Job Type: Regular

Time Type: Full time

Work Shift: Rotating (United States of America)

FLSA Status: Exempt

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

The Advanced Practice Provider (APP) in the Cardiac Intensive Care Unit (CICU) plays a critical role in managing acutely ill patients with complex cardiac conditions, including acute coronary syndromes, life-threatening arrhythmias, advanced heart failure, and patients awaiting heart transplantation. The APP is responsible for the comprehensive assessment, diagnosis, and management of critically ill patients requiring advanced therapies, including intra-aortic balloon pump (IABP), Impella, venoarterial extracorporeal membrane oxygenation (VA-ECMO), and other mechanical circulatory support (MCS) devices.

Working in a high-acuity, multidisciplinary environment, the APP collaborates closely with cardiologists, intensivists, surgeons, and the broader ICU team to optimize patient outcomes. Responsibilities include conducting thorough clinical evaluations, developing and implementing treatment plans, managing vasoactive medications, interpreting hemodynamic data, and participating in daily rounds. The APP also plays a key role in patient education, family discussions, and coordinating transitions of care.

This position requires both day and night rotating shifts and some weekend coverage.

Job Description:

Essential Responsibilities:

Performs history and physical examinations, formulation of care plans, ordering and interpreting laboratory and diagnostic tests and provides education to patients and their families.

Document clinical encounters clearly, precisely and in a timely manner.

Coordinates the care of patients in order to provide safe, effective, efficient and timely patient centered care. Liaises between visiting nurses, clinical staff and consult services. Care plans and execution of those plans should encompass the entire service to tie the service together. Consults with physicians or surgeons regarding the care of patients for more complex diagnosis.

Acts as an educator and serves as a clinical resource for staff through consultation formal and informal education, review of literature and participation in seminars and conferences.

Works in a collaborative relationship with other health professional to determine health needs of patients and families. Demonstrates and role models an interdisciplinary collaborate approach to patient care.

Required Qualifications:

Master's degree in Nursing required.
License Nurse Practitioner License required., and Certificate 1 Basic Life Support required.
0-1 years related work experience required.
MA Board authorization to practice as an APRN NRSG
Valid prescriptive authority from both the MA DPH-DCP and Federal DEA
American Heart Association - Basic Life Support Certificate
Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.

Preferred Qualifications:

Experience in a teaching hospital and speciality area expertise.

Competencies:

Decision Making: Ability to make decisions that are guided by precedents, policies and objectives. Regularly makes decisions and recommendations on issues affecting a department or functional area.

Problem Solving: Ability to address problems that are highly varied, complex and often non-recurring, requiring staff input, innovative, creative, and Lean diagnostic techniques to resolve issues.

Independence of Action: Ability to set goals and determines how to accomplish defined results with some guidelines. Manager/Director provides broad guidance and overall direction.

Written Communications: Ability to summarize and communicate in English moderately complex information in varied written formats to internal and external customers.

Oral Communications: Ability to comprehend and communicate complex verbal information in English to medical center staff, patients, families and external customers.

Knowledge: Ability to demonstrate in-depth knowledge of concepts, practices and policies with the ability to use them in complex varied situations.

Team Work: Ability to lead collaborative teams for larger projects or groups both internal and external to the Medical Center and across functional areas. Results have implications for the management and operations of multiple areas of the organization.

Customer Service: Ability to provide a high level of customer service and staff training to meet customer service standards and expectations for the assigned unit(s). Resolves service issues in the assigned unit(s) in a timely and respectful manner.

Age based Competencies:
Employees in this job must be competent to provide patient care to the following age groups: Neonatal:Birth to 6 months, Young adult: 16-30 years, Middle Age: 30 - 60 years, Elderly: 60 -.
Physical Nature of the Job:
Medium work: Exerting up to 50 pounds of force occasionally and or up to 20 pounds of force frequently. Job is physical in nature and employee needs to stand and/or move around through the majority of their shift.

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) and COVID-19 as a condition of employment. Learn more about this requirement.

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

Cardiac ICU Nurse Practitioner or Physician Assistant