Nocturnist - Advanced Practice Provider

Oregon Health & Science University; Portland (OR); On-site; USD 120,000 - 160,000; Full time

Job summary

Oregon Health & Science University (OHSU) seeks an Inpatient Cardiology Advanced Practice Provider to deliver comprehensive inpatient cardiology care. The role includes weekend and holiday coverage and alignment with contract parameters, ensuring safe, efficient patient management across units.

The position emphasizes collaboration with physician faculty, learners, and quality initiatives, with emphasis on standardized work, staffing models, and care protocols within KCVI.

Qualifications

• Master’s Degree in Nursing (APRN) or Physician Assistant program completed.
• Current RN and APRN licensure in Oregon or PA licensure with applicable board.

Responsibilities

• Deliver inpatient cardiology care per defined scope of practice.
• Coordinate daily rounding, admissions, discharges and transfers.
• Participate in scheduling, weekend/holiday coverage, and department initiatives.

Skills

Heavy workload management

Communication skills

Education

Master’s Degree in Nursing (APRN)

Master’s Degree in Physician Assistant

Tools

EPIC EMR

Job description

Department Overview

The Knight Cardiovascular Institute (KCVI) is recognized as a top integrated center for cardiovascular clinical care, translational research and professional training in all aspects of heart and vascular disease. Guided by a multi-disciplinary approach, researchers and clinicians drive a vibrant translational research program, which focuses on delivering the latest knowledge and cutting‑edge care to patients. Specifically, research at KCVI seeks to improve patient outcomes by achieving earlier diagnosis of disease, more accurate monitoring of its progression, and tailoring therapy to the molecular basis of disease.

Function/Duties of Position

The Inpatient Cardiology Faculty APP delivers care aligned with a defined scope of practice in the Knight Cardiovascular Institute Inpatient Cardiology Team with work expectations operationalized through departmental workflows, productivity standards, and performance expectations consistent with the collective bargaining agreement (CBA) and institutional policies.

This role is structured to meet contract‑defined work expectations of 143 12.5‑hour shifts per year inclusive of weekend and holiday coverage, aligned with the clinical coverage model and patient care needs of the service.

The Inpatient Cardiology APP will participate in departmental scheduling processes, including weekend and holiday coverage, with scheduling practices aligned to contract provisions, equitable distribution of coverage, and maintenance of safe, consistent clinical operations.

Clinical Activities

• Direct
  • Patient population:
    • Adult patients with acute and chronic cardiovascular disease requiring inpatient management, including coronary artery disease, heart failure, arrhythmias, structural heart disease, and post‑procedural/cardiac surgical care across OHSU inpatient units.
  • Practice area (ambulatory, hybrid, inpatient) and practice type (independent, shared, wRVU):
    • Inpatient‑only shared practice with physician faculty for inpatient cardiology clinical units.
  • Clinical coverage requirement (night, weekend, holiday, call, triage, consults, OR first assist etc.):
    • Weekday, Weekend, Holiday coverage for inpatient cardiology rounding and consult service coverage.
    • Night coverage by voluntary nocturnist position only with an expectation that all annual scheduled shifts cross midnight.
  • Department specific activities:
    • Coordinate daily rounding and clinical management of adult patients with cardiovascular disease to optimize patient flow and access including admissions, discharges, and transfers.
    • Participate in quality, safety, and clinical pathway initiatives within the Knight Cardiovascular Institute (KCVI).
    • Engage with OHSU learners.
    • Support implementation of standardized work expectations, staffing models, and care protocols.

Faculty Activities

Clinical APP faculty have an expectation of advancement and activities consistent with faculty pursuits standard work.

Other Activities

• All APPs are expected to support the clinical, education, and research mission of OHSU through routine clinical care that includes working with students, trainees, and patients participating in research, consistent with their role, scope of practice, and applicable contract and institutional policies.
• All APPs are expected to maintain professional standards in all aspects of role performance, including consistent participation in unit and departmental meetings, routine monitoring and timely response to organizational communications (e.g., email), and adherence to established deadlines for institutional and departmental requirements.

Education

Required Qualifications

• Successful completion of a Master’s Degree in Nursing or Master of Science in Nursing in a recognized APRN specialty (Certified Nurse Midwife, Certified Registered Nurse Anesthetist, or Nurse Practitioner).

- OR -

• Successful completion of a Master’s Degree in Physician Assistant/Associate Studies from an accredited program.

Registrations, Certifications, Licenses

• Current RN and APRN licensure with the Oregon Board of Nursing.
• Current national certification in the area of specialization.
• Current BLS, ACLS or PALS Certification as indicated for the position.
• DEA Certification.

- OR -

• Current PA licensure with the Oregon Medical Board.
• Current NCCPA Certification.
• Current BLS, ACLS or PALS Certification.
• DEA Certification.

Experience

• 3-5 years of clinical experience as an APP that demonstrates ability to fulfill responsibilities for the specific role.
• Demonstrated experience in pediatric cardiology and congenital heart disease required.

Competencies

• Ability to manage heavy workload and multiple priorities and inflexible deadlines.
• Ability to communicate effectively, verbally and written.
• Demonstrated ability to satisfy standards of performance delineated by law and associated practice standards.
• Proficient in the use of computing hardware and software, including personal computing equipment, electronic medical record, word processing and spreadsheet software.
• Regular and consistent attendance at work.
• Demonstrated experience in performance/system improvement.

Preferred Qualifications

• Quality improvement experience.

Competencies

• Experience in Microsoft Office Suite.
• Experience using EPIC EMR.

Candidates with diverse backgrounds and experiences are highly encouraged to apply.

Additional Details

• This position is located in inpatient units; may be exposed to tissues and bodily fluids.
• Must be able to work on a computer for multiple hours, ability to use the phone to talk with teammates, ability to stand on feet for long periods of time, and lift up to 50 pounds.

Why apply to OHSU?

We are Oregon's only public academic health center.

In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals. As Portland's largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington.

All are welcome.

OHSU welcomes people of all ages, ethnicities, genders, national origins, religions and sexual orientations. We are striving to build an anti‑racist, multicultural institution and encourage people with diverse backgrounds to apply.

To request reasonable accommodation, contact [e-mail]