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Nurse Practitioner or Physician Assistant, ACCU and CICU, per diem

Boston Children's Hospital
$60.00-$96.28 Hourly
dental insurance, 403(b)
United States, Massachusetts, Boston
Aug 07, 2026

Position Summary

The Per Diem Nurse Practitioner (NP) or Physician Assistant (PA) will provide flexible inpatient coverage across the Cardiac Intensive Care Unit (CICU) and Acute Cardiac Care Unit (ACCU) within the Benderson Family Heart Center at Boston Children's Hospital. This role provides comprehensive, evidence-based care to infants, children, adolescents, and adults with congenital and acquired heart disease, collaborating closely with attending physicians, surgeons, and the multidisciplinary team to deliver exceptional patient-centered care.

Key Responsibilities

The Per Diem NP/PA will be responsible for:

  • Providing direct inpatient care for critically ill and medically complex cardiac patients in the CICU and ACCU.
  • Performing comprehensive patient assessments, developing treatment plans, monitoring clinical progress, and coordinating discharge planning in collaboration with supervising physicians.
  • Participating in daily multidisciplinary rounds and collaborating with physicians, nurses, pharmacists, respiratory therapists, and consulting services to optimize patient outcomes.
  • Managing pediatric and adult patients with congenital heart disease, arrhythmias, heart failure, and pre- and post-heart transplant needs.
  • Caring for patients before and after cardiac surgery and managing cardiology patients admitted with non-cardiac medical conditions.
  • Managing critically ill postoperative cardiac patients requiring advanced therapies, including mechanical ventilation, vasoactive and inotropic support, ECMO, CRRT/CVVH, and sedation management.
  • Performing advanced bedside procedures, including endotracheal intubation and central venous catheter placement (training provided for qualified candidates).
  • Coordinating care for patients with acute and chronic cardiac conditions while facilitating safe transitions of care and complex discharge planning.
  • Promoting evidence-based practice, quality improvement initiatives, patient safety, and family-centered care throughout the hospitalization.
Schedule: 6 shifts every 8 weeks with 2 off shifts, or 9 shifts every 12-13 weeks with 3 off shifts (nights, weekends, and holidays) Minimal Qualifications Education
  • Master of Science in Nursing or Master of Science in Physician Assistant Studies.
Experience
  • 5+ years of pediatric cardiac, pediatric critical care, or pediatric acute care APP experience preferred.
  • Experience managing patients with congenital heart disease and complex cardiac conditions is strongly preferred.
  • Critical care experience with ventilators, vasoactive medications, ECMO, and CRRT/CVVH is preferred.
Licensure/Certifications
  • Current Massachusetts NP or PA license with PNP or FNP certification
bch APP

The posted pay range is Boston Children's reasonable and good-faith expectation for this pay at the time of posting.

Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.

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