APP- Cardiac Surgery, Surgical, NE

Hourly range: $75.00 per hour base rate

From present to December 2026 a premium hourly rate will be added to the base rate as follows:

• Day/Evening = +$35.00

• Overnight & Weekend = +$40.00

• Holiday = +$50.00

Primary Responsibilities: 

Cardiothoracic 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: 

• Endoscopic vein harvesting using Terumo or Hemopro systems. 

• Endoscopic radial artery harvesting. 

• Perform bedside procedures: 

• Thoracentesis, central/arterial 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. 

• 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, 10, or 12-hour shifts based on clinical demand. 

Required Skills and Qualifications: 

• Graduate of an accredited Nurse Practitioner or Physician Assistant program with current board certification. 

• Active state NP or PA license and prescriptive authority. 

• Minimum of 2 years’ experience in a surgical or hospital-based acute care setting (CT Surgery experience strongly preferred). 

• Skilled in ICU management and invasive bedside procedures. 

• Strong knowledge of anatomy, pathophysiology, pharmacology, and medical-surgical care. 

• Excellent clinical judgment, teamwork, and communication skills. 

Albany Medical Center is the centerpiece of medicine, research, and medical education in New York’s Capital Region and is the area's largest private employer with more than 10,000 employees.

Albany Medical Center offers excellent career opportunities in a wide range of roles in both patient care and administration. We value all our staff members and offer outstanding employee benefits including:

• Excellent health care coverage with no copay at Albany Medical Center providers

• A wide array of services and programs to support emotional, physical, and mental wellbeing

Anchored in the state’s historic capital city, Albany Medical Center offers a full range of inpatient and outpatient care and is home to the region’s largest hospital, only Level 1 adult and pediatric trauma centers, and only children’s hospital. The downtown campus also offers opportunities at Albany Medical College.

Albany Medical Center, along with Columbia Memorial Health, Glens Falls Hospital, Saratoga Hospital, and the Visiting Nurses, form the Albany Med Health System, serving more than three million people over 25 counties.

Albany Medical College is an Equal Opportunity Employer and encourages applications from individuals of diverse backgrounds and experiences, including women, persons with disabilities, protected veterans, and underrepresented minorities.