Advanced Practice Provider (Acute Care NP/PA): Transplant Critical Care

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Job Title

Advanced Practice Provider (Acute Care NP/PA): Transplant Critical Care

Location

Weston

Facility

Florida Weston Hospital

Department

Job Code

001131

Shift

Day/Evening/Night/Weekend

Schedule

7:00am-8:00pm

Job Summary

Job Details

Cleveland Clinic Weston is seeking a highly motivated and skilled Advanced Practice Provider (Nurse Practitioner or Physician Assistant) to join our Transplant Critical Care Team in Weston, Florida. This provider will deliver comprehensive, evidence-based care to critically ill transplant recipients in a multidisciplinary ICU environment. The APP will work collaboratively with transplant surgeons, intensivists, transplant physicians, advanced practice providers, pharmacists, nurses, and ancillary team members to manage complex transplant patients throughout the perioperative and critical care continuum.

This position offers a unique opportunity to practice at the highest level of critical care and transplant medicine while contributing to clinical excellence, quality outcomes, research initiatives, and innovative patient-centered care.

Key Responsibilities

Transplant Critical Care APP Responsibilities

• Perform comprehensive histories and physical examinations on critically ill adult patients.
• Formulate diagnoses, develop treatment plans, and provide ongoing management of complex medical conditions.
• Order, interpret, and act upon laboratory, radiologic, and diagnostic studies.
• Conduct daily assessment and management of pre-postoperative transplant recipients in the ICU.
• Collaborate closely with transplant physicians regarding patient status, graft function, and postoperative recovery.
• Monitor for early signs of graft dysfunction, rejection, ischemia-reperfusion injury, and transplant-related complications.
• Manage complex immunosuppressive medication regimens and monitor for medication-related toxicities.
• Participate in evaluation and management of infectious complications in immunocompromised transplant recipients.
• Interpret transplant-specific laboratory testing including therapeutic drug monitoring, donor-specific antibodies, and graft function assessments.
• Develop and implement evidence-based treatment plans for hemodynamic instability, respiratory failure, renal dysfunction, sepsis, and multi-organ failure.
• Manage ventilators, vasoactive medications, invasive hemodynamic monitoring, and renal replacement therapies.
• Perform invasive and noninvasive procedures as credentialed and trained.
• Coordinate care transitions between the operating room, ICU, transplant units, and outpatient transplant services.
• Participate in donor organ acceptance, transplant readiness, and perioperative planning processes as appropriate.
• Facilitate family meetings and provide education regarding transplant recovery, prognosis, immunosuppression, and post-transplant care.
• Participate in transplant quality, regulatory, and programmatic initiatives.
• Support transplant program growth through continuous professional development, education, and participation in evidence-based practice initiatives.
• Other duties as assigned.

Procedures (Based on Training and Credentialing)

• Central venous catheter placement
• Arterial line placement
• Endotracheal intubation
• Ventilator management
• Chest tube management
• Additional procedures consistent with demonstrated competency and medical staff privileges

Qualifications

• Current licensure as a Nurse Practitioner or Physician Assistant in the State of Florida.
• Nurse Practitioners must possess AGACNP-BC, ACNP, or equivalent acute care certification.
• Current national certification through AANP, ANCC, or NCCPA.
• BLS and ACLS certification required.
• ICU, transplant, surgical critical care, cardiothoracic, or acute care experience strongly preferred.
• Demonstrated expertise in critical thinking, clinical decision-making, and management of complex patients.
• Strong communication, teamwork, and interpersonal skills.
• Commitment to quality improvement, patient safety, patient experience, and evidence-based practice.

Schedule

• 13-hour shifts
• Days, nights, weekends, and holidays rotation as required by operational needs

Compensation and Benefits

• Competitive compensation package commensurate with experience
• Comprehensive medical, dental, and vision benefits
• Retirement savings plan with employer contributions
• CME allowance and paid CME time
• Generous paid time off
• Malpractice coverage
• Professional development opportunities

Preferred Candidate Profile

• Previous experience in solid organ transplantation, surgical critical care, or advanced heart failure programs.
• Strong procedural competency and interest in caring for highly complex transplant populations.
• Passion for multidisciplinary collaboration, innovation, quality improvement, and exceptional patient outcomes.
• Strong team player who is highly flexible.

Additional Responsibilities:

• Conducts thorough medical histories, performs complete physical examinations (where indicated), initiates appropriate lab, radiology tests or other special tests required for evaluation of illness, and scrutinizes lab data on new and former clinic patients and hospital admissions to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan.

• Must be able to work with collaborating physician.

• Performs and interprets, at least to the point of recognizing deviations from normal, common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes as privileged by CCF Credentialing Board.

• Performs routine procedures such as injections, immunizations, suturing and wound care, managing simple conditions produced by infection or trauma, assisting in the management of more complex illness and injury which may include assisting surgeons in conducting operations and taking initiative in performing evaluation and therapeutic procedures in response to life- threatening situations, as privileged by CCF Credentialing Board.

• May prescribe and monitor medications as allowed by prescriptive authority through applicable state Board of Nursing/Medicine and CCF policy.

• Performs specialized procedures, including bone marrow aspirations, biopsies and harvest, blood draws, designated IV starts, spinal taps, thoracentesis and paracentesis as well as other specific procedures as directed by the physician, following approval by CCF Credentialing Board.

• Provides information and answers routine questions of patients regarding their disease, including preventive health maintenance topics such as diet, weight, smoking and topics related to medical specialty, with basic recommendations.

• Educates patients regarding their disease, treatments, related drug and treatment side effects and hazards.

• Participates in medical team rounds; collaborates with nursing, medical and other healthcare team members regularly to ensure quality patient care

• Refers patients to specialists as appropriate for consultation or for specialized health resources and treatment.

• Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team or with other specialty areas as necessary.

• Performs research follow-up studies.

• Assists in data analysis.

• Participates in quality monitoring thru the review of records and treatment plans for patient outcomes on a periodic basis to assure qu