Advanced Practice Provider - Pediatric Critical Care

About the role

Seattle Children's Hospital is seeking a dedicated, highly skilled Advanced Practice Provider (NP or PA) to join our nationally recognized Pediatric Critical Care Medicine team. In this role, you will serve as a front-line Advanced Practice Provider managing a high-acuity cohort of critically ill pediatric patients within a collaborative, team-based model. You will deliver direct inpatient care and assume primary responsibility for the clinical management of infants, children, teens, and young adults in our 40-bed state-of-the-art PICU.

Work Schedule & Shifts

• FTE Status: Full-time (1.0 FTE)
• Work Setting: 100% Inpatient, Pediatric Intensive Care Unit (Forest Zone)
• Shift Model: 12-hour rotating shifts (12-hour days / 14-hour nights)
• Coverage Requirements: 24/7 continuous unit coverage, including day, night, weekend, and holiday rotations

Inpatient PICU Key Responsibilities

• Direct Inpatient Care & Resuscitation: Manage high-acuity pediatric inpatient admissions. Serve as a frontline responder for bedside decompensations, clinical deterioration, airway emergencies, and acute resuscitations within the PICU.
• Advanced Life Support & Organ Technologies: Direct and monitor patients receiving Extracorporeal Membrane Oxygenation (ECMO) in collaboration with bedside specialists and the ECLS team. Prescribe, manage, and titrate continuous hemodialysis and Continuous Renal Replacement Therapy (CRRT) for severe acute kidney injury, fluid overload, or metabolic crises. Manage complex mechanical ventilation strategies, including both invasive and non-invasive positive pressure modalities.
• Complex Diagnoses Management: Provide comprehensive, inpatient medical management for critically ill pediatric patients across a wide spectrum of acute diagnoses:
  • Organ Failure & Transplants: Acute kidney/liver failure, liver, kidney, intestine, and bone marrow transplants.
  • Surgical Recovery: Inpatient post-operative ICU care for complex craniofacial, neurosurgical, pediatric general surgery, Oto, and orthopedic cases.
  • Critical Medical Emergencies: Severe sepsis, acute respiratory failure, status epilepticus, severe asthma, submersion injuries and intoxications, and diabetic ketoacidosis (DKA).
  • Oncology & Hematology Support: Inpatient management of critically ill pediatric oncology and CAR-T therapy patients requiring intensive monitoring.
• Procedural & Diagnostic Management: Conduct detailed daily history and physical exams, interpret real-time bedside diagnostics (ABGs, chest radiographs, hemodynamic monitoring, lab panels).
• Team-Based Multidisciplinary Rounds: Lead and participate in daily multidisciplinary inpatient rounds alongside attending physicians, physician trainees (fellows/residents), subspecialty consultants (Nephrology, Cardiology, Neurosurgery, Transplant), and bedside nurses.
• Continuity & Care Transitions: Direct inpatient care transitions, coordinating multi-system management, step-down criteria, and handoffs to acute care inpatient floors.
• Quality Improvement & Education: Active participation in departmental quality improvement (CQI) initiatives, inpatient safety projects, research, and ongoing clinical education for trainees, staff, patients, and families.

About Our Team

At Seattle Children's Hospital, our Pediatric Intensive Care Unit (PICU) is an award-winning center of clinical excellence located in the state-of-the-art Forest zone at our main campus in Seattle, Washington. Seattle Children's serves as the sole academic pediatric medical center for the four-state WAMI region (Washington, Alaska, Montana, and Idaho). Our team manages a 40-bed single-patient room PICU caring for over 2,000 critically ill medical and surgical inpatient admissions annually.

We are home to a nationally recognized Extracorporeal Life Support (ECLS/ECMO) program, Advanced Continuous Renal Replacement Therapy (CRRT), High-Frequency Oscillatory Ventilation (HFOV), an active solid organ transplant service (liver, kidney, intestine), and CAR-T / bone marrow transplant oncology programs. PICU providers at Seattle Children's also collaborate with Harborview Medical Center—the region's only Level 1 Pediatric Trauma Center.

We operate under a true team-based framework where APPs, attending physicians, fellows, subspecialists, and bedside nurses work side-by-side. Our philosophy centers on family-centered care, recognizing parents and caregivers as vital partners in the healthcare process. To explore more about our unit, values, and clinical care team, visit the Seattle Children's PICU Page.

Education & Work Experience Requirements

For Nurse Practitioners (NP):

• Master's degree or higher in Nursing with a Pediatric Nurse Practitioner concentration
• Completion of a Pediatric Acute Care Nurse Practitioner (PNP-AC) program OR at least one year of current work experience in a pediatric ICU/critical care setting

For Physician Assistants (PA):

• Graduate of a nationally accredited Physician Assistant program
• Completion of a formal postgraduate critical care training program (including precepted clinical experience) OR at least one year of direct work experience in pediatric critical care

Licensure & Certification Requirements

• State Licensure: Active, unencumbered Washington State license as a PA-C or RN/ARNP
• National Certification:
  • PA: Initial and maintained certification by the NCCPA
  • NP: Current national certification as a Pediatric or Family Nurse Practitioner (PNP or FNP)
• Life Support & Prescribing: Active Pediatric Advanced Life Support (PALS) certification; Active Drug Enforcement Administration (DEA) registration
• Credentialing & Medical Staff Privileges: Must obtain and maintain full medical or allied health professional staff privileges prior to the employment start date. Privileges cannot be limited, revoked, suspended, conditioned, or probationary (excluding standard initial appointment probation)

Compensation

• $142,120.42 - $209,019.62 per year
• Off shift premium: 12% which would increase the total compensation for this role by an additional $17,054 to $25,082 per year
• Relocation: Support available for qualified candidates
• This compensation range was calculated based on full-time employment (2080 hours worked per calendar year). Offers are determined by multiple factors including equity, skills, experience, and expertise, and may vary within the range provided. This compensation range is specific to Seattle, positions located outside of Seattle may be compensated differently depending on various factors.

Benefits

Seattle Children's offers a generous benefit package, including medical, dental, and vision plans, 403(b), life insurance, paid time off, tuition reimbursement, and more. Additional details on our benefits can be found on our website www.seattlechildrens.org/careers/benefits.