Cardiac ICU APP; Nocturnal- SHVI- Charlotte, NC

Cardiac ICU APP (Nocturnal)- SHVI
- Charlotte, NC at Atrium Health

Department: Cardiac Intensive Care Unit (CICU)

Benefits Eligible: Yes

Hours Per Week: 40

Pay Range: $62.15 - $93.25

Location: Advocate Health, Carolinas Medical Center, Charlotte, NC

Schedule: Full-time Night shift with Rotating Weekends and Holidays

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) 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.

• Work at a leading cardiac critical care center with one of the region’s highest volumes of mechanical circulatory support.
• Collaborate with renowned cardiologists, cardiac surgeons, and intensivists in a cutting‑edge environment.
• Access ongoing professional development, advanced procedure training, and research opportunities.

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:

• Base compensation listed within the pay range based on factors such as qualifications, skills, relevant experience, and/or training.
• Premium pay such as shift, on call, and more based on a teammate's job.
• Incentive pay for select positions.
• Opportunity for annual increases based on performance.

• Paid Time Off programs.
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability.
• Fle…