The Advanced Practice Provider in the Neonatal Heart Center Unit provides specialized, family-centered care for neonates and young infants with congenital or acquired cardiac conditions who are preparing for cardiac procedures or recovering from higher-acuity care. The APP focuses on pre-operative readiness, optimization, growth and developmental support, and safe transition to home. This role emphasizes continuity, education, and multidisciplinary coordination within a lower-acuity but medically complex environment. This role also includes a collaborative consultation role with the Cardiovascular Intensive Care Unit (CVICU) team to support continuity of care and ensure smooth transitions across the care continuum. 

Key Responsibilities

• Perform comprehensive assessments of neonates with cardiac diagnoses, monitoring feeding tolerance, growth, respiratory stability, and hemodynamic trends
• Provide pre-operative management
• Develop and implement care plans for infants recovering from cardiac surgery, catheter-based intervention or medical management
• Manage step-down-level needs such as oxygen weaning, medication titration, feeding progression, wound care, and developmental support
• Interpret diagnostic data including labs, chest radiographs, and echocardiogram summaries to guide ongoing care
• Carry out and document all required newborn screening
• Perform procedures within scope of practice (e.g., proficient use of positive pressure ventilation, LMA placement, lumbar puncture, umbilical line placement, SVT management)
• Travel and provide safe transport with single ventricle physiology patients to and from radiology
• Participate in multidisciplinary rounds and collaborate closely with cardiology, cardiothoracic surgery, neonatology, pharmacy, nursing, nutrition, and therapy services
• Provide clear, compassionate communication with families regarding care plans, progress and discharge readiness

Schedule

• Day shift, will include weekends, and holidays based on program needs
• 4-10hr days, would consider 5-8hrs
• Weekend requirements- Days (8-10 hr shifts)
  • The following are your minimum weekend hour requirements that you must sign up for each schedule dependent on the length of the schedule
  • Full time FTEs = 60-80 hour for an 8-10 week period\
• Holiday requirements
  • All full-time staff will be required to work one summer holiday, one winter holiday, and one hard to staff day each year

Qualifications

• Master's or Doctoral degree from an accredited Nurse Practitioner or Physician Assistant program
• Current licensure as an NP or PA; national board of certification in Neonatal, Pediatric or Acute Care Specialty (NP) or NCCPA (PA)
• BLS, PALS, and NRP certification
• Experience in neonatal and pediatric cardiac care
• Experience in a Level II-IV NICY, pediatric cardiac unit, or step-down environment preferred
• Familiarity with neonatal cardiac physiology, feeding challenges, and pre/post-operative management preferred
• Strong background in family education and care coordination preferred

Learn More

Neonatology (NICU) | Riley Children's Health

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