APP (Nurse Practitioner or Physician Assistant), Cardiac ICU/Flex ICU, (Flex-Cardiac Critical Care Services), Harborview Medical Center

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.)

• 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:

$133,944.00 annual

Pay Range Maximum:

$209,664.00 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 [email protected]. 

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.