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APP Lead (NP/PA) Inpatient Cardiac Surgery

Inova Health System
United States, Virginia, Fairfax
Nov 21, 2025

The APP Lead is a role that exists only for Inova Service Lines. The APP Lead is charged with optimizing daily function of and care delivery provided by Apps. The role serves as the direct supervisor for front-line APP providers in a Service Line.

The Acute Care Advanced Practice Provider exercises independent judgement in the assessment, diagnosis and initiation of medical processes and procedures, in accordance with the licensure regulations of the Commonwealth of Virginia, and as delineated in the written Scope of Practice and Protocol. Demonstrates respect for and an understanding of other clinical disciplines while using an integrated team-based approach to achieve desired patient outcomes. Utilizes evidenced based standards, guidelines and protocols for care delivery. Participates in quality and best practice initiatives by utilizing standards and guidelines for cost effective care delivery to continuously improve patient care and enhance outcomes. Performs high-quality clinical practices and effective patient management under physician supervision by following state regulations, including primary and secondary specialty care in clinical and surgical practice settings.

Job Responsibilities



  • Clinical resource for all direct-report APPs
  • Liaison between APPs, nursing, physicians, and other providers
  • Ensures appropriate scheduling and staffing is maintained and escalates staffing needs in an appropriate and timely manner
  • Provides guidance on quality and safety initiatives and promotes psychological safety among all APPs
  • Develops and implements process improvement plans with particular focus on delivering quality, safe, and efficient care
  • Critically evaluates care delivery structures and plans
  • Identifies educational opportunities and ensures appropriate delivery of structured opportunities
  • Works alongside physician director on initiatives and committees and ensures appropriate representation and participation in unit or practice level committees
  • Identifies opportunities for APPs to participate in research
  • Appropriately communicates needs to manager and provides strategic input on solutions
  • Ensures effective and positive communication to individual APPs and colleagues
  • Ensures onboarding process is in place and followed
  • Provides valuable feedback to APP manager for yearly evaluations
  • Ensures APPs maintain appropriate competencies associated with DOP necessary for maintaining clinical privileges
  • May perform additional duties as assigned


Minimum Qualifications:



  • Education: Mastersin Advanced Clinical Practice or graduate of a post masters certificate program for nurse practitioners, OR certificate from an education program that is accredited by the Council of Nurse Anesthesia Educational Programs/Schools, American College of Nurse Midwives, American Association of Colleges of Nursing of the National League for Nursing. For physician Assistants, graduate of an accredited Physician Assistant program and certification by National Commission on Certification of Physician Assistants.
  • Experience: 3 years as Advance Practice Clinician (NP/PA)
  • Certification: Basic Life Support (BLS) upon start. Advanced Cardiovascular Life Support (for Critical Care) upon start
  • Licensure: Licensed Physician Assistant or Nurse Practitioner; If Nurse Practitioner: RN Compact License(depending on State of primary residence) AND a license (or eligibility for) as a nurse practitioner or physician assistant in the Commonwealth of Virginia AND a "Practice Agreement" signed by sponsoring/ supervising physician(s), AND a written "Scope of Practice/Protocol" signed by the supervising physician, AND "Drug Enforcement Administration License" (if prescribing controlled substances)
  • Payer Credentialing: Ability to successfully complete the credentialing process by third-party payors and Ability to enrolled as a CMS Medicare/Medicaid payor
  • Medical Staff Credentialing: Successful completion of credentialing for Medical Staff membership and appropriate clinical privileges sufficient to perform all required services


Preferred Qualifications:



  • APP experience preferred in cardiac surgery, thoracic surgery, general surgery, cardiology, or critical care.



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