the Cardiac ICU
- Details
- one of the region's highest volumes of mechanical circulatory support Work at a leading cardiac critical care center with one of the region’s highest volumes of mechanical circulatory support
The workplace
Worth asking
- What is the pay period for the posted pay range, and how does the productivity or RVU formula work?
- Are there differentials or other recurring incentives?
More questions to askFewer questions
- Does the employer cover malpractice and tail coverage?
- What orientation, preceptor time, ongoing unit support, and clinical backup are included?
Your fit
On your path
Nurse Practitioner is advanced-practice territory. The long route; independence depends on your state.
Original listing
Posted on Atrium Health Specialty Network, Inc’s careers page.
Read full text
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
$59.00 - $95.20
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, dental, vision, life, and disability coverage Retirement benefits, including 401(k) options with employer contributions and access to financial wellness resources Flexible spending accounts for eligible health care and dependent care expenses Family support benefits, which may include parental leave, adoption assistance, and surrogacy support Educational assistance and professional development programs Paid medical liability insurance Continuing Medical Education (CME) allowances Relocation assistance
About Advocate Health
Advocate Health is one of the largest nonprofit integrated health systems in the United States, providing care under the names Advocate Health Care in Illinois, Atrium Health in the Carolinas, Georgia and Alabama, and Aurora Health Care in Wisconsin. With Wake Forest University School of Medicine as our academic core, we are shaping the future of health care through innovation, research, education and compassionate care. When you join Advocate Health, you’re joining a team that’s committed to being a Best Place to Care —where clinicians are heard, supported and empowered to focus on what matters most: caring for patients.
This enterprise-wide initiative is grounded in listening to care teams, removing barriers to excellent care, and fostering well-being and connection. It reflects our purpose— from discovery to everyday moments, we’re redefining care - for you, for us, for all —and lives through our values: lifting each other up, leading with purpose, thinking boldly together and embracing change with optimism. Here, you’ll find not just a job, but a career with meaning, growth and impact—for all.
Our Commitment to You
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise.
It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
What's around it?
Charlotte, NCFrom Census ACS 2024.
Living costs about 3% below the US average
- Median rent
- $1,612/mo
- Household income
- $82,068/yr, all local households, not nurse pay