Pulmonary Critical Care APP Position - Nights Only

Work Shift: Third (Nights)

Department: Pulmonary and Critical Care Medicine

Reports to: PCCM Team Coordinator

Employment Status: Full-Time (80-hours/2-week pay period distribution)

Shift: Nights Only (6 PM7 AM)

Position Summary: The Critical Care APP provides comprehensive management of critically ill adult patients within a medical ICU with multiple service lines including thoracic surgery, vascular surgery, general surgery, interventional cardiology, ***. Intensive Care Units at these sites are open units with mandatory intensivist consultation. This role is designed as a performance-based position with accountability for clinical quality, operational efficiency, patient outcomes, interdisciplinary collaboration, and adherence to evidence-based critical care practices. Success in this role is measured not only by completion of assigned clinical duties, but by demonstrated contributions to patient safety, throughput, quality metrics, procedural competency, and team effectiveness.

Primary Responsibilities: Clinical Care Manage critically ill patients in collaboration with intensivists. Perform comprehensive assessments, diagnostic evaluations, and treatment planning. Respond to acute clinical deterioration and critical care emergencies. Perform credentialed procedures including arterial line placement, central venous catheter insertion, temporary dialysis catheter insertion, intubation assistance, and thoracentesis. Document care accurately and complete billing documentation within established timelines. Work directly with eICU and on-call physician team during evening shifts Operational & Quality Performance Support efficient ICU patient flow and timely completion of admissions, transfers, and discharges. Participate in multidisciplinary rounds and coordinate care across nursing, respiratory therapy, pharmacy, and consulting services. Contribute to quality initiatives related to sepsis, ventilator management, CLABSI/CAUTI reduction, and evidence-based ICU bundles. Participate in performance improvement activities. Participate in regionalized scheduling coverage expectations Support of cross-site ICU coverage when operationally required Participation in Sentara PCCM onboarding, simulation, or ultrasound initiatives Professional Development Maintain required licensure, certifications, and credentialing. Complete departmental onboarding and competency requirements. Participate in ongoing critical care education, simulation training, and procedural competency assessments. Contribute to APP education, onboarding, or mentoring activities as appropriate. Emergency Neurologic Life Support and Fundamentals of Critical Care Support within the first year of employment Performance Expectations: Performance Domain Expected Standard Clinical Quality Consistent adherence to evidence-based critical care protocols and quality measures. Documentation Timeliness Completion of required documentation and billing within departmental standards. Procedural Competency Maintenance of credentialed procedural skills and competency requirements. Patient Throughput Timely management of ICU admissions, transfers, and discharges. Team Collaboration Positive interdisciplinary communication and participation in rounds and care coordination. Safety & Compliance Adherence to hospital policies, credentialing requirements, and patient safety standards. Professional Contribution Participation in quality improvement, education, onboarding, or departmental initiatives. Key Performance Indicators: Examples of metrics used to evaluate success in the role include: Documentation completion rate Ventilator bundle compliance Participation in QI projects Completion of onboarding education and competency modules within 6 months of employment Billing capture accuracy Sepsis bundle compliance Procedural success and complication rates Peer and interdisciplinary feedback

Required Qualifications: Graduate of an accredited Physician Assistant of Acute Care Nurse Practitioner program Current Virginia Licensure (or eligibility) National certification as PA-C, ACNP, or AGACNP BLS and ACLS certification Ability to obtain and maintain hospital privileges for approved ICU procedures

Preferred Qualifications: 1 year experience in medical, surgical, cardia, or neurocritical care ICU settings Critical care ultrasound/POCUS training We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay range for full-time employment is $115,315.20 - $312,000.00 annually. Additional compensation may be available for this role, such as shift differentials, on-call pay, shift premiums, extra-shift incentives, or bonus opportunities. Compensation within the range may vary based on qualifications, experience, location, market conditions, and business needs. Note: If an annual salary is posted, it is based on a full-time colleague working 2,080 hours annually. Sentara offers a comprehensive benefits package, including medical, dental, vision, life and disability insurance; 401(k)/403(b) with employer match; paid time off (vacation, sick time, and holidays); paid parental and military leave; educational assistance or student loan repayment; and voluntary benefits. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission "to improve health every day," this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs providers in the following states: North Carolina, Nevada, South Carolina, South Dakota, Tennessee, Texas, Virginia, West Virginia and Wisconsin.