The Advanced Practice Provider will manage critically ill patients in the Cardiac ICU and Flex ICU, performing bedside procedures and collaborating with attending physicians. Responsibilities include admitting patients, conducting daily rounds, documenting care, and participating in critical care outreach activities.
Requirements summary
Candidates must hold a Master's or Doctorate degree in Nursing or be a licensed Physician Assistant with national certification. Prior experience in critical care or acute cardiac care is strongly preferred, and BLS/ACLS certification is required.
postgraduate degreeCardiologyPatient educationElectronic medical recordsQuality improvementPatient assessmentMultidisciplinary collaborationAcute careVentilator managementCritical careHemodynamic monitoringClinical documentationRapid responseAdvanced life supportBedside proceduresMechanical circulatory supportHemodynamic management
Job description
Job Description
APP (Nurse Practitioner or Physician Assistant), Cardiac ICU/Flex ICU. Harborview Medical Center has an outstanding opportunity for APP (ARNP or PA) with the Flex-Cardiac Critical Care Services. Work Schedule *90% FTE, Days (36 hours per week); and with some nights, week-ends, and holidays.
Supervision
The APP (Advanced Practice Provider), ARNP or PA, will work under the supervision of the Attending Physician on service and work collaboratively with physicians in post-graduate training programs (i.e., residents and fellows in Cardiovascular Medicine and Critical Care Medicine). The Flex-Cardiac Critical Care (FC3) service is an APP-led, attending physician–supervised model that focuses primarily on critical care cardiology in collaboration with cardiologists, with ICU overflow as a secondary function.
Patient
Population: Critically ill patients with complex cardiovascular and medical conditions, including but not limited to:
Acute decompensated heart failure, cardiogenic shock, and mechanical circulatory support (e.g., balloon pump, Impella, ECMO/ECLS)
Acute coronary syndromes, post-cardiac arrest care, and serious cardiac arrhythmias
Respiratory failure requiring mechanical ventilation or non-invasive respiratory support
Sepsis, multi-organ dysfunction, trauma, brain injury, and other critical medical conditions (MICU overflow)Patients requiring advanced hemodynamic monitoring (e.g., pulmonary artery catheters)
Responsibilities:
Note: responsibilities may evolve over time depending on the needs of the service, demand in other critical care services, and outreach roles. 1. Patient Care
Providers are expected to rotate between the Medical ICU and the FC3 service.
Providers may be deployed to other ICUs (Neuro Critical Care and Trauma ICU) based on need
Admit new patients (e.g., write admission notes, develop initial assessments/plans, place admission orders in EMR)
Provide frontline coverage for admitted patients (e.g., “cross-cover” / manage patients admitted by other providers, either daytime or nighttime)
Participate in daily morning and afternoon rounds (e.g., present updated clinical information and problem-based plan of care on multidisciplinary ICU rounds, share tasks with other members of the ICU team such as completion of daily rounding checklist, entering orders in EMR, documenting, etc.)
Benefits
Health insurance
Professional growth opportunities
Retirement benefits
Relocation incentive
Daily management of ICU patients (e.g., evaluate and manage critically ill cardiac and medical patients, write daily progress notes, formulate and implement plans of care, communicate with consultants, update family/caregivers daily, work collaboratively with other members of the multidisciplinary team including physicians in training)
Facilitate transitions of care to other service lines (e.g., documentation and direct hand-off for discharge from ICU to Acute Care, skilled nursing facility, or cardiology step-down services)
Participate in family meetings and discussions of goals of care as a member of the critical care team
Participate with team in critical care outreach activities for patients on Acute Care, Emergency Department, or other ICU services depending on clinical need (e.g., responding to “Code Blue,” Rapid Responses, supporting other ICU services with high clinical loads)
Clinical work will involve both day and night coverage (see Work Hours below) 2. Procedures
Assist with or perform bedside procedures for hospitalized patients (e.g., central venous catheters, arterial lines, thoracentesis, paracentesis, lumbar puncture, point-of-care ultrasound, pulmonary artery catheter management, etc.) under the direction and supervision of the attending physician 3. Quality Improvement, Research, and Scholarship
APPs are expected to be active participants in research, QI projects, regular QI meetings, section meetings, and monthly APP team meetings o Ideally, participation involves contributing to (or initiating) projects that leverage existing resources and ongoing initiatives that will result in measurable improvements in processes of care and/or scholarly output (e.g., presentation, publication) o Mentorship is available from faculty and staff
Attendance and participation in educational conferences, including cardiovascular and critical care grand rounds and multidisciplinary case conferences 4. Work Hours – 12-hour shifts – 6 shifts in a 2-week pay period –
Night shift requirements:
Yes
Weekends:
Yes
Night
Coverage:
Yes
Holidays:
Yes
On
Call:
No
Requirements
Nurse
Practitioner:
Masters or Doctorate Degree in Nursing from an accredited school of nursing
AND Washington State Advanced Registered Nurse Practitioner License with prescriptive privileges
AND National certification as an Acute Care Nurse Practitioner (ACNP-BC or AGACNP-BC preferred)
FNPs with at least 5 years of experience in critical care will be considered
Physician
Assistant:
Licensure as a Physician’s Assistant in the State of Washington
AND national certification from a national certifying body (NCCPA)
Additional
Requirements:
BLS/ACLS certification required
ECMO Training and Certification (provided during onboarding)
Prior critical care or acute cardiac care experience strongly preferred; new graduates with relevant training backgrounds will be considered
Applicants must be eligible to receive hospital staff appointments for adjunct staff membership by the Organized Medical Staff of the hospital under Medical Staff By-Laws for hospital-based positions ABOUT HARBORVIEW MEDICAL CENTER As the region's only Level I Trauma and verified burn center, Harborview Medical Center is a comprehensive healthcare facility owned by King County and operated by UW Medicine. It is dedicated to providing specialized care for a broad spectrum of patients from throughout the Pacific Northwest, including the most vulnerable residents of King County. It provides exemplary patient care in leading-edge centers of emphasis, including emergency medicine, trauma and burn care, neurosciences, ophthalmology, vascular surgery, HIV/AIDS, rehabilitation, mental health and substance abuse care. Harborview employees are committed to the vital role the institution plays in the immediate community, as well as the entire Northwest region. Challenge. Collaboration. Compassion. ABOUT UW MEDICINE - WHERE YOUR IMPACT GOES FURTHER UW Medicine is Washington’s only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine’s mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow’s physicians, scientists and other health professionals. All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the
UW
Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest. Become part of our team. Join our mission to make life healthier for everyone in our community. Compensation, Benefits and
Position Details
Pay Range Minimum: $131,316.00 annual Pay Range Maximum: $205,548.00 annual Other Compensation: $5/hour nights $4/hour week-ends Re-location incentive for eligible hires if applicable Benefits: For information about benefits for this position, visit https://www.washington.edu/jobs/benefits-for-uw-staff/ Shift: First Shift (United States of America) Temporary or Regular? This is a regular position FTE (Full-Time Equivalent): 90.00% Union/Bargaining
Unit
SEIU 1199NW HMC PA-ARNP About the UW Working at the University of Washington provides a unique opportunity to change lives – on our campuses, in our state and around the world. UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty. Our Commitment The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81. To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 or dso@uw.edu. Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law. Use the filters or enter keywords in the search box (such as “custodian,” “nursing” or “manager”) to explore available opportunities. To find temporary opportunities, enter “temporary” in the search box. If you are a current UW employee: You must log into Workday and apply internally through the UW Jobs Hub. Looking for faculty, librarian or academic staff positions? Please visit our Academic Jobs site. Looking for student employment? Learn more on our Student Employment site. There are many perks to working for the University of Washington. Learn more about the benefits that could be available to you as a UW employee. Sign up for Job Alerts to be notified about job opportunities at the UW that interest you; you’ll be one of the first to learn when openings become available. You will be asked to create an account if you do not already have one.
More openings at University of Washington Medical Center
