Locums – APP – Nurse Practitioner – Cardiothoracic Surgery, California (Bay Area Region)

Job description

Assignment Overview

Specialty: Cardiothoracic Surgery

Provider Type: Nurse Practitioner

Start Date: March 16, 2026

Contract Length: 6 months

Coverage Type: Scheduled clinical shifts

Practice Setting: Inpatient, hospital-based

Call: None

Schedule

Shift Options:

Days: 6:00 AM – 6:30 PM

Nights: 6:00 PM – 6:30 AM

Schedule Structure:

3 shifts per week (12-hour shifts)

Minimum 2 weekend shifts per month

5–6 night shifts per month

Clinical Scope & Responsibilities

The Cardiothoracic Surgery APP team provides comprehensive care to post-operative cardiothoracic surgery patients in both the CTICU and acute care floor settings.

The APP will manage patients following a full spectrum of cardiac and thoracic procedures, including:

Heart transplantation

Mechanical circulatory support (VA ECMO, Impella, IABP)

Responsibilities include:

First responder for CTS patient pages

Daily rounds with CTS Fellows, Attendings, Advanced Heart Failure/Transplant team, and ICU staff

Independent management of critically ill CTS patients

Histories and physicals

Ordering and interpreting diagnostics

Initiating treatments within scope and standardized procedures

Perioperative planning and coordination

Admissions, new consults, discharges, and transfers

Prescriptions, referrals, and consult coordination

Removal of chest tubes, pacing wires, IABPs, and arterial sheaths

Patient and family education and follow-up planning

A high degree of autonomy is required, with rapid recognition and response to changes in patient condition.

Clinical Oversight & Privileging

Clinical privileges granted based on demonstrated competency

Proctoring and FPPE required

Procedures and independent practice tracked via ECHO system

Procedural logs maintained through e-log platform

Systems

EMR: Epic

Requirements

Board Certification: Required

Licensure:

Active California NP license required

(Licensing support available for PAs only; not available for NPs)

DEA: Required

Certifications: AHA BLS and ACLS required

Minimum Qualifications

Minimum 1 year of cardiothoracic surgery experience

Independent management of CTS patients in critical care settings

ECMO experience required

Strongly preferred background in:

Transplantation

Critical care

Cardiology

Acute care

Credentialing

Estimated timeframe: 60–90 days