Critical Care APP - Nocturnist

Holy Cross Medical Group is seeking an experienced Critical Care Physician Assistant or Nurse Practitioner to join our established inpatient team at Holy Cross Hospital in Ft. Lauderdale, FL. This is an excellent opportunity to practice high acuity medicine in a supportive, physician-led environment that values teamwork, clinical excellence, and work life balance.

Position Highlights

• Closed ICU model with 24/7 Intensivist coverage
• Full Time
• Collaborative, experienced multidisciplinary team
• Opportunity to manage a mixed Cardiac and Medical ICU with emphasis on Cardiothoracic Surgery

Role Responsibilities:

• Provide comprehensive assessment, diagnosis, and management of critically ill adult patients, including bedside procedures, physical exams, and diagnostic testing
• Collaborate closely with intensivists, specialists, nurses, respiratory therapists
• Participate in daily multidisciplinary rounds and contribute to care planning
• Ensure high-quality, evidence-based patient care and documentation

Direct Patient Care:

• Perform comprehensive assessment, differential diagnosis, and evidence-based management of critically ill adult patients across the NSCCU and Cardiovascular Surgery ICU (CVICU).
• Independently manage patients with multi-organ system failure, acute respiratory failure, shock states, complex arrhythmia, sepsis, post-operative complications, and advanced hemodynamic instability.
• Perform and interpret bedside diagnostics, including Point of Care Ultrasound, EKGs, hemodynamic monitoring, ventilator waveforms, and radiographic studies.
• Initiate and titrate medications, including vasoactive agents, sedatives, analgesics, antiarrhythmics, insulin infusion, and critical drips according to protocols and patient condition.
• Provide end-of-life support and assist with goals-of-care conversations, in collaboration with attending intensivists.

Procedures (as credentialed)

• Perform ICU procedures, including:
• Central Venous Catheter Placement
• Arterial line placement
• Temporary pacing wire management (CV surgery patients)
• Chest tube/mediastinal drain management and/or removal
• Intubation and airway management
• Bedside ultrasound-guided procedures (paracentesis, thoracentesis, vascular access)
• Swan-Ganz catheter interpretation and management (if applicable for CV surgery ICU)
• Manage advanced devices such as IABP, Impella, CRRT, and ECMO in collaboration with specialists (based on your hospital’s scope).

Night Coverage & Collaborative Decision-Making

• Collaborates with the intensivist to provide overnight care for both NSCCU and CVICU, responding rapidly to changes in patient condition.
• Communicate significant overnight changes to the daytime multidisciplinary team to ensure continuity and safe handoff.
• Triaging with intensivist urgent consults from ED, floors, and post-operative areas for potential ICU admission.

Interdisciplinary Collaboration

• Partner with intensivists, cardiovascular surgeons, anesthesiologists, cardiologists, nurses, respiratory therapists, pharmacists, and dietitians to deliver coordinated, high-quality care.
• Collaborate with CV surgery teams regarding post-operative protocols, including management of chest tubes, pacing wires, anticoagulation, hemodynamics, and early complication recognition.
• Support bedside nurses with real-time clinical decision-making, hemodynamic adjustments, and emergent interventions.

Rounding, Handoff, and Documentation

• Participate in structured evening rounds, ensuring accurate and thorough transitions of care.
• Complete timely, clear, and compliant documentation, procedure notes, critical care time, and billing within the EHR.
• Update families when clinically appropriate and ensure communication of changes to daytime providers.

Quality, Safety, and Protocol Adherence

• Adhere to and help optimize ICU evidence-based protocols, including:
• Ventilator liberation
• Sepsis management
• Glycemic control
• DVT and stress ulcer prophylaxis
• Early mobility and sedation minimization
• Identify and escalate safety concerns, near misses, or system issues to leadership.
• Participate in ICU quality initiatives, morbidity & mortality reviews, and performance improvement projects.

Education, Leadership & Professional Development

• Serve as a clinical resource for night shift staff, providing education on complex hemodynamics, troubleshooting ventilators, and device management.
• Maintain competency in all required critical care procedures, certifications (ACLS, BLS), and continuing medical education.
• Contribute to protocol updates, workflow optimization, and critical care operational improvements.

Qualifications

• Physician Assistant or Nurse Practitioner with Critical Care experience required
• Current or eligibility for Florida licensure
• Ability to thrive within a collaborative, closed ICU model
• Strong communication, clinical reasoning, and teamwork skills

COMPENSATION & BENEFITS 

• Competitive salary based upon experience
• Health, Dental, and Vision Insurance
• 403(b) with employer match
• Paid time off
• CME allowance
• Malpractice insurance coverage
• Supportive team environment with opportunities for professional growth and development.

Holy Cross Hospital (HCH) in Fort Lauderdale, Florida, is a full-service, non-profit Catholic hospital, sponsored by the Sisters of Mercy. Since opening its doors in 1955, the 559-bed hospital has offered progressive services and programs to meet the evolving healthcare needs of Broward County. Today, Holy Cross has more than 600 physicians on staff representing more than 40 specialties and more than 3,000 employees. The hospital is fully accredited by the independent Joint Commission, and its medical team has earned a reputation for excellence unsurpassed in the community.

Holy Cross Medical Group (HCMG), established in 1993, is a group of more than 160 of the top physicians in South Florida employed by Holy Cross Hospital. Together, they provide a wide array of services, in various specialties, and have offices located throughout Broward and southern Palm Beach counties.

Holy Cross Hospital and Holy Cross Medical Group are part of Trinity Health, one of the largest Catholic health care organizations in the United States. Trinity Health is based in Livonia, Michigan.

To learn more about Holy Cross, visit www.holy-cross.com.  

Fort Lauderdale, Florida is minutes away from miles of blue waterways, soft golden sands and gentle ocean breezes. Our diverse hotels, shopping centers, arts and entertainment, a world of golf and more await you. Plan a spa day or a day cruise.

Area museums invite you to explore acclaimed art, culture, science and history exhibits. Meanwhile, world-class entertainment is within easy reach. For accompanying family members, the area offers endless opportunities for relaxation, recreation and entertainment while the visiting patient takes advantage of Holy Cross Hospital’s world-class medical care.

Holy Cross is conveniently located near the Hollywood/Fort Lauderdale International Airport and also accessible from Miami and Palm Beach International Airports. In addition, we are close to one of the busiest ports in the U.S.

Trinity Health is one of the largest multi-institutional Catholic health care delivery systems in the nation. We serve people and communities in 22 states from coast to coast with more than 90 hospitals and 100 continuing care facilities – including home care, hospice, PACE and senior living facilities and programs that provide nearly two and a half million visits annually. Trinity Health employs more than 133,000 colleagues, including 7,800 employed physicians and clinicians.

Our mission: We, Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities. We support this mission by living our core values of Reverence, Commitment to Those Who are Poor, Justice, Stewardship, and Integrity. Committed to recruiting talented physicians, we are looking for physicians who share our values and want to help us fulfill the health care needs of the communities we serve.

At Trinity Health, we value the physician relationship and focus on partnering with our physicians. Whether you are a practicing physician looking to relocate or a medical resident, we offer opportunities with the flexibility to fit your individual needs. If you would like to be part of Trinity Health, we encourage you to explore this opportunity at www.trinity-health.org.

If you are interested in this opportunity and would like to submit your CV, please email Trinity Health Recruitment at docopps@trinity-health.org.