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Nocturnal Cardiac ICU - Full​/Time NP​/PA

Job in Charlotte, Mecklenburg County, North Carolina, 28245, USA
Listing for: 271 Atrium Health Specialty Network, Inc
Full Time position
Listed on 2026-08-08
Job specializations:
  • Nursing
    Cardiology, ICU Nurse
Salary/Wage Range or Industry Benchmark: 63 - 95 USD Hourly USD 63.00 95.00 HOUR
Job Description & How to Apply Below

Department: 02050 GCMG SHVI:
Kenilworth - Cardiology

Status:
Full time

Benefits Eligible:
Yes

Hours Per Week: 40

Schedule Details/Additional Information: 13 hr shifts rotating weekend and holiday coverage

Pay Range: $63.45 - $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.

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…

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