Critical Care APP (Nurse Practitioner or Physician Assistant) - Cardiac ICU

Cardiac Critical Care Unit Position

Join a Nationally Recognized Cardiac Critical Care Team WashU Medicine is seeking compassionate, highly motivated Advanced Practice Providers, including experienced Acute Care Nurse Practitioners (ACNPs), Physician Assistants (PAs), and new graduate ACNPs and PAs, to join the multidisciplinary team in the Cardiac Intensive Care Unit (CICU) at Barnes-Jewish Hospital. This is an exceptional opportunity to develop expertise in advanced cardiac critical care while working alongside nationally recognized physicians, APPs, nurses, and healthcare professionals dedicated to delivering world-class patient care.

Why This Opportunity?

Work in a highly specialized 12-bed Cardiac Intensive Care Unit

Care for patients with some of the most complex cardiovascular conditions

Collaborate with expert intensivists and multidisciplinary specialists

Gain hands-on experience with advanced therapies and procedures

Strong mentorship and support for new graduate ACNPs and Pas

The CICU provides care for critically ill patients with:

• Cardiogenic shock
• Advanced heart failure
• Acute myocardial infarction (heart attack)
• Complex valvular heart disease
• Cardiac arrhythmias
• High-risk pulmonary embolism
• Post-cardiac arrest syndrome
• Cardiac tamponade
• LVAD (Left Ventricular Assist Device) complications
• Heart transplant patients and candidates

Providers work with advanced cardiac therapies, including:

• Invasive hemodynamic monitoring
• Mechanical circulatory support devices

This position is ideal for providers who thrive in fast-paced settings and are passionate about critical care medicine. Successful candidates will possess strong clinical judgment, procedural skills, and the ability to manage complex patients with a high level of autonomy while collaborating closely with an experienced intensivist team.

Qualified candidates must hold a master's or doctoral degree as an Acute Care Nurse Practitioner or Physician Assistant. New graduates with acute care training are encouraged to apply and will have the opportunity to build a strong foundation in advanced cardiac critical care through mentorship and clinical collaboration. While not required, experience in the following areas is highly valued:

• Critical care
• Cardiology
• Central venous line management
• Arterial line management
• Inpatient acute care settings

Primary Duties & Responsibilities:

• Provides direct patient care to include obtaining patient history, performing patient assessment via observation, interview, and examination.
• Orders and interprets the full spectrum of diagnostic tests and procedures, including x-ray, electrocardiogram, hemodynamic monitoring, and laboratory tests.
• Performs critical care ultrasound.
• Provides counseling and education of patients and their families/caregivers concerning preventative health, treatment options, and community resources.
• Formulates differential diagnoses and diagnoses.
• Plans, implements, and directs treatment and management of patients with acute, critical, and/or complex conditions and evaluates outcomes of care.
• Documents patient history, physical examination, assessment, and plans of care in patient medical record.
• Manages health conditions via prescriptive authority or provides referral to other healthcare providers or community resources.
• Performs diagnostic or therapeutic interventions consistent with certification and state regulations.
• Performs invasive procedures commonly utilized in the critical care setting.
• Bills for professional services as permitted by collaborative practice agreement.
• Supports 24/7 staffing model, including nights, weekends, and holidays.
• Schedules staff in various critical care settings, including telemedicine.
• Maintains a safe, comfortable, and therapeutic environment for patients/families in accordance with established clinic/hospital standards.
• Works in accordance with established departmental policies and procedures, objectives, and quality assurance programs as well as safety, environmental, and infection control standards.
• Participates in emergency and critical care situations, providing rapid assessment, stabilization, and initiation of treatment for the acutely ill or injured patients.
• Regularly participates in quality improvement and process improvement activities centered on the goal of providing exceptional, evidence-based patient care. Serves as clinical expert and leadership consultant to nursing.

Working Conditions:

• Normal office environment
• Exposure to blood-borne pathogens
• Exposure to chemicals
• Requires protective devices
• Dust, dirt, grease or other disagreeable elements
• Patient care setting
• Direct patient care setting

Physical Effort:

• Typically sitting at desk or table
• Typically standing or walking
• Typically bending, crouching, stooping
• Using tools requiring high dexterity
• Occasional lifting (25 lbs or less)

Equipment:

• Office equipment
• Lab/research equipment
• Clinical/diagnostic equipment

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.

Required Qualifications:

Education:

Master's degree

Certifications /Professional Licenses :

The list below may include all acceptable certifications, professional licenses and issuers. More than one credential, certification or professional license may be required depending on the role.

Acute Care Nurse Practitioner (ACNP) - American Nurses Credentialing Center, Advanced Cardiovascular Life Support (ACLS) - American Heart Association, Advanced Practice Nurse (APN) - Illinois Department of Financial and Professional Regulation, Advanced Practice Nurse (APN) - Missouri Division of Professional Registration, Certified Nurse Practitioner - American Association of Nurse Practitioners, Certified Nurse Practitioner - Illinois Department of Financial and Professional Regulation, Certified Nurse Practitioner - Missouri Division of Professional Registration, Physician Assistant - Illinois Department of Financial and Professional Regulation, Physician Assistant - Missouri Division of Professional Registration, Z - Advanced Cardiovascular Life Support (ACLS) within 30 days - American Heart Association

Work Experience:

No specific work experience is required for this position.

Skills:

Not Applicable

Driver's License:

A driver's license is not required for this position.

More About This Job:

We are seeking a dedicated Critical Care APP Nurse Practitioner or Physician Assistant to join our team. Below are additional requirements and information based on each role.

Required Qualifications:

Nurse Practitioner

• Master of Science in Nursing with emphasis in the Nurse Practitioner program.
• Certification as an Acute Care Nurse Practitioner or recent completion/anticipated completion of accredited ACNP program.
• APRN licensure (or ability to successfully obtain licensure within three months of date of hire).
• Active licensure to practice in the state of Missouri and/or Illinois, depending on location, and in good standing (or ability to obtain).
• Certain/additional certifications or experience may be necessary based on area of specialty.
• Advanced Cardiovascular Life Support (ACLS) within 30 days.

Physician Assistant

• Graduate of PA program.
• Current PA licensure to practice in the state of Missouri and/or Illinois, depending on location, (or ability to obtain within three months of date of hire).
• Certain/additional certifications may be necessary based on area of specialty.
• Advanced Cardiovascular Life Support (ACLS) within 30 days.

Preferred Qualifications:

Education:

M.S.N. - Master of Science in Nursing - Nurse Practitioner, Master's degree - Physician Assistant Studies

Certifications /Professional Licenses :

No additional certification/professional licenses unless stated elsewhere in the job posting.

Work Experience:

Relevant Experience (1 Year)

Skills:

Acute Care, Advanced Cardiac Life