Division: Medicine
Work Arrangement:
Location: Houston, TX
Salary Range:
FLSA Status: Exempt
Work Schedule:
Summary
The Structural Cardiology Nurse Practitioner provides comprehensive care to patients with structural heart disease throughout the continuum of care, including outpatient evaluation, inpatient management, peri-procedural care, and longitudinal follow-up.
Job Duties
Outpatient Responsibilities:
- Perform comprehensive cardiovascular histories and physical examinations.
- Evaluate patients referred for structural heart interventions, including valvular heart disease and congenital structural abnormalities.
- Assess candidacy for procedures such as:
- Transcatheter Aortic Valve Replacement (TAVR)
- Transcatheter Edge-to-Edge Repair (TEER/MitraClip)
- Left Atrial Appendage Occlusion (Watchman)
- Patent Foramen Ovale (PFO) closure
- Atrial Septal Defect (ASD) closure
- Balloon valvuloplasty and other transcatheter therapies
- Develop individualized treatment plans in collaboration with the structural heart team.
- Optimize medical therapy before and after procedures.
- Manage cardiovascular medications, including anticoagulation, antiplatelet therapy, heart failure medications, antihypertensives, and lipid-lowering therapies.
- Interpret laboratory and diagnostic results to guide clinical decision-making.
Inpatient Responsibilities:
- Conduct daily rounds on hospitalized structural heart patients.
- Monitor patients before and after structural heart interventions.
- Assess and manage acute cardiovascular issues, including heart failure, arrhythmias, vascular complications, and hemodynamic instability.
- Coordinate consultations with cardiac surgery, electrophysiology, heart failure, anesthesia, and other specialties.
- Facilitate discharge planning and ensure smooth transitions of care.
Peri-Procedural Responsibilities:
- Complete pre-procedure assessments and informed consent discussions as appropriate.
- Review diagnostic imaging and testing to confirm procedural readiness.
- Participate in multidisciplinary Heart Team conferences.
- Provide peri-procedural management in collaboration with physicians and procedural staff.
- Evaluate access sites and monitor for procedural complications.
- Manage post-procedure recovery, including pain control, rhythm monitoring, anticoagulation, and discharge readiness.
- Recognize and manage procedural complications such as bleeding, vascular injury, conduction abnormalities, stroke, infection, and heart failure exacerbation.
- Initiate timely interventions or escalation of care when clinically indicated.
Minimum Qualifications
- Master's degree or higher from an accredited Nurse Practitioner or Physician Assistant program
- Current licensure as an NP or PA in the State of Texas (or eligibility to obtain prior to start)
- National board certification (AANP, ANCC, or NCCPA)
- DEA registration or eligibility
- Ability to work independently and collaboratively within a multidisciplinary team
- 2+ years of clinical experience in cardiology or a related acute care setting preferred; candidates with strong acute care/critical care backgrounds and interest in subspecialty training will be considered
- Experience with EMR documentation (Epic preferred)
Requisition ID: 25625
