Pulmonary Critical Care APP Position - Nights Only

Sentara Health; Norfolk (VA); On-site; USD 115,000 - 312,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

Paid Time Off

Tuition Assistance

Job summary

Sentara Health in Norfolk, VA seeks a Pulmonary Critical Care Advanced Practice Provider to manage critically ill adults in the ICU, collaborating with intensivists and cross-site teams. The role emphasizes evidence-based practice, patient safety, and efficiency.

Responsibilities include performing advanced procedures, documentation, and participation in quality initiatives, with a nights-only schedule (6 PM – 7 AM) in a high-acuity environment.

Qualifications

• Graduate of an accredited Physician Assistant or Acute Care Nurse Practitioner program.
• Current Virginia licensure (or eligibility) to practice.
• National certification as PA-C, ACNP, or AGACNP.
• BLS and ACLS certifications.
• Ability to obtain and maintain hospital privileges for ICU procedures.

Responsibilities

• Manage critically ill patients in collaboration with intensivists.
• Perform assessments, diagnostic evaluations, and treatment planning for ICU patients.
• Respond to acute deterioration and critical care emergencies.
• Perform credentialed procedures including arterial line placement, central venous catheter insertion, temporary dialysis catheter insertion, intubation assistance, and thoracentesis.
• Document care and complete billing documentation within established timelines.
• Work with eICU and on-call physician team during evening shifts; support cross-site ICU coverage.

Skills

Critical care collaboration

ICU patient management

Procedural skills

Documentation and billing

Education

PA/ACNP degree

Virginia licensure (or eligibility)

Tools

BLS/ACLS certification

Hospital privileges eligibility

Job description

City/State

Norfolk, VA

Work Shift

Third (Nights)

Provider Specialty

Overview:

Pulmonary Critical Care Advanced Practice Provider Job Requisition

Department: Pulmonary and Critical Care Medicine

Locations: SPAH/SLH

Reports to: PCCM Team Coordinator

Employment Status: Full-Time (80-hours/2-week pay period distribution)

Shift: Nights Only (6 PM – 7 AM)

Position Summary:

The Critical Care APP provides comprehensive management of critically ill adult patients within a medical ICU with multiple service lines including thoracic surgery, vascular surgery, general surgery, interventional cardiology, ***. Intensive Care Units at these sites are open units with mandatory intensivist consultation. This role is designed as a performance-based position with accountability for clinical quality, operational efficiency, patient outcomes, interdisciplinary collaboration, and adherence to evidence-based critical care practices.

Success in this role is measured not only by completion of assigned clinical duties, but by demonstrated contributions to patient safety, throughput, quality metrics, procedural competency, and team effectiveness.

Primary Responsibilities:

Clinical Care

• Manage critically ill patients in collaboration with intensivists.
• Perform comprehensive assessments, diagnostic evaluations, and treatment planning.
• Respond to acute clinical deterioration and critical care emergencies.
• Perform credentialed procedures including arterial line placement, central venous catheter insertion, temporary dialysis catheter insertion, intubation assistance, and thoracentesis.
• Document care accurately and complete billing documentation within established timelines.
• Work directly with eICU and on-call physician team during evening shifts

Operational & Quality Performance

• Support efficient ICU patient flow and timely completion of admissions, transfers, and discharges.
• Participate in multidisciplinary rounds and coordinate care across nursing, respiratory therapy, pharmacy, and consulting services.
• Contribute to quality initiatives related to sepsis, ventilator management, CLABSI/CAUTI reduction, and evidence-based ICU bundles.
• Participate in performance improvement activities.
• Participate in regionalized scheduling coverage expectations
• Support of cross-site ICU coverage when operationally required
• Participation in Sentara PCCM onboarding, simulation, or ultrasound initiatives

Professional Development

• Maintain required licensure, certifications, and credentialing.
• Complete departmental onboarding and competency requirements.
• Participate in ongoing critical care education, simulation training, and procedural competency assessments.
• Contribute to APP education, onboarding, or mentoring activities as appropriate.
• Emergency Neurologic Life Support and Fundamentals of Critical Care Support within the first year of employment

Performance Expectations:

Performance Domain

Expected Standard

Clinical Quality

Consistent adherence to evidence-based critical care protocols and quality measures.

Documentation Timeliness

Completion of required documentation and billing within departmental standards.

Procedural Competency

Maintenance of credentialed procedural skills and competency requirements.

Patient Throughput

Timely management of ICU admissions, transfers, and discharges.

Team Collaboration

Positive interdisciplinary communication and participation in rounds and care coordination.

Safety & Compliance

Adherence to hospital policies, credentialing requirements, and patient safety standards.

Professional Contribution

Participation in quality improvement, education, onboarding, or departmental initiatives.

Key Performance Indicators:

Examples of metrics used to evaluate success in the role include:

• Documentation completion rate
• Ventilator bundle compliance
• Participation in QI projects
• Completion of onboarding education and competency modules within 6 months of employment
• Billing capture accuracy
• Sepsis bundle compliance
• Procedural success and complication rates
• Peer and interdisciplinary feedback

Required Qualifications:

• Graduate of an accredited Physician Assistant of Acute Care Nurse Practitioner program
• Current Virginia Licensure (or eligibility)
• National certification as PA-C, ACNP, or AGACNP
• BLS and ACLS certification
• Ability to obtain and maintain hospital privileges for approved ICU procedures

Preferred Qualifications:

• 1 year experience in medical, surgical, cardia, or neurocritical care ICU settings
• Critical care ultrasound/POCUS training
• undefined Performance-Based Compensation Considerations: This position qualifies for annual merit adjustments tied to the Sentara Cultural Attributes. We Exist for Our Consumers - At Sentara, we are passionately devoted to delivering exceptional care and service to our consumers (patients, members, and the communities we serve). Our relentless commitment to this mission is the foundation of everything we do. We Collaborate - We partner with purpose, communicate with courage, and ensure diverse voices are at the table. In practice, this means we communicate with transparency, openness, and bravery, seeking out differing viewpoints and perspectives to ensure everyone’s voice is heard and valued. We Empower - At One Sentara, we strongly believe in fostering a culture of proactive decision-making. Colleagues are encouraged to take calculated risks and are held accountable for their actions. We recognize and reward employees who exhibit a thoughtful approach to risk-taking, considering the organization’s and its stakeholders’ best interests. We Continuously Learn - At Sentara, we believe in fostering a deep curiosity and exploring the world by carefully examining all available evidence. We understand that mistakes and successes are a natural part of any learning process, and we seek to embrace both as opportunities for growth and development. We Deliver - At Sentara, our approach is centered around ensuring that we achieve the desired outcomes for our consumers while remaining committed to honoring our promises. We believe that results are the ultimate measure of success and work tirelessly to achieve them.
  We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay range for full-time employment is $115,315.20 - $312,000.00 annually. Additional compensation may be available for this role, such as shift differentials, on-call pay, shift premiums, extra-shift incentives, or bonus opportunities. Compensation within the range may vary based on qualifications, experience, location, market conditions, and business needs. Note: If an annual salary is posted, it is based on a full-time colleague working 2,080 hours annually.Sentara offers a comprehensive benefits package, including medical, dental, vision, life and disability insurance; 401(k)/403(b) with employer match; paid time off (vacation, sick time, and holidays); paid parental and military leave; educational assistance or student loan repayment; and voluntary benefits.

Benefits: Caring For Your Family and Your Career

• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down – $10,000
• Pet Insurance
• Legal Resources Plan
• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met

Providers at Sentara are eligible for special benefits such as Annual CME Allowance and 100% malpractice and tail coverage.

Sentara Health is an equal opportunity employer

and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

In support of our mission “to improve health every day,” this is a tobacco-free environment.

For positions that are available as remote work, Sentara Health employs providers in the following states:

North Carolina, Nevada, South Carolina, South Dakota, Tennessee, Texas, Virginia, West Virginia and Wisconsin.