Advanced Practice Provider (NP/PA/APP) TCV ICU

About the role

UVA Health is seeking an experienced and dedicated Advanced Practice Provider, Nurse Practitioner (NP) or Physician Associate (PA) to join its Cardiothoracic Surgery Intensive Care Unit (TCV ICU). As a member of our dynamic, collaborative, multidisciplinary team, you will play a pivotal role in delivering exceptional critical care to our postoperative cardiac, thoracic, and vascular surgery patients.

Responsibilities

• Participate in the full spectrum of postoperative critical care management for the cardiac, thoracic, and vascular patient population, including accepting new OR admissions, hospital transfers, and urgent acute transfers, along with coordinating discharges and transfers
• Conduct comprehensive assessments of patients admitted to the TCV ICU, who have undergone cardiac, thoracic, and vascular surgeries, including heart and lung transplantation, as well as those requiring ECMO and other mechanical circulatory support devices
• Develop and implement evidence-based care plans tailored to each patient's needs, ensuring optimal outcomes and patient safety
• Prescribe appropriate pharmacologic and non-pharmacologic therapies, evaluating patient responses, and adjusting the plan of care based on ongoing objective and subjective data collection
• Perform a wide range of interventions and procedures within the scope of advanced practice, including but not limited to, invasive monitoring, ventilator management, and hemodynamic support
• Following a comprehensive 3 to 4-month onboarding process, newly hired TCV ICU APPs will manage the care of 5-7 patients representing the cardiac, vascular, and thoracic surgery populations in a practice model that emphasizes independence, with support and collaboration from physician colleagues
• Perform common ICU bedside interventions, including bronchoscopy, central line, arterial, and chest tube placements
• Collaborate closely with the multidisciplinary team, including surgeons, critical care intensivists, nurses, respiratory therapists, and pharmacists, to coordinate care and facilitate communication
• Maintain thorough and accurate documentation of patient assessments, interventions, and outcomes in accordance with institutional protocols and regulatory standards
• Engage in discharge planning and care transitions in collaboration with case management and outpatient teams
• Ensure accurate, timely documentation of clinical care, assessments, and decision-making
• Perform emergency department consultations to determine admission needs
• Conduct and document comprehensive history and physical examinations
• Analyze clinical data to formulate accurate differential diagnoses
• Identify and coordinate appropriate sub-specialty consultations
• Communicate plans of care effectively while navigating complex psychosocial dynamics

Clinical practice and leadership

• Demonstrate a high level of clinical autonomy, critical thinking, and independent practice capability
• Provide advanced inpatient critical care management to specialty populations
• Prescribe and manage pharmacologic and non-pharmacologic therapies, adjusting plans based on patient response and evolving data
• Perform advanced clinical assessments, interventions, and procedures relevant to the ICU setting
• Lead and collaborate within multidisciplinary teams of physicians, APPs, nurses, therapists, and leadership
• Professionally guide and support other members of the care team in dynamic, high-acuity environments
• Participate in initiatives that promote the development of APPs, RNs, and other colleagues
• Engage in quality improvement, patient safety, and process improvement initiatives
• Evaluate and augment quality initiatives to improve clinical outcomes and safety
• Contribute to research, evidence-based practice, and the application of scientific knowledge within the clinical setting
• Self-motivated learning, engagement in process improvement, and quality improvement initiatives
• Demonstrate commitment to ongoing continuing education and professional development
• Maintain current knowledge of evidence-based practices and advances in critical care and acute management
• Exhibit strong communication skills across multidisciplinary teams, patients, families, and stakeholders
• Practice collaborative, adaptable, and professional conduct in high-acuity, fast-paced environments
• Demonstrate self-directed learning and accountability for professional growth

Qualifications

• Graduate of an accredited graduate school of nursing or physician assistant program with a master's degree
• License or license eligible as an Advance Practice Provider (Nurse Practitioner, Physician Associate, Certified Registered Nurse Anesthetist, and Certified Nurse Midwife) as set forth by the state of Virginia
• If Nurse Practitioner, license to Practice as a Registered Nurse in the Commonwealth of Virginia is required
• Must demonstrate and maintain all credentialing and licensing requirements of UVA Health System, the Virginia Board of Medicine or the Virginia Board of Nursing, and appropriate certifying bodies
• Current Basic Life Support (BLS) required
• Current PALS/NRP, as required, specific to position
• Advanced Cardiac Life Support (ACLS) required (may be obtained upon hire)
• Cardiac Surgery Unit Advanced Life Support (CSU ALS) obtained upon hire if not already certified
• Must demonstrate a high level of clinical autonomy, excellent critical thinking, and the ability to practice independently in a fast-paced environment
• Collaborative, adaptable, and skilled in communicating within a multidisciplinary team setting

Preferred experience

• 2+ years as an Advanced Practice Provider (NP or PA) preferred, but new graduates welcome to apply
• Cardiothoracic surgery experience is preferred but not required; applicants interested in postoperative cardiothoracic critical care are encouraged to apply

Physical demands

• Job requires standing for prolonged periods, frequently bending/stooping, reaching (overhead, extensive, and repetitive)
• Repetitive motion: computer keyboard
• Proficient communicative, auditory and visual skills
• Attention to detail and ability to write legibly
• Ability to lift/push/pull 50 - 100lbs
• May be exposed to noise, radiation, radioactive materials, blood/body fluids and infectious disease

Pay

The pay range for this role is $129,323.00 - $185,265.60 annually. Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or education.

Benefits

• Medical, Dental, and Vision Insurance
• Paid Time Off, Long-term and Short-term Disability, Retirement Savings
• Health Saving Plans, and Flexible Spending Accounts
• Certification and education support
• Generous Paid Time Off