Critical Care PA- Nocturnist

Holy Cross Medical Group is seeking an experienced Critical Care Physician Assistant 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 HighlightsClosed ICU model with 24/7 Intensivist coverageFull TimeCollaborative, experienced multidisciplinary teamOpportunity to manage a mixed Cardiac and Medical ICU with emphasis on Cardiothoracic SurgeryRole Responsibilities:Provide comprehensive assessment, diagnosis, and management of critically ill adult patients, including bedside procedures, physical exams, and diagnostic testingCollaborate closely with intensivists, specialists, nurses, respiratory therapistsParticipate in daily multidisciplinary rounds and contribute to care planningEnsure high-quality, evidence-based patient care and documentationDirect 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 PlacementArterial line placementTemporary pacing wire management (CV surgery patients)Chest tube/mediastinal drain management and/or removalIntubation and airway managementBedside 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 hospitals scope).Night Coverage & Collaborative Decision-MakingCollaborates 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 CollaborationPartner 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 DocumentationParticipate 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 AdherenceAdhere to and help optimize ICU evidence-based protocols, including:Ventilator liberationSepsis managementGlycemic controlDVT and stress ulcer prophylaxisEarly mobility and sedation minimizationIdentify 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 DevelopmentServe 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.QualificationsPhysician Assistant or Nurse Practitioner with Critical Care experience requiredCurrent or eligibility for Florida licensureAbility to thrive within a collaborative, closed ICU modelStrong communication, clinical reasoning, and teamwork skillsCOMPENSATION & BENEFITSCompetitive salary based upon experienceHealth, Dental, and Vision Insurance403(b) with employer matchPaid time offCME allowanceMalpractice insurance coverageSupportive team environment with opportunities for professional growth and development.

Created: 2026-04-22