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

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.

The APP hired for this position will 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.
• Prescribing 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.
As an academic medical center, UVA Health possesses a rich culture of continual education and professional development that welcomes engaged learners. We work closely with resident physicians and students of all specialties, including medical, physician assistant, and nurse practitioner students.
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.
• Must demonstrate a high level of clinical autonomy, excellent critical thinking, and the ability to practice independently in a fast-paced environment.
• ACLS certification required (may be obtained upon hire).
• Collaborative, adaptable, and skilled in communicating within a multidisciplinary team setting

Beyond the qualities included in the general position description, success in a TCV ICU APP role will require the following:
• 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.
• Self-motivated learning, engagement in process improvement, and quality
improvement initiatives

Background checks and pre-employment health screenings will be conducted on all new hires prior to employment. All safety-sensitive positions with direct patient interaction also require a drug screen.

Administration

• Maintains required licensure and certifications, including ACLS and Cardiac Surgery Unit Advanced Life Support (CSU ALS); CSU ALS obtained upon hire if not already certified
• Evaluates individual clinical practice and role performance in alignment with regulatory, state, and institutional guidelines
• Participates within organizational systems at the service, unit, and institutional level
• Engages in discharge planning and care transitions in collaboration with case management and outpatient teams
• Ensures accurate, timely documentation of clinical care, assessments, and decision-making

Professional

• Demonstrates commitment to ongoing continuing education and professional development
• Maintains current knowledge of evidence-based practices and advances in critical care and acute management
• Exhibits strong communication skills across multidisciplinary teams, patients, families, and stakeholders
• Practices collaborative, adaptable, and professional conduct in high-acuity, fast-paced environments
• Demonstrates self-directed learning and accountability for professional growth

Clinical

• Demonstrates a high level of clinical autonomy, critical thinking, and independent practice capability
• Provides advanced inpatient critical care management to specialty populations
• Performs emergency department consultations to determine admission needs
• Conducts and documents comprehensive history and physical examinations
• Analyzes clinical data to formulate accurate differential diagnoses
• Prescribes and manages pharmacologic and non-pharmacologic therapies, adjusting plans based on patient response and evolving data
• Performs advanced clinical assessments, interventions, and procedures relevant to the ICU setting
• Identifies and coordinates appropriate sub-specialty consultations
• Communicates plans of care effectively while navigating complex psychosocial dynamics

Leadership

• Leads and collaborates within multidisciplinary teams of physicians, APPs, nurses, therapists, and leadership
• Professionally guides and supports other members of the care team in dynamic, high-acuity environments
• Participates in initiatives that promote the development of APPs, RNs, and other colleagues
• Engages in quality improvement, patient safety, and process improvement initiatives
• Evaluates and augments quality initiatives to improve clinical outcomes and safety
• Contributes to research, evidence-based practice, and the application of scientific knowledge within the clinical setting

MINIMUM REQUIREMENTS

Education: Graduate of an accredited graduate school of nursing or physician assistant program with a master's degree.

Experience: Department and unit specific.

Licensure: 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) as required, specific to position.

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.

The starting base rate for this role is $129,323.00 annually. Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or education.

Benefits

• Comprehensive Benefits Package: 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

UVA Health is a world-class Magnet Recognized academic medical center and health system with a level 1 trauma center. 2023-2024 U.S. News & World Report "Best Hospitals" guide rates UVA Health University Medical Center as "High Performing" in 5 adult specialties and 14 conditions/procedures. We are one of 70 National Cancer Institute designated cancer centers. UVA Health Children's is named by 2023-2024 U.S. News & World Report as the best children's hospital in Virginia with 9 specialties ranked among the best in the nation. Our footprint also encompasses 3 community hospitals and an integrated network of primary and specialty care clinics throughout Charlottesville, Culpeper, Northern Virginia, and beyond.


The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Learn more about UVA's commitment to non-discrimination and equal opportunity employment .

Each agency within the Commonwealth of Virginia is dedicated to recruiting, supporting, and maintaining a competent and diverse work force. Equal Opportunity Employer