Nocturnal Inpatient Surgical Nurse Practitioner or Physician Assistant

Palm Careers; Charlotte (NC); On-site; USD 110,000 - 145,000; Full time

Job summary

Atrium Health is seeking an experienced Nurse Practitioner or Physician Assistant to provide overnight inpatient coverage for Cardiothoracic and Vascular Surgery. This role is strictly floor-based with no operating room responsibilities and no call duties.

Responsibilities include ICU/floor coverage, post-operative care, and coordination with surgical teams. Night shifts are 13 hours, with weekends/holidays rotation, and a 6:30 PM–6:30 AM schedule.

Qualifications

• Licensed Nurse Practitioner or Physician Assistant.
• Active North Carolina license required.
• Active DEA registration (address changes acceptable).
• Experience in Cardiothoracic or Vascular surgery and nocturnal hospital coverage preferred.

Responsibilities

• Inpatient coverage for cardiothoracic and vascular surgery patients (floor-based).
• Daily patient assessments, care coordination, documentation, and overnight issue management.
• Post-operative management and overnight clinical support.
• Chest tube management and removal (no insertion).

Skills

Inpatient floor management

Post-operative care

Interdisciplinary collaboration

Strong communication

Documentation

Overnight coverage

Education

Active NC NP/PA license

Active DEA registration

Job description

Advanced Practice Provider (NP/PA) – Nocturnal Inpatient Coverage

Cardiothoracic & Vascular Surgery Floor Coverage

Position Summary:

We are seeking an experienced Nurse Practitioner or Physician Assistant to provide overnight inpatient coverage for Cardiothoracic Surgery and Vascular Surgery services. This role is strictly inpatient floor-based with no operating room, procedural surgery, or call responsibilities.

The APP will manage post‑operative and medically complex surgical patients in collaboration with attending surgeons and critical care teams.

Schedule:

• Night Shift Schedule: 13-hour shifts (6p–7a), rotation including weekends and holidays
• 12-hour night shifts
• Hours: 6:30 PM – 6:30 AM

Clinical Responsibilities:

Vascular Surgery

• Inpatient coverage for ICU patients (co‑managed with Critical Care) and floor patients
• Daily patient assessments, care coordination, documentation, and overnight issue management

Cardiothoracic Surgery

• Inpatient floor-only coverage
• No CT Surgery ICU patients
• Post‑operative management, monitoring, and overnight clinical support

Procedures:

• Chest tube management
• Chest tube removal only
• (No chest tube insertion required)

Scope of Practice – Important Notes:

• No operating room responsibilities
• No surgical procedures
• No call
• No ICU coverage for Cardiothoracic Surgery

Qualifications:

• Licensed Nurse Practitioner or Physician Assistant
• Active North Carolina license (required)
• Active DEA (address change acceptable if currently licensed elsewhere)
• Prior experience in:
  • Cardiothoracic Surgery
  • Vascular Surgery
  • Surgical inpatient or nocturnal hospital coverage
  • Strong clinical judgment and ability to work independently overnight

Key Skills & Attributes:

• Inpatient surgical floor management
• Post‑operative care
• Interdisciplinary collaboration
• Strong communication and documentation skills
• Comfort managing complex surgical patients overnight

Compensation:

Competitive base salary with comprehensive benefits, relocation assistance, and opportunity for growth within Atrium Health’s expanding heart & vascular network.