Nocturnal Inpatient Surgical Nurse Practitioner or Physician Assistant

Palm Careers
Charlotte, NC

Advanced Practice Provider (NP/PA) Nocturnal Inpatient Coverage

Cardiothoracic & Vascular Surgery Floor Coverage

Position Summary:

We are seeking an experienced Nurse Practitioner or Physician Assistant to provide overnight inpatient coverage for Cardiothoracic Surgery and Vascular Surgery services. This role is strictly inpatient floor-based with no operating room, procedural surgery, or call responsibilities .

The APP will manage post-operative and medically complex surgical patients in collaboration with attending surgeons and critical care teams.

Schedule:

  • Night Shift Schedule: 13-hour shifts (6p7a), rotation including weekends and holidays
  • 12-hour night shifts
  • Hours: 6:30 PM 6:30 AM

Clinical Responsibilities:

Vascular Surgery

  • Inpatient coverage for ICU patients (co-managed with Critical Care) and floor patients
  • Daily patient assessments, care coordination, documentation, and overnight issue management

Cardiothoracic Surgery

  • Inpatient floor-only coverage
  • No CT Surgery ICU patients
  • Post-operative management, monitoring, and overnight clinical support

Procedures:

  • Chest tube management
  • Chest tube removal only
  • (No chest tube insertion required)

Scope of Practice - Important Notes:

  • No operating room responsibilities
  • No surgical procedures
  • No call
  • No ICU coverage for Cardiothoracic Surgery

Qualifications:

  • Licensed Nurse Practitioner or Physician Assistant
  • Active North Carolina license (required)
  • Active DEA (address change acceptable if currently licensed elsewhere)
  • Prior experience in:
    • Cardiothoracic Surgery
    • Vascular Surgery
    • Surgical inpatient or nocturnal hospital coverage
    • Strong clinical judgment and ability to work independently overnight

Key Skills & Attributes:

  • Inpatient surgical floor management
  • Post-operative care
  • Interdisciplinary collaboration
  • Strong communication and documentation skills
  • Comfort managing complex surgical patients overnight

Compensation:

Competitive base salary with comprehensive benefits, relocation assistance, and opportunity for growth within Atrium Healths expanding heart & vascular network.

Posted 2026-01-28

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