Critical Care Nurse Practitioner

About the job

Position Overview

• Role: Critical Care Advanced Practice Provider (Acute Care Nurse Practitioner / ACNP-BC or PA-C)
• Location: Medical City Alliance ICU (Fort Worth, TX)
• Practice Group: The Lung & Sleep Center of North Texas / Apex Pulmonary & Critical Care PLLC
• Coverage Model: 24/7 continuous in-house coverage (12-hour day and night shifts; ~182 shifts per year) in an 18 bed ICU.
• Compensation: Comprehensive benefits package, including medical, dental, and vision insurance, paid malpractice, and annual CME allowance.

Key Responsibilities

• In-House Critical Care Vigilance: Stationed 24/7 in-house to manage minute-to-minute clinical changes, execute intensivist care plans, and provide immediate bedside response for deteriorating patients. Help support a growing Trauma Level 2 program with training and direct oversight by Intensivist Physician and Trauma surgeons.
• Multidisciplinary Rounds (MDR): Participate in and help execute daily multidisciplinary rounding alongside attending intensivists, nursing, pharmacy, case management, and respiratory therapy.
• Rapid Response & Code Blue: Provide immediate on-site response and initial stabilization for emergency activations across the hospital.
• Procedural Execution: Perform high-acuity bedside procedures under Point-of-Care Ultrasound (POCUS) guidance (e.g., vascular access, central lines, arterial lines, pigtail catheters, thoracenteses, paracenteses, chest tube placement).
• Collaborative Practice: Operate under a three-tier physician supervision framework involving direct collaborative chart review, 24/7 real-time consultative access to on-call intensivists, and formal proctoring/competency validation by the ICU Medical Director and Trauma Director.

Required Qualifications & Certifications

• Board Certification:

• Board Certified Acute Care Nurse Practitioner (AGACNP-BC / ACNP-BC) or Physician Assistant (PA-C) with specialized CAQ in Critical Care.

• Licensure:

• Active, unencumbered Texas State RN/APRN License and DEA Registration.

• Mandatory Certifications:

• Advanced Cardiovascular Life Support (ACLS)

• Basic Life Support (BLS)

• Preferred Experience & Skills:

• Procedural Expertise -- Central lines, Arterial Lines, intubations, chest tubes, thoracenteses.

• EMR experience with Meditech / Expanse

• Experience in the inpatient Pulmonary & Critical Care setting as a Nurse Pratitioner.