APP- Cardiac Surgery, Surgical- Per Diem

Advanced Practice Provider (APP) Cardiothoracic Surgery

We are seeking a skilled and dedicated Advanced Practice Provider (APP) to join our high-performing Cardiothoracic Surgery team Per Diem, with additional responsibilities across inpatient care and multidisciplinary coordination. This per diem position offers a unique opportunity to work in a high-acuity surgical setting while also contributing to broader hospital-based medical care.

Hourly range: $66.81- $77.94

Primary Responsibilities

Cardiothoracic Surgery & ICU Responsibilities:

• Provide care to critically ill patients in the Cardiothoracic ICU, including those on ECMO, Impella, IABP, and CRRT.
• Serve as first and second assist in cardiothoracic surgical procedures, including:
• Endoscopic vein harvesting using Terumo or Hemopro systems.
• Endoscopic radial artery harvesting.
• Perform bedside procedures:
• Thoracentesis, central/arterial line placement, chest tube insertion/removal.
• Temporary pacing wire removal and other advanced interventions.
• Manage preoperative, perioperative, and postoperative care, including consults and discharge planning.
• Conduct daily rounds, write progress notes, and lead care coordination efforts.
• Collaborate closely with cardiothoracic surgeons, intensivists, anesthesiologists, and nursing teams to ensure high-quality outcomes.

General Inpatient Medical Management:

• Conduct comprehensive patient assessments and physical exams.
• Order and interpret laboratory and imaging tests; develop and adjust treatment plans accordingly.
• Prescribe medications and therapies based on current clinical guidelines.
• Participate in the care of patients on inpatient consult services, including those admitted under Surgery, Medicine, Trauma, Pediatrics, and Ob/Gyn.
• Support emergency and inpatient assessments, triage decisions, and follow-ups.
• Educate patients and families about procedures, recovery expectations, and health management strategies.

Clinical Leadership & Support:

• Serve as a clinical resource and team leader during shifts to ensure efficient workflow and high standards of care.
• Ensure accurate documentation, coding, and billing practices.
• Maintain inventory of medical supplies, prepare patients for procedures, and ensure a safe, organized clinical environment.

Work Schedule

• 24/7 in-house coverage of Cardiac Surgery Service utilizing 24-hour shifts.
• Flexibility for 8, 10, or 12-hour shifts based on clinical demand.

Required Skills and Qualifications

• Graduate of an accredited Nurse Practitioner or Physician Assistant program with current board certification.
• Active state NP or PA license and prescriptive authority.
• Minimum of 2 years' experience in a surgical or hospital-based acute care setting (CT Surgery experience strongly preferred).
• Skilled in ICU management and invasive bedside procedures.
• Strong knowledge of anatomy, pathophysiology, pharmacology, and medical-surgical care.
• Excellent clinical judgment, teamwork, and communication skills.

Physical Demands

• Standing - Constantly
• Walking - Constantly
• Sitting - Rarely
• Lifting - Frequently
• Carrying - Frequently
• Pushing - Occasionally
• Pulling - Occasionally
• Climbing - Occasionally
• Balancing - Occasionally
• Stooping - Frequently
• Kneeling - Frequently
• Crouching - Frequently
• Crawling - Occasionally
• Reaching - Frequently
• Handling - Frequently
• Grasping - Frequently
• Feeling - Constantly
• Talking - Constantly
• Hearing - Constantly
• Repetitive Motions - Constantly
• Eye/Hand/Foot Coordination - Constantly

Working Conditions

• Extreme cold - Rarely
• Extreme heat - Rarely
• Humidity - Rarely
• Wet - Rarely
• Noise - Constantly
• Hazards - Frequently
• Temperature Change - Rarely
• Atmospheric Conditions - Rarely
• Vibration Rarely

Thank you for your interest in Albany Med Health System!?

Albany Med Health System is an equal opportunity employer.

This role may require access to information considered sensitive to Albany Med Health System, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:

Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Health System policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.