Acute Care Nurse Practitioner or Physician Assistant - Pulmonary & Critical Care, Full-time, Rotating

Northwestern Medicine has an exciting opportunity for either a Nurse Practitioner or Physician Assistant to join The Canning Thoracic Institute (CTI) as part of our Medical Intensive Care Unit (MICU) and Rapid Response Team (RRT). CTI operates collaboratively across the Northwestern Medicine health system to advance our mission of delivering the highest quality care for patients with diseases of the chest, promoting clinical innovation and discovery, and improving lung health in the Greater Chicago community. In this dual‑function role, the APP will work alongside leaders in pulmonary and critical care as part of an APP‑led team responsible for the management of medically complex ICU patients as well as the early recognition and stabilization of deteriorating patients throughout the hospital. The team cares for a wide variety of critically ill patients, including those with advanced lung failure, shock, sepsis, multiorgan dysfunction, and acute GI or oncologic emergencies.

Medical ICU Responsibilities: Manage the care of critically ill patients requiring advanced monitoring and interventions. Participate in daily multidisciplinary rounds and collaborate closely with intensivists and the interprofessional team. Manage ventilators, vasoactive medications, and complex critical care therapies. Perform ICU procedures as credentialed (e.g., arterial lines, central venous catheters, bronchoscopy depending on skillset). Coordinate care transitions, including admissions, transfers, and discharges from the MICU. Apply evidence‑based practice guidelines to optimize clinical outcomes.

Rapid Response Team Responsibilities: Respond to all Rapid Response and Code Blue activations throughout the hospital to assess and stabilize acutely deteriorating patients. Provide advanced clinical assessment, initiate urgent interventions, and determine need for ICU transfer. Collaborate with bedside nursing staff to identify early signs of deterioration and support escalation of care. Serve as a clinical resource for hospital units, reinforcing best practices in prevention of clinical decline. Participate in quality-improvement initiatives aimed at reducing unplanned ICU admissions, improving code metrics, and enhancing patient safety.

Schedule: 3x12hr shifts plus 4hrs administrative time

• Rotating days/nights/weekend/holidays. Candidate may work 100% nights if desired
• no on-call

Essential Functions: 

• Demonstrates clinical expertise and expanded knowledge through patient care activities which may include diagnosis and management of a wide range of health problems.
• Responsible for health outcome of an assigned patient population.
• Confers with collaborating physician and other health professionals in area of clinical expertise.
• Develops appropriate educational systems for patients, families and staff in areas of expertise.
• Mentors graduate students in aspects of advanced practice and patient care.
• Actively participates in quality improvement and/or research pertinent to area of expertise. 

Responsibilities: 

• Conducts comprehensive appraisals of patients' health status by taking health histories and performing physical examinations in clinical area.
• Provides direct clinical care to patients.
• Prescribes/orders medications, therapies; orders/interprets laboratory tests, x-rays and procedures according to clinical privileges.
• Evaluates patients to determine their need for further health care.
• Provides comprehensive teaching to patients and families.
• Documents in the medical record all care and education provided and/or procedures performed for which the Licensed Advanced Practice Provider is responsible.
• Refers to other disciplines as appropriate.
• Consultant to other disciplines in areas of expertise.
• Integrates research based knowledge and clinical expertise in decision making.
• Exemplifies a professional image in appearance, manner and presentation.
• Advocate for patients, families, coworkers, and the community.
• Maintains certifications and continuing education as required for licensure and privileging.
• Serves as a patient advocate and role model for "Patients First".
• Participates in unit/departmental/divisional or hospital committees/task forces as appropriate.
• Provides comprehensive teaching strategies for patients and their families.
• Develops and participates in programs to meet continuing education needs of staff.
• Serves as a role model and preceptor to students.
• Provides formal education to both internal and external groups pertinent to area of specialty.
• Participates in quality improvement and/or research initiatives for specific patient population as appropriate.