APP ( NP or PA) - Cardiothoracic Surgery

Cardiothoracic Surgery Critical Care Team Opportunity

We are excited to offer an exceptional opportunity to join our Cardiothoracic Surgery Critical Care Team as a Physician Assistant / Associate (PA) or Acute Care Nurse Practitioner (ACNP / AGACNP / ACNP-AG). This role is ideal for an advanced practitioner seeking a highly autonomous, clinically challenging, and collaborative team environment.

Take your career to the next level as part of a dynamic Cardiothoracic Surgery Critical Care Service. Our APPs play an integral role in comprehensive perioperative care, managing patients across the full continuum—from initial consultation through postoperative recovery and discharge. You will work alongside experienced cardiothoracic surgeons, APPs, and multidisciplinary professionals in a high-acuity, cutting-edge environment.

Key Responsibilities

• Manage patients recovering from complex cardiothoracic surgeries, including:
• Aortic surgery
• Coronary artery bypass grafting (CABG)
• Thoracic surgery
• Valve surgery

• Partner closely with attending physicians and APP colleagues in the management of advanced mechanical circulatory support devices, including:
• ECMO
• Intra-Aortic Balloon Pumps (IABPs)
• Left Ventricular Assist Devices (LVADs)
• Impella
• Right Ventricular Assist Devices (RVADs)

• Perform and refine common ICU procedures, including:
• Bronchoscopy
• Central venous catheter placement
• Arterial line insertion
• Chest tube management

• Focus on optimizing patient experience, satisfaction, and clinical outcomes
• Deliver high-quality, evidence-based perioperative care

• Order and interpret relevant diagnostic studies
• Apply clinical judgment to guide timely and appropriate interventions

• Respond to critical and emergent situations
• Provide rapid assessment and stabilization until definitive treatment is implemented

Ideal Candidate

• Physician Assistant or Acute Care Nurse Practitioner
• Strong interest or background in cardiothoracic surgery and/or critical care
• Comfortable practicing with a high level of autonomy in a fast-paced ICU setting
• Committed to teamwork, clinical excellence, and continuous professional growth

What We Require:

Education: Graduate of an Accredited Nurse Practitioner or Physician Assistant program.

Experience: 0

Licensure/Certification: Current state Licensed Nurse Practitioner (NP) and RN licensure required or Physician Assistant (PA), DEA license. AHA BLS-HCP certification required. Advanced Life Support certification preferred. Eligible for prescriptive authority in accordance with State regulations and as authorized by the Virginia Boards of Nursing and Medicine. Other: Able to work collaboratively with physicians and other health care providers, good written and oral communication skills. Computer literacy required for automated computer systems, including electronic medical records.

Benefits, Pay and Well-being at Carilion Clinic

Carilion understands the importance of prioritizing your well-being to help you develop and thrive. That's why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life – at work and when you're away.

When you make your tomorrow with us, we'll enhance your potential to realize the best in yourself. Below are benefits available to you when you join Carilion:

• Comprehensive Medical, Dental, & Vision Benefits
• Employer Funded Pension Plan, vested after five years (Voluntary 403B)
• Paid Time Off (accrued from day one)
• Onsite fitness studios and discounts to our Carilion Wellness centers
• Access to our health and wellness app, Virgin Pulse
• Discounts on childcare
• Continued education and training