Nocturnal Inpatient Surgical Nurse Practitioner or Physician Assistant

Advanced Practice Provider (NP/PA) Nocturnal Inpatient Coverage

Cardiothoracic & Vascular Surgery Floor Coverage

Position Summary:

We are seeking an experienced Nurse Practitioner or Physician Assistant to provide overnight inpatient coverage for Cardiothoracic Surgery and Vascular Surgery services. This role is strictly inpatient floor-based with no operating room, procedural surgery, or call responsibilities .

The APP will manage post-operative and medically complex surgical patients in collaboration with attending surgeons and critical care teams.

Schedule:

• Night Shift Schedule: 13-hour shifts (6p7a), rotation including weekends and holidays
• 12-hour night shifts
• Hours: 6:30 PM 6:30 AM

Clinical Responsibilities:

Vascular Surgery

• Inpatient coverage for ICU patients (co-managed with Critical Care) and floor patients
• Daily patient assessments, care coordination, documentation, and overnight issue management

Cardiothoracic Surgery

• Inpatient floor-only coverage
• No CT Surgery ICU patients
• Post-operative management, monitoring, and overnight clinical support

Procedures:

• Chest tube management
• Chest tube removal only
• (No chest tube insertion required)

Scope of Practice - Important Notes:

• No operating room responsibilities
• No surgical procedures
• No call
• No ICU coverage for Cardiothoracic Surgery

Qualifications:

• Licensed Nurse Practitioner or Physician Assistant
• Active North Carolina license (required)
• Active DEA (address change acceptable if currently licensed elsewhere)
• Prior experience in:
  • Cardiothoracic Surgery
  • Vascular Surgery
  • Surgical inpatient or nocturnal hospital coverage
  • Strong clinical judgment and ability to work independently overnight

Key Skills & Attributes:

• Inpatient surgical floor management
• Post-operative care
• Interdisciplinary collaboration
• Strong communication and documentation skills
• Comfort managing complex surgical patients overnight

Compensation:

Competitive base salary with comprehensive benefits, relocation assistance, and opportunity for growth within Atrium Healths expanding heart & vascular network.