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

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.

• →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.

• 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.

• 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.

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:

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.