Advanced Practice Provider (Acute Care NP/PA): Transplant Critical Care
Cleveland Clinic - Mellen Center
Advanced Practice Provider (Acute Care NP/PA): Transplant Critical CareCleveland Clinic Weston is seeking a highly motivated and skilled Advanced Practice Provider (Nurse Practitioner or Physician Assistant) to join our Transplant Critical Care Team in Weston, Florida. This provider will deliver comprehensive, evidence-based care to critically ill transplant recipients in a multidisciplinary ICU environment. The APP will work collaboratively with transplant surgeons, intensivists, transplant physicians, advanced practice providers, pharmacists, nurses, and ancillary team members to manage complex transplant patients throughout the perioperative and critical care continuum.This position offers a unique opportunity to practice at the highest level of critical care and transplant medicine while contributing to clinical excellence, quality outcomes, research initiatives, and innovative patient-centered care.Key ResponsibilitiesPerform comprehensive histories and physical examinations on critically ill adult patients.Formulate diagnoses, develop treatment plans, and provide ongoing management of complex medical conditions.Order, interpret, and act upon laboratory, radiologic, and diagnostic studies.Conduct daily assessment and management of pre-postoperative transplant recipients in the ICU.Collaborate closely with transplant physicians regarding patient status, graft function, and postoperative recovery.Monitor for early signs of graft dysfunction, rejection, ischemia-reperfusion injury, and transplant-related complications.Manage complex immunosuppressive medication regimens and monitor for medication-related toxicities.Participate in evaluation and management of infectious complications in immunocompromised transplant recipients.Interpret transplant-specific laboratory testing including therapeutic drug monitoring, donor-specific antibodies, and graft function assessments.Develop and implement evidence-based treatment plans for hemodynamic instability, respiratory failure, renal dysfunction, sepsis, and multi-organ failure.Manage ventilators, vasoactive medications, invasive hemodynamic monitoring, and renal replacement therapies.Perform invasive and noninvasive procedures as credentialed and trained.Coordinate care transitions between the operating room, ICU, transplant units, and outpatient transplant services.Participate in donor organ acceptance, transplant readiness, and perioperative planning processes as appropriate.Facilitate family meetings and provide education regarding transplant recovery, prognosis, immunosuppression, and post-transplant care.Participate in transplant quality, regulatory, and programmatic initiatives.Support transplant program growth through continuous professional development, education, and participation in evidence-based practice initiatives.Other duties as assigned.Procedures (Based on Training and Credentialing)Central venous catheter placementArterial line placementEndotracheal intubationVentilator managementChest tube managementAdditional procedures consistent with demonstrated competency and medical staff privilegesQualificationsCurrent licensure as a Nurse Practitioner or Physician Assistant in the State of Florida.Nurse Practitioners must possess AGACNP-BC, ACNP, or equivalent acute care certification.Current national certification through AANP, ANCC, or NCCPA.BLS and ACLS certification required.ICU, transplant, surgical critical care, cardiothoracic, or acute care experience strongly preferred.Demonstrated expertise in critical thinking, clinical decision-making, and management of complex patients.Strong communication, teamwork, and interpersonal skills.Commitment to quality improvement, patient safety, patient experience, and evidence-based practice.Schedule13-hour shiftsDays, nights, weekends, and holidays rotation as required by operational needsCompensation and BenefitsCompetitive compensation package commensurate with experienceComprehensive medical, dental, and vision benefitsRetirement savings plan with employer contributionsCME allowance and paid CME timeGenerous paid time offMalpractice coverageProfessional development opportunitiesPreferred Candidate ProfilePrevious experience in solid organ transplantation, surgical critical care, or advanced heart failure programs.Strong procedural competency and interest in caring for highly complex transplant populations.Passion for multidisciplinary collaboration, innovation, quality improvement, and exceptional patient outcomes.Strong team player who is highly flexible.
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