Advanced Practice Provider- Cardiac Surgery- Per Diem

Cardiac Surgery Physician Assistant or Nurse Practitioner

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.

Mount Auburn Hospital is a Harvard-affiliated teaching hospital and member of Beth Israel Lahey Health devoted to consistently promoting a culture of Wellbeing, Empathy, Collaboration, Accountability, Respect, and Equity as outlined in our organization's WE CARE values. We are seeking a Cardiac Surgery Physician Assistant or Nurse Practitioner to join our amazing team in a per diem capacity. This role is ideal for a PA or NP with at least two years of cardiac surgery or cardiothoracic ICU experience who can work independently during off-hours.

Provide independent coverage of the cardiac surgery service during nights, weekends, and holidays

Manage pre- and post-operative cardiac surgery patients primarily in the ICU, with occasional coverage in the step-down unit

Perform bedside procedures such as chest tube management and removal

Collaborate with attending surgeons, intensivists, and nursing staff to ensure high-quality patient care

Maintain accurate documentation and effective communication during transitions of care

Minimum of two years of experience in cardiac surgery or cardiothoracic ICU

Strong procedural skills and ability to work independently

Excellent clinical judgment, communication, and organizational skills

This is a non-OR position focused on inpatient care

Candidates must be able to commit to a minimum of two shifts per month

Flexibility and reliability are essential

Competitive compensation

Essential Duties & Responsibilities (including but not limited to):

• Functions as a conduit for all patient-care related information between attending physician, consultants, house staff, nursing, and other ancillary staff. Determines and relays to other providers, as appropriate, modified treatment plans and/or other interventions.
• Provides first-level response to acute changes in patient status or complications and initiates appropriate measures.
• Performs daily patient rounding and follow-up for cardiac surgical patients including physical examination, and diagnostic and therapeutic intervention(s). Orders routine laboratory and diagnostic studies, medications, and consultations for patients on the service, to be co-signed within 24 hours by a physician involved in the patient's care. Documents on a daily basis in the permanent medical record the patient status and further plan based on interpreted data.
• Elicits a detailed history, performs physical examinations, writes assessments and orders, and presents pertinent data for all cardiac surgical admissions.
• Performs the skills as outlined in the Cardiac Surgery physician assistant delineation of privileges (i.e. removal of chest tubes/pacing wires, arterial line placement, central line placement, foley catheter placement, etc.). *Not an exhaustive list and congruent with competency/skill level.
• Orients medical students, physician assistant students, surgical interns, and junior surgical residents to Mount Auburn Hospital patient-care practices and hospital policies and procedures.
• Performs and/or assists the physician staff in requirements for hemodynamic monitoring and overall preparation of the patient for surgery.
• Plans and executes all coordinate elements of the patient discharge.

Qualifications:

1. Graduate of an American Academy of Physician Assistant (AAPA)-approved PA training program.

2. Board certification as outlined by the Massachusetts State Board of Registration of Physician Assistants.

3. Advanced cardiac life support (ACLS) certification is required.

4. Massachusetts Controlled Substance (DPH) and DEA certificates are required.

5. Surgical experience preferred, including experience in performing or assisting with acute hospital-level ICU/surgical procedures.

6. Two or more years of clinical experience in an inpatient setting are desired, preferably ICU or acute care center.

7. Excellent interpersonal skills for positive interaction with patients, physicians, and other staff

Other Requirements:

• ICU, Step-Down, and OR patient care environment, with risk of standard exposure/hazards.
• Consistently promote a culture of Wellbeing, Empathy, Collaboration, Accountability, Respect, and Equity as outlined in the organization's WE CARE values.
• Demonstrated commitment and actions to a learning environment.
• Must be able to stand/walk for prolonged periods of time.

Pay Range: $123.00 - $128.00

The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled