5-7 years of experience as a surgical PA or APRN in cardiac surgery
Registered Nurse First Assistant (RNFA) certification required
Current or eligible PA/APRN practice certification in NH
BLS and ACLS certifications mandatory
Experience with first assisting in cardiac surgeries and vein harvesting is essential
ICU experience is preferred but not mandatory
Responsibilities
Assist in cardiac operations as first assistant in the OR
Rotate through ICU and inpatient floor for cardiac surgery services
Conduct evaluations of new consults
Manage post-operative care with minimal clinic coverage
Participate in night and weekend on-call shifts for patient management
Contribute to research initiatives while supporting the medical school faculty
Benefits
Onboarding program with mentorship support
Effective work-life balance
Opportunity to work with a stable team of experienced APPs
Focus on quality surgical experience without surgical residents
Access to career growth opportunities in advanced techniques and leadership roles
Comprehensive benefits including health, dental, vision, malpractice insurance, retirement match, CME allowance, and student loan repayment assistance
Full Job Description
Overview
Cardiac Surgery Advanced Practice Provider Dartmouth Hitchcock Medical Center - Lebanon, NH
We are seeking an APP who would rotate in the ICU/Floor/and operating room. The opportunity to act as first assistant for Cardiac operations is available to experienced surgical PAs or APRNs with RNFA certification. OR first assist will include a full range of coronary, complex valve, aortic, and minimally invasive procedures, as well as endoscopic and open vein harvesting.
In addition, there are ample opportunities to be involved in research. A faculty appointment through Geisel School of Medicine at Dartmouth will be requested.
Position Highlights:
Spend approximately 40-50% time in the OR as a first-assist. Vein harvesting and Cardiac surgery 1st assist experience REQUIRED
Work rotating day shifts in the ICU/Floor covering the cardiac surgery inpatient service and evaluating new consults.
Schedule is 7 days in a 2 week period
Minimal need for clinic coverage
Night and weekend coverage of post-op patient management at an average of 4 shifts per month
OR call is 1:6 on nights, weekends, and holidays; call is taken from home
Be part of a team that recently scored an A+ for cardiac care by Money Magazine and on the Becker's Hospital Review's Top 100 Hospitals and Health Systems with Great Heart Programs for 2025.
We offer:
Onboarding program and mentorship
Competitive salary - additional pay for OR call and night/weekend coverage
Excellent work-life balance
Cohesive and collegial team with most of the APPs on staff 10 years and up
Quality OR experience as no surgical residents on service
Our program is in the process of expanding, and we have several opportunities for career growth, including minimally invasive and robotic procedures, endoscopic radial artery harvesting, complex advanced HF management, research in our state-of-the-art pig lab, and leadership roles for the APP Residency Program.
Comprehensive benefits package to include health, dental, vision, and malpractice insurance, up to 6% employer retirement match, CME allowance, student loan repayment, and relocation bonus
Requirements:
BLS and ACLS certification
Current (or eligible) certification to practice as a PA or APRN in NH
Successful completion of an approved PA/APRN program.
Specialty certification as RNFA or certification through the National Commission on Certification of Physician Assistants (NCCPA)
First-assist, cardiac, and vein harvesting experience required. ICU experience preferred.
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