Nocturnal Cardiac ICU - Full-Time NP/PA

Advocate Health; Charlotte (NC); On-site; USD 123,000 - 198,000; Full time

Benefits offered by this job

Paid Time Off

Health benefits

401(k) with employer match

Educational assistance

Relocation assistance

CME allowances

Job summary

Advocate Health in Charlotte, NC seeks a Cardiac ICU Advanced Practice Provider (NP/PA) to join a high-acuity multidisciplinary team. The role focuses on cardiogenic shock, advanced heart failure, post-MI complications, and temporary mechanical circulatory support, including ECMO, Impella, and IABP.

The APP will collaborate with cardiology, cardiac surgery, critical care, residents, and ancillary services while contributing to education, protocols, and research in cardiac critical care.

Qualifications

• MSN or MPAS required; active NC NP or PA license
• National certification (ACNP, AGACNP, or NCCPA)
• Current BLS and ACLS
• 2–3 years CVICU or cardiac critical care preferred
• Proficiency with ECMO, Impella, IABP and hemodynamic monitoring preferred

Responsibilities

• Provide direct patient management in a high-acuity Cardiac ICU
• Coordinate transitions between levels of care and collaborate with cardiology teams
• Contribute to education, protocol development, and quality improvement
• Manage vasoactive medications, inotropes, and mechanical support devices

Skills

Advanced clinical assessment

Critical thinking

Interdisciplinary collaboration

Hemodynamic interpretation

Fast-paced environment

Education

Master’s degree in Nursing (MSN) or MPAS

Tools

ECMO

Impella

IABP

Hemodynamic monitoring

Job description

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 CommitmenttoYou:

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, andShort- 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

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.