Locum Cardiothoracic Surgery Advanced Practice Providers Needed in WA!

ATC West Healthcare Services is seeking two experienced Cardiothoracic Surgery Advanced Practice Providers (APPs) to start as soon as possible, pending credentialing. This is a high-acuity inpatient role supporting a busy cardiothoracic surgery service with strong operative, ICU, and floor responsibilities. Candidates must be highly skilled, particularly in robotic-assisted thoracic surgery, as limited training is available.

Dates / Schedule

• Start Date: ASAP (pending credentialing)

• Credentialing Timeline: Approximately 90 days

• Schedule:

  • Monday–Friday with 3–4 call days per week

  • 1:4 weekend call rotation

  • Typical weekday hours: ~7:00 AM–3:00 PM (variable; not shift-based)

  • Call days may extend 10–12+ hours

  • Weekend call: typically 6–8+ hours per day, census dependent

  • Pager coverage for 24 hours on call days

• FTE: 1.0 per APP

Job Details & Responsibilities

• Inpatient cardiothoracic surgery coverage

• Assist with pre- and post-operative evaluation and management

• First assist in the OR for cardiac and thoracic cases, including:

  • Coronary artery bypass grafting and valve surgeries

  • Aortic and aortic arch reconstruction

  • Minimally invasive and robotic-assisted thoracic surgeries

  • VATS and DaVinci robotic thoracic procedures

  • Thoracic and foregut procedures

• Perform procedures such as:

  • Endoscopic vein harvest

  • Open radial artery harvest

  • Chest tube and arterial line insertions

• Manage ICU and step-down patients

• Daily inpatient rounds, discharge summaries, and weekend rounding

• Participate in evening, night, and weekend surgeries

• Respond to emergent floor procedures as needed

• Provide walk-in/urgent clinic coverage and wound checks when surgeons are unavailable

• Team structure:

  • 5 permanent surgeons (3 cardiac, 2 thoracic)

  • 4 mid-levels (3 PAs, 1 NP, 1 in training)

  • Case volume: ~6–8 cardiac cases/week; 9–12 thoracic cases/week

• EMR: Epic

• Support Staff: RNs

Required Skills & Qualifications

• Board Certified APP (PA or NP) – required

• Minimum 3 years of cardiothoracic/cardiovascular surgery experience – required

• Strong experience in robotic-assisted thoracic surgery (dealbreaker; ~90% of thoracic cases)

• Active Washington state license – highly preferred (IMLC considered)

• ACLS, BLS, and DEA – required

• Clean malpractice history – required

• Ability to function independently in a high-volume inpatient and OR setting

• Willingness to work variable hours, nights, weekends, and call

• Locums training is limited; candidates with minimal thoracic experience will be restricted in scope unless transitioning to a permanent role