Cardiac Surgery APP - Inpatient/OR First-Assist

D-H Lebanon-MHMH$110K — $130K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 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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