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

600 Advocate Health, Inc.; Charlotte (NC); On-site; USD 181,810,000 - 272,787,000; Full time

Benefits offered by this job

Health and welfare benefits

Paid Time Off

401(k) with employer match

Educational Assistance Program

Retirement plans

Job summary

Advocate Health's Cardiac ICU is seeking an APP to join a high-acuity team, caring for patients with cardiogenic shock, advanced heart failure, post–MI complications, and those requiring temporary mechanical circulatory support (ECMO, Impella, IABP). The APP will provide direct patient management, perform procedures, and collaborate with cardiology, cardiac surgery, critical care, and ancillary services.

The role emphasizes education, coordination, and working with residents rotating through the

Qualifications

• Master's degree in nursing (MSN) or Physician Assistant Studies (MPAS) required.
• Active, unrestricted NP or PA license in NC with national certification required.
• Critical care or cardiac certification preferred.

Responsibilities

• Perform comprehensive assessment, diagnosis, and management of critically ill cardiac patients.
• Manage patients with acute decompensated heart failure, cardiogenic shock, and post-MI complications.
• Manage temporary mechanical circulatory support devices (ECMO, Impella, IABP) under protocols.
• Collaborate with cardiology, intensivists, cardiac surgeons, and the care team to optimize outcomes.
• Provide ongoing monitoring, titration, and weaning of vasoactive meds and mechanical support.
• Coordinate transitions between levels of care and transfers to tertiary facilities when needed.
• Work with nursing, pharmacists, therapists, and other team members.
• Participate in quality improvement, protocol development, and research in cardiac critical care.

Skills

Advanced clinical assessment

Critical thinking

Hemodynamic interpretation

Interdisciplinary teamwork

Evidence-based practice

Education

MSN

MPAS

Tools

ECMO

Impella

IABP

Job description

Department: Status: Benefits Eligible: Yes Hours Per Week: 40

Schedule Details/Additional Information: Pay Range $63.45 - $95.20 Location: Advocate Health, Carolinas Medical Center, Charlotte, NC Department: Cardiac Intensive Care Unit (CICU) Schedule: Full-time Nightshift with Rotating Weekends and Holidays

Position Summary

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.

Key Responsibilities

• Perform comprehensive assessment, diagnosis, and management of critically ill cardiac patients.
• Manage patients with acute decompensated heart failure, cardiogenic shock, and post-MI 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 to optimize patient outcomes.
• Provide ongoing monitoring, titration, and weaning of vasoactive medications, inotropes, and mechanical support devices.
• Coordinate patient transitions between levels of care, including step-down and transfer to tertiary facilities when necessary.
• 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.

Qualifications

Education: Master's degree in nursing (MSN) or Physician Assistant Studies (MPAS) required.

Licensure & Certification: Active, unrestricted NP or PA license in NC. National certification (ACNP, AGACNP, or NCCPA certification required). Current BLS and ACLS certification. Critical care or cardiac certification (CCRN, CSC, or equivalent) preferred.

Experience: Minimum 2–3 years of experience in cardiac critical care, CVICU, or related specialty preferred. Proficiency with ECMO, Impella, IABP, and advanced hemodynamic monitoring strongly desired. Prior experience in academic or teaching hospital settings is a plus.

Skills & Competencies

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 a focus on precision and collaboration.

Why Join Advocate Health CICU

Work at a leading cardiac critical care center with one of the region’s highest volumes of mechanical circulatory support. Collaborate with renowned cardiologists, cardiac surgeons, and intensivists in a cutting‑edge environment. Access ongoing professional development, advanced procedure training, and research opportunities. Our Commitment to You:

Our Commitment to You: Total Rewards

• 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. This is Transformation One shared purpose brought us together. Now, as one of the 10 largest not-for-profit, integrated health systems in the United States, our combined strength and stability drives us forward. Starting with You Caring for nearly 3 million people has inspired a transformation. One in which the patient’s experience guides our vision and empowers us to offer new possibilities in our communities.

Reshaping Access

What is access? It’s offering more sites of care than any other health system in the Midwest. But there’s a new frontier. Access is exploring the latest technologies to deliver care to patients exactly where they are and exactly when they need it

Inspiring Professionals

With our dynamically inclusive workforce and strong connections to the places where we live and work, we’ll touch more lives and contribute to stronger and more vibrant communities.

Transforming Care

We’re redefining the standard for care with world-class doctors and caregivers, innovative solutions, outstanding outcomes, and leading-edge research and clinical trials.

Combined, Advocate and Aurora are recognized for clinical excellence in: Cardiovascular Care Neurosciences Gynecology Oncology Pediatrics Primary Care Neurology Geriatrics Trauma Care