Heart Failure - Nurse Practitioner
Listed compensation
$125k-$167k
The week · per this posting4-day week · 4×10s
Ask the employer about call expectations, weekend coverage and time off.
Job Description
About Pulse Heart Institute
MultiCare’s Pulse Heart Institute is a physician led institute with multi-specialty partnership with Cardiothoracic surgery, vascular and cardiovascular service lines. Our team and state-of-the-art programs create a world-class health care organization and the destination center for cardiac, thoracic, and vascular care with complex structural heart disease and interventions, advanced heart failure service as well as advanced imaging with cutting edge technologies.
Inpatient and Outpatient position, joining a team of four APP's and two physcians.
FTE: 1.0, Shift: Day, Schedule: 4X10's
What We Have to Offer
- Competitive compensation: Attractive salary with potential sign-on and relocation.
- Top-tier benefits: Medical, dental, CME, retirement plans, and malpractice insurance (including tail).
- Generous time off: Ample time to recharge and maintain work/life balance.
- Career growth: Student loan repayment, leadership training, and advancement opportunities.
- Research opportunities: Engage in impactful, industry-sponsored clinical trials and investigator-initiated research, collaborating closely with our dedicated Research Institute team.
- Innovation Lab: Partner with our medical device incubator to develop cutting-edge healthcare solutions.
- Wellness support: Access to mental health services and wellness coaching.
- Pacific Northwest lifestyle: Enjoy stunning views and outdoor adventures in a vibrant community.
Contact Carla Voss - carla.voss@multicare.org
Position Summary
MultiCare Pulse Heart Institute is seeking a Heart Failure Nurse Practitioner to join our busy, well established and expanding practice. This position requires the ability to establish goals of care, collaborate with many health care team professionals, (e. g. Social work, Cardiac rehab staff, Palliative care team) and ability to manage decompensated heart failure (or volume overload) in the outpatient clinic setting and refer to the ED when necessary.
As a provider within our physician governed cardiovascular institute, you’ll find everything you need to excel in your job including outstanding facilities, comprehensive resources and talented teammates sharing your commitment to quality patient care.
Requirements
- Masters of Science in Nursing
- Post Bachelor’s Nurse Practitioner Program
- Successful completion of a Certified Nurse Practitioner Exam through an accredited organization
- Licensed in the state of WA as an ARNP by the time of employment
- DEA, NPI & prescriptive authority
- Current BLS and ACLS for Healthcare Providers certification by the American Heart Association
- ARNP Experience in a Heart Failure Program or two (2) years of experience in a cardiovascular setting
Why Pulse Heart Institute?
Physician-led Care
Led by physicians and advanced practice providers who understand patient needs firsthand, ensuring decisions are grounded in clinical expertise and collaboration.
Proven Excellence
Pulse units across MultiCare earned the 2025 Chest Pain – MI Registry™ Platinum Performance Achievement Award — the only facilities in Washington to receive this distinction.
Comprehensive Cardiovascular Care
A fully integrated model across cardiology, cardiothoracic surgery and vascular services, supporting the full continuum of care.
People-first Culture
We invest in our teams through professional development, supportive leadership and an environment where caregivers can learn, grow and succeed.
Well-being and Support
Resources and programs designed to help you maintain balance and feel supported in your work and life.
Pacific Northwest Lifestyle
Work and live where natural beauty, adventure and strong community connections are part of everyday life.
Pay and Benefit Expectations
We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $124,831.00 - $166,995.00 USD.
However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education.
If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align.
Associated benefit information can be viewed here.
Key Responsibilities
The Nurse Practitioner will manage decompensated heart failure in an outpatient setting and collaborate with a multidisciplinary team including social work and palliative care. They will also participate in clinical research and contribute to the development of healthcare solutions within the institute.
Qualifications
- Education
- Professional certificate or licensure
- Experience
- 2+ years of experience
Certifications
Key Skills
Cardiology — Nurse Practitioner Career Context
The cost-of-living index for Washington is 107.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$146k midpoint carries the purchasing power of roughly $136k in an average-cost state. 59.8% of Washington clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
Of the 50 active Cardiology listings this role was benchmarked against, 16% are remote, 52% have no call, 66% require no weekends.
Cardiology pay on WeekdayDoc is down 4.6% vs. the prior quarter (through Sep 2026).
Location & Logistics
Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$146k midpoint, that is roughly $6k–$10k a year versus a typical 4–7% state rate.
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