Advanced Practice Provider - Cardiac Intensive Care

Job Title: Advanced Practice Provider (APP) – Cardiac Intensive Care Unit (CICU)

Location: Seattle, WA

Department: Heart Center / Cardiac Intensive Care Unit

Employment Type: Full-Time

Shift: Rotating Shifts (Days, Nights, Weekends, Holidays)

Seattle Children’s Heart Center is seeking a highly skilled and compassionate Advanced Practice Provider (APP)—either a Pediatric Acute Care Nurse Practitioner (PNP-AC) or Physician Assistant (PA-C)—to join our nationally recognized Cardiac Intensive Care Unit (CICU).

As a key member of a interprofessional, team-based care model, the APP provides frontline, high-acuity medical management for a cohort of pediatric cardiac critical care patients. Our CICU is the only dedicated pediatric cardiac intensive care unit in the Pacific Northwest (serving Washington, Alaska, Montana, Idaho, and Oregon) and is an AACN Beacon Award for Excellence recipient.

• Frontline Patient Care:
  Provide comprehensive medical management and clinical decision-making for a dynamic cohort of critically ill pediatric cardiac patients in a high-acuity, high-technology setting.
• Team-Based Model:
  Collaborate closely with cardiac intensivists, pediatric cardiac surgeons, cardiologists, fellows, specialized CICU nurses, ECMO specialists, respiratory therapists, and clinical pharmacists.
• Advanced Care Management:
  Manage complex patients across the spectrum of congenital and acquired heart disease, including post-operative cardiac surgery care, single ventricle palliation, heart failure, and heart transplantation (top-10 busiest pediatric transplant program nationally).
• High-Technology Support:
  Manage patients supported by advanced life-support technologies, including Extracorporeal Membrane Oxygenation (ECMO) and a comprehensive range of Ventricular Assist Devices (VADs) such as Berlin Heart, Impella, Heart Mate, and total artificial heart technologies.
• Invasive Procedures & Resuscitation:
  Perform bedside procedures and participate actively in critical care resuscitations and stabilization.
• Cross-Coverage & Redeployment:
  Flexible support within the Heart Center, with potential redeployment to the Cardiac Specialty Care Unit (CSCU / step-down unit) or adjacent care areas based on clinical needs.
• Family-Centered Care:
  Communicate complex clinical updates, care trajectories, and treatment goals clearly with families, working alongside child life specialists and supportive care teams.

• Shift Structure:
  Rotating shifts required, covering Days, Nights, Weekends, and Holidays to support 24/7/365 coverage.
• Acuity & Environment:
  Very high-acuity, fast-paced environment equipped with a 24-bed single-room floor layout designed for continuous clinical monitoring and family-centered care.

To learn more about our facility, services, advanced technology, and team model, visit the Seattle Children’s Cardiac Intensive Care Unit (CICU) page

Master's degree in nursing with a concentration in a acute care OR graduate of a nationally accredited physician assistant program

One year work experience in a pediatric or family focused clinical area.

For Nurse Practitioners:

Active, unencumbered registered nurse and advanced registered nurse practitioner licensure in the State of Washington

Current national certification as a pediatric or family nurse practitioner

For Physician Assistants

Active, unencumbered physician assistant licensure in the State of Washington

Initial certification by the National Commission on Certification of Physician Assistants

For All Providers

Active Drug Enforcement Authority registration

Pediatric Advanced Life Support (PALS)

Some clinical locations may…