ResponsibilitiesWe are searching for a Nurse Practitioner or Physician Assistant to join our cardiac critical care APP team- someone who works well in a fast-paced - high stress setting. In this position, you will provide critical care to neonates, infants, children, adolescents, and young adults with congenital and acquired heart disease, acute and chronic conditions, including independent and interdependent responsibilities in the assessment, diagnosis, initiation of treatment, evaluation of interventions, perform procedures, and evaluation of outcomes. The APP is involved in education, consultation, research, and evaluation of clinical practice at various levels. This assignment requires staff to work >60% during evenings, weekends, or holidaysWe are a highly specialized team that provides direct care and assumes responsibility for the clinical management of pediatric cardiac critical care patients in the pediatric cardiac intensive care unit and as a critical care resource provider. We are a 24-bed unit with an average daily census of 20. The unit is jointly staffed with pediatric critical care fellows and advanced practice providers who equally share patient care responsibilities; however, our APPs are considered experts with MCS and complex critically ill patient management. We are a top 5 heart transplant program with a growing VAD service. We have a pediatric MCS transport program to support our large geographical area. Our team performs more than 500 heart surgeries per year and 698 cardiac catheterization procedures.Learn more about our CICU atOur Heart Center offers advanced imaging including MRI and 3D ECHO, blood conservation surgical techniques, cardiac genetics, prenatal cardiology, Single ventricle program, Heart failure and transplant, Hybrid and interventional cardiac catheterization procedures, and electrophysiology.Learn more about our Heart Center atPatient & Family Care:Providing care to infants, children, and adults with congenital and acquired heart diseaseConduct patient assessment and medical history, physical exams, and diagnose health and developmental problemsCaring for patients with both acute and chronic disease by managing therapeutic regimensCaring for preoperative and postoperative cardiac patients including management of patients on mechanical circulatory support.Caring for heart failure and heart transplant patients.Participating in the intensive care unit medical rounds, including the presentation of clinical information and the progress and management of patientsEstablishing a treatment plan and evaluation of interventionsCollaborates with CICU provider team, consulting services, andParticipate in teaching activities conducted by the PCCM fellowship, APPs, and Heart Center fellowship, and CICU attending physicians.Completing bedside rounds at the end of the shift with the on-call night team for the CICU to complete sign-off and update management plansIdentify and document patient/family learning needs, readiness to learn, and level of understanding, incorporating family culture and belief systems on all patientsEmploys diverse & complex strategies, interventions, & teaching to promote health & a safe environment.Provides leadership in care management to achieve optimal quality and cost-effective care.Documents & communicates with healthcare team members to achieve an integrated delivery of pediatric care services.Delegates appropriate monitoring, assessment, & interventions according to the patient and scope of practice of the caregiver.Provides consultation to influence the identified plan of care, to enhance the abilities of others to provide health care, and to effect change in the healthcare system.Makes appropriate referrals and discusses recommendations with patient/family/caregiver.Orders and/or performs appropriate treatments, therap