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Nocturnist APP – Cardiothoracic & Medical Critical Care (Locum, Missouri)
Palm Health Resources is hiring an experienced Advanced Practice Provider (PA or NP) for a full-time locum nocturnist role covering both Cardiothoracic Critical Care and Medical Critical Care at a Missouri hospital. This is an initial 6-month contract, starting as soon as Missouri licensure and hospital credentialing are complete.
Palm Health covers your mal practice, travel lodging, rental car and/or mileage and much more!
Schedule
7 on / 7 off, 10-12-hour overnight shifts
Full-time locum assignment
6-month initial contract, with potential for extension
Responsibilities
Provide overnight management of critically ill patients in the CT ICU and Medical ICU, working with on-call intensivists and cardiothoracic surgeons
Manage post-operative cardiac surgery patients, including hemodynamic monitoring, vasoactive titration, bleeding assessment, and ventilator management
Evaluate and manage medical ICU patients with conditions such as sepsis, respiratory failure, and multi-organ dysfunction
Respond to rapid responses, codes, and overnight admissions
Perform bedside procedures within scope and credentialed privileges (e.g., arterial lines, central lines)
Communicate changes in patient status to attending physicians and ensure clear handoffs with day teams
Complete accurate, timely documentation in the EMR
Requirements
Active PA (NCCPA) or NP (ACNP-BC or equivalent acute care certification)
Missouri license, or eligibility and willingness to obtain one
Active BLS and ACLS certification
Recent ICU experience required; cardiothoracic or CVICU experience strongly preferred
Comfortable working independently overnight in a high-acuity setting
Contract Details
Full-time locum, 6-month initial term
Start date: upon completion of Missouri licensure and credentialing