Cardiovascular & Electrophysiology Specialist IV Location: Charlotte, NC Shift: Full-Time 36-40 hours per week plus call Current schedule: 10-hour shifts, approximately 7:30 AM-6:00 PM Anticipated transition to 12-hour shifts, approximately 6:30 AM-7:00 PM Job Summary We are seeking an experienced Cardiovascular & Electrophysiology Specialist IV to provide advanced procedural support within invasive cardiac and electrophysiology settings. This position may support adult Cardiac Cath Lab or Electrophysiology Lab procedures, or a pediatric procedural setting encompassing both Cardiac Cath and EP. This senior-level specialist assists physicians with complex cardiovascular and electrophysiology procedures, including scrubbing, circulating, monitoring, cardiac mapping, device programming, and other specialized EP functions. The Specialist IV also serves as a clinical resource and preceptor, helping train and support other team members. Responsibilities Assist physicians with invasive cardiovascular and electrophysiology procedures. Perform scrub assistant, monitoring, and circulating responsibilities. Set up and monitor EP recording systems and accurately label procedural recordings. Display appropriate electrode combinations and measure cardiac cycle and interval lengths. Recognize and promptly communicate significant clinical or electrophysiological changes to physicians. Assist physicians with cardiac mapping, stimulation, and catheter insertion during EP procedures. Program pacemakers and implantable cardioverter-defibrillators (ICDs) before implantation. Use a Pacemaker System Analyzer (PSA) to evaluate electrode lead signals and conductivity during procedures. Confirm appropriate device operation following implantation and reprogram cardiac devices for procedures when necessary. Assist with defibrillator deactivation for surgical procedures according to established protocols and physician direction. Administer medications under direct physician supervision. Monitor patients and respond rapidly to changes in clinical condition. Calculate, interpret, and analyze clinical and procedural data. Maintain accurate patient and procedural documentation. Participate in performance and quality improvement initiatives. Assist with developing policies, procedures, and standards of care. Provide education and training to new cardiovascular and electrophysiology staff. Serve as a preceptor and clinical resource for other team members. Participate in departmental education, committees, and governance activities. Qualifications / Requirements High school diploma or equivalent required. Completion of an accredited program in Cardiovascular/Cardiopulmonary Technology, Radiologic Technology, Nursing, or a related clinical field. Advanced invasive cardiovascular and/or electrophysiology procedural experience required. Registered Cardiovascular Invasive Specialist (RCIS), Registered Cardiac Electrophysiology Specialist (RCES), Registered Radiologic Technologist (RT(R , or equivalent applicable certification required. Current BLS and ACLS required. Must maintain applicable CCI and/or professional certification requirements. Must meet and maintain established advanced-level procedural competencies. Experience with Cardiac Cath Lab and/or Electrophysiology Lab procedures. EP candidates should have experience with cardiac mapping, stimulation, EP recording systems, catheter procedures, and cardiac rhythm interpretation. Experience with pacemakers, ICDs, device programming, and PSA equipment strongly preferred for EP-focused positions. Previous experience training, precepting, or serving as a clinical resource to other staff preferred. Strong critical-thinking skills and ability to perform effectively in high-pressure procedural situations. Ability to wear approximately 10-20 pounds of lead radiation protection for extended periods. Ability to lift and support up to 50 pounds when handling patients, equipment, and supplies. Comfortable working in an environment with potential exposure to radiation, blood, bodily fluids, and other clinical hazards. Ability to participate in an on-call rotation and travel when required.
