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Carolinas Medical Center in Charlotte, NC seeks a Cardiac ICU Advanced Practice Provider (NP/PA) to join a high-acuity, multidisciplinary team caring for critically ill cardiac patients requiring temporary mechanical circulatory support.
You will manage cardiogenic shock, advanced heart failure, post‑MI complications and work with ECMO, Impella and IABP devices, while contributing to education, protocol development and research within a cutting-edge Cardiac ICU.
02050 GCMG SHVI: Kenilworth - Cardiology
Full time
Yes
32
rotating shifts, holiday, and weekend coverage
$54.90 - $82.35
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*
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: Varies, rotating weekends, 12 13hr shifts/month
No call requirements
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 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
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
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 a