Cardiac Surgery APP Surgical

About the role

Department/Unit: Surgery Administration

Work Shift: Day (United States of America)

Salary Range

We are seeking a skilled and dedicated Nurse Practitioner (NP) or Physician Assistant (PA) to join our high-performing Cardiac Surgery team. This full-time position offers a unique opportunity to work in a high-acuity surgical and intensive care setting. Nonsurgical positions are also available if you are not interested in working in the operating room.

Cardiac 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:
• Coronary Artery Bypass Grafting
• Valve Replacement
• Acute Aortic Dissection
• Endoscopic vein and radial artery harvesting using VirtuoSaph (Terumo) and Vasoview (Gentige) systems.
• Perform bedside procedures:
• Thoracentesis, central/arterial line placement, hemodialysis 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 who require Cardiac Surgery consultation.
• 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 or 10-hour shifts based on clinical demand.

Required Skills and Qualifications

• Graduate of an accredited NP or PA program with current board certification.
• Active New York State NP/PA license and prescriptive authority. Active RNFA Certification for NP applications
• 2 years’ experience in a surgical or hospital-based acute care setting.
• Skilled in ICU management and invasive bedside procedures preferred.
• Strong knowledge of anatomy, pathophysiology, pharmacology, and medical-surgical care.
• Excellent clinical judgment, teamwork, and communication skills.

• 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.