Advanced Practice Provider - Pediatric Critical Care

Seattle Children’s Hospital is seeking a dedicated, highly skilled Advanced Practice Provider (NP or PA) to join our nationally recognized Pediatric Critical Care Medicine team.

In this role, you will serve as a front-line Advanced Practice Provider managing a high-acuity cohort of critically ill pediatric patients within a collaborative, team-based model. You will deliver direct inpatient care and assume primary responsibility for the clinical management of infants, children, teens, and young adults in our 40-bed state-of-the-art PICU.

Work Schedule & Shifts

• FTE Status: Full-time (1.0 FTE)

• Work Setting: 100% Inpatient, Pediatric Intensive Care Unit (Forest Zone)

• Shift Model: 12-hour rotating shifts (12-hour days / 14-hour nights)

• Coverage Requirements: 24/7 continuous unit coverage, including day, night, weekend, and holiday rotations

Inpatient PICU Key Responsibilities

• Direct Inpatient Care & Resuscitation: Manage high-acuity pediatric inpatient admissions. Serve as a frontline responder for bedside decompensations, clinical deterioration, airway emergencies, and acute resuscitations within the PICU.

• Advanced Life Support & Organ Technologies:

  • Direct and monitor patients receiving Extracorporeal Membrane Oxygenation (ECMO) in collaboration with bedside specialists and the ECLS team.

  • Prescribe, manage, and titrate continuous hemodialysis and Continuous Renal Replacement Therapy (CRRT) for severe acute kidney injury, fluid overload, or metabolic crises.

  • Manage complex mechanical ventilation strategies, including both invasive and non-invasive positive pressure modalities.

• Complex Diagnoses Management: Provide comprehensive, inpatient medical management for critically ill pediatric patients across a wide spectrum of acute diagnoses:

  • Organ Failure & Transplants: Acute kidney/liver failure, liver, kidney, intestine, and bone marrow transplants.

  • Surgical Recovery: Inpatient post-operative ICU care for complex craniofacial, neurosurgical, pediatric general surgery, Oto, and orthopedic cases.

  • Critical Medical Emergencies: Severe sepsis, acute respiratory failure, status epilepticus, severe asthma, submersion injuries and intoxications, and diabetic ketoacidosis (DKA).

  • Oncology & Hematology Support: Inpatient management of critically ill pediatric oncology and CAR-T therapy patients requiring intensive monitoring.

• Procedural & Diagnostic Management: Conduct detailed daily history and physical exams, interpret real-time bedside diagnostics (ABGs, chest radiographs, hemodynamic monitoring, lab panels).

• Team-Based Multidisciplinary Rounds: Lead and participate in daily multidisciplinary inpatient rounds alongside attending physicians, physician trainees (fellows/residents), subspecialty consultants (Nephrology, Cardiology, Neurosurgery, Transplant), and bedside nurses.

• Continuity & Care Transitions: Direct inpatient care transitions, coordinating multi-system management, step-down criteria, and handoffs to acute care inpatient floors.

• Quality Improvement & Education: Active participation in departmental quality improvement (CQI) initiatives, inpatient safety projects, research, and ongoing clinical education for trainees, staff, patients, and families.

Learn More About Our Team

At Seattle Children’s Hospital, our Pediatric Intensive Care Unit (PICU) is an award-winning center of clinical excellence located in the state-of-the-art Forest zone at our main campus in Seattle, Washington.

• Regional Critical Care Hub: Seattle Children’s serves as the sole academic pediatric medical center for the four-state WAMI region (Washington, Alaska, Montana, and Idaho). Our team manages a 40-bed single-patient room PICU caring for over 2,000 critically ill medical and surgical inpatient admissions annually.

• Advanced Life Support & Subspecialties: We are home to a nationally recognized Extracorporeal Life Support (ECLS/ECMO) program, Advanced Continuous Renal Replacement Therapy (CRRT), High-Frequency Oscillatory Ventilation (HFOV), an active solid organ transplant service (liver, kidney, intestine), and CAR-T / bone marrow transplant oncology programs.

• Trauma & Regional Impact: PICU providers at Seattle Children’s also collaborate with Harborview Medical Center—the region’s only Level 1 Pediatric Trauma Center.

• Family-Centered & Team-Based Care: We operate under a true team-based framework where APPs, attending physicians, fellows, subspecialists, and bedside nurses work side-by-side. Our philosophy centers on family-centered care, recognizing parents and caregivers as vital partners in the healthcare process.

To explore more about our unit, values, and clinical care team, visit the Seattle Children's PICU Page .

Education & Work Experience Requirements

For Nurse Practitioners (NP):

• Master’s degree or higher in Nursing with a Pediatric Nurse Practitioner concentration.

• Completion of a Pediatric Acute Care Nurse Practitioner (PNP-AC) program OR at least one year of current work experience in a pediatric ICU/critical care setting.

For Physician Assistants (PA):

• Graduate of a nationally accredited Physician Assistant program.

• Completion of a formal postgraduate critical care training program (including precepted clinical experience) OR at least one year of direct work experience in pediatric critical care.

Licensure & Certification Requirements

State Licensure: Active, unencumbered Washington State license as a PA-C or RN/ARNP.

National Certification:

• PA: Initial and maintained certification by the NCCPA.

• NP: Current national certification as a Pediatric or Family Nurse Practitioner (PNP or FNP).

Life Support & Prescribing:

• Active Pediatric Advanced Life Support (PALS) certification.

• Active Drug Enforcement Administration (DEA) registration.

Credentialing & Medical Staff Privileges: Must obtain and maintain full medical or allied health professional staff privileges prior to the employment start date. Privileges cannot be limited, revoked, suspended, conditioned, or probationary (excluding standard initial appointment probation).

Compensation Range

$142,120.42 - $209,019.62 per year

Off shift premium: 12% which would increase the total compensation for this role by an additional $17,054 to $25,082 per year.

Relocation: Support available for qualified candidates

Salary Information

This compensation range was calculated based on full-time employment (2080 hours worked per calendar year). Offers are determined by multiple factors including equity, skills, experience, and expertise, and may vary within the range provided.

Disclaimer for Out of State Applicants

This compensation range is specific to Seattle, positions located outside of Seattle may be compensated differently depending on various factors .

Benefits Information

Seattle Children’s offers a generous benefit package, including medical, dental, and vision plans, 403(b), life insurance, paid time off, tuition reimbursement, and more. Additional details on our benefits can be found on our website

About Us

Hope. Care. Cure. These three simple words capture what we do at Seattle Children’s – to help every child live the healthiest and most fulfilling life possible. Are you ready to engage with a mission-driven organization that is life-changing to many, and touches the hearts of all? #HOPECARECURE

Our founding promise to the community is as valid today as it was over a century ago: we will care for all children in our region, regardless of the families’ ability to pay. Together, we deliver superior patient care, advance new discoveries and treatments through pediatric research, and serve as the pediatric and adolescent, academic medical center for Washington, Alaska, Montana and Idaho – the largest region of any children’s hospital in the country.




U.S. News & World Report consistently ranks Seattle Children’s among the nation’s best children’s hospitals. For more than a decade, Seattle Children’s has been nationally recognized in key specialty areas. We are honored to be one of the nation’s very best places to care for children and the top-ranked pediatric hospital in Washington and the Pacific Northwest.

As a Magnet designated institution, we recognize the importance of hiring and developing great talent to provide best-in-class care to the patients and families we serve. Our organizational DNA takes form in our core values: Compassion, Excellence, Integrity, Collaboration, Equity and Innovation. Whether it’s delivering frontline care to our patients in a kind and caring manner, practicing the highest standards of quality and safety, or being relentlessly curious as we work towards eradicating childhood diseases, these values are the fabric of our culture and community. The future starts here.

Our Commitment

Seattle Children’s welcomes people of all experiences, backgrounds, and thoughts as this is what drives our spirit of inquiry and allows us to better connect with our patients and families. Our organization recruits, employs, trains, compensates, and promotes based on merit without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

The people who work at Seattle Children’s are members of a community that seeks to respect and celebrate all the qualities that make each of us unique. Each of us is empowered to be ourselves.

Seattle Children’s is proud to be an Equal Opportunity Workplace and Affirmative Action Employer.