Senior Level Certified Registered Nurse Practitioner Jobs
Senior level certified registered nurse practitioner jobs place experienced clinicians in charge of complex patient panels, clinical protocol development, and the mentorship of junior advanced practice staff. Most openings are 24% remote or hybrid, concentrated in Healthcare & Medical Services, Consulting & Professional Services, and Technology & Software, with Honeywell, General Dynamics Mission Systems, and Airbnb hiring at this level now.
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Open roles308+
Top stateCalifornia
Top employerHoneywell
Top cityRemote
Work type76% On-site
Top industryHealthcare
Showing 5 of 308+ Senior Level Certified Registered Nurse Practitioner jobs
Advanced Cardiac Sonographer
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New 1m ago
Houston Methodist
Advanced Cardiac Sonographer
Houston, Texas
New 1m ago
Cardiologist - Advanced Heart Failure/Transplant (Assistant or Associate Professor)
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New 1m ago
Baylor College of Medicine
Cardiologist - Advanced Heart Failure/Transplant (Assistant or Associate Professor)
Houston, Texas
New 1m ago
Director, R&D Operations - Advanced Optics Technologies
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New 1m ago
Alcon
Director, R&D Operations - Advanced Optics Technologies
Fort Worth, Texas
New 1m ago
Sr Advanced Application Engineer – Blending
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New 1m ago
Honeywell
Sr Advanced Application Engineer – Blending
Houston, Texas
New 1m ago
Advanced Application Engineer
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New 1m ago
Honeywell
Advanced Application Engineer
Mason, Ohio
New 1m ago
New 1m ago
Advanced Cardiac Sonographer
Houston Methodist·Houston, Texas
Job functions:
7+ yrs exp.
BLS Certification
Full Time
10,000+ employees
Job Description
At Houston Methodist, the Advanced Echo Sonographer (AES) position is an experienced and fully competent cardiac echo sonographer, well-versed in all echocardiographic techniques, whose role necessitates physician trust as it has responsibility for quantitation of echocardiographic images, pre-reading of echocardiographic exams prior to submittal to the physician, and preparation of preliminary interpreting physician reports for final physician review and approval. This position performs cardiac echo sonography at an advanced level that ensures proper anatomic and physiologic data to establish an accurate diagnosis for clinical decision-making and patient management. The AES position reviews the indication for and quality of an echocardiographic examination and assists with obtaining additional images if needed to result in a complete and fully diagnostic examination. Working under the supervision of a physician trained and certified in echocardiography, this position participates in research studies involving echocardiography, performing studies and assisting the medical and clinical staff in obtaining consent as needed.
EDUCATION
EXPERIENCE
LICENSES AND CERTIFICATIONS
Required
FLSA STATUS
Non-exempt
QUALIFICATIONS
EDUCATION
EXPERIENCE
LICENSES AND CERTIFICATIONS
Required
SKILLS AND ABILITIES
ESSENTIAL FUNCTIONS
PEOPLE ESSENTIAL FUNCTIONS
SERVICE ESSENTIAL FUNCTIONS
QUALITY/SAFETY ESSENTIAL FUNCTIONS
FINANCE ESSENTIAL FUNCTIONS
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
SUPPLEMENTAL REQUIREMENTS
QUALIFICATIONSNon-exempt
QUALIFICATIONS
EDUCATION
- Graduate of education program approved by the credentialing body for the required credential(s) indicated below
- Advanced medical training which might be acquired through medical school or higher level of medical background experience
EXPERIENCE
- Seven years of experience as cardiac echo sonographer of which three years have been in a hospital based practice; or experience in the capacity of a physician not actively licensed to practice in the United States but in good standing
- Research experience in scanning, data processing and keeping technical logs preferred
LICENSES AND CERTIFICATIONS
Required
- Certification as RDCS-AE, RDCS, RSC, RCCS, RVS or RVT and
- ACS - Advanced Cardiac Sonographer (CCI) - Cardiovascular Credentialing International_PSV and
- BLS - Basic Life Support or Instructor (AHA) - American Heart Association
SKILLS AND ABILITIES
- Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills and competency assessments; demonstrates ongoing knowledge indicative of current practices and new advanced procedures
- Ability to work independently; capable of handling challenging/difficult diagnostic procedures and patient care situations while juggling multiple priorities; demonstrates sound judgment and creativity in problem solving and executes above-average clinical skills
- Possesses knowledge of multiple Ultrasound systems and ability to learn and master the DigiView reporting system; possesses effective and intermediate computer knowledge; operates multiple computer systems to include, Hospital/Radiology/Cardiology Information Systems and Office software to maintain patient and exam documents
- Exhibits strong interpersonal and team player skills with all levels of the healthcare team and assures delivery of excellent customer service to all patients, visitors, physicians and co-workers
- Demonstrates leadership and motivational skills to help motivate fellow employees and promoting cooperation between various clinical/research areas
- Able to gain and maintain the confidence and trust of applicable physicians
- Adapts to multiple ongoing priorities with minimal supervision including, organizing workflow and actively participating in problem-solving
- Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
ESSENTIAL FUNCTIONS
PEOPLE ESSENTIAL FUNCTIONS
- Promotes a positive work environment and contributes to a dynamic, team-focused work unit that actively helps one another to achieve optimal department results. Collaborates with all members of the patient care team by actively communicating and reporting pertinent patient care information and data in a comprehensive manner.
- Guides and mentors other cardiac echo sonographers to help build confidence in skills, knowledge and abilities.
SERVICE ESSENTIAL FUNCTIONS
- Performs echocardiograms in a timely fashion, ensuring precise and accurate data following departmental/research policies and procedures. Quantitates echocardiographic images, performs pre-reading of studies, and prepares the preliminary physician interpreting report for final attending physician review and approval.
- Provides care for the physical and emotional needs of patients when conducting the echocardiograms. Proactively identifies issues and initiates actions for resolution in order to achieve optimal outcomes.
- Provides direct assistance to physicians and other health care team members during echocardiogram studies. Responds appropriately to needs of the Echocardiography and Research Laboratory as requested.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
- Recognizes and identifies normal and abnormal cardiac anatomy and structures; proactively determines need to utilize different techniques and calculations, applying accurately and appropriately when performing echocardiographic studies. Identifies abnormal findings and communicates to the attending reading cardiologist.
- Ensures the quality of the study is optimized and pre-read according to the best imaging practices, following departmental policies and procedures and IAC accreditation requirements to provide for the best possible diagnostic interpretation. Ensures adherence to various research protocols.
- Identifies opportunities for corrective action and process improvement providing recommendations and contributes to meeting departmental and hospital targets for quality and safety. Reports “near misses” and inputs errors promptly into documentation system to improve processes and identify trends. Confirms all orders and verifies patient’s identification per policy and protocols prior to performing the exam.
- Ensures all patient care equipment has had QC performed by the biomedical engineering team as required and is in safe working condition prior to use. Tags equipment and reports any malfunctions to the hospital’s appropriate departments and management, and makes sure the equipment is not in use until inspection confirms malfunction is fixed. Keeps equipment in clean and safe working condition; calls for service if needed.
FINANCE ESSENTIAL FUNCTIONS
- Provides accurate and complete documentation of patient procedures. Enters charges at the time service is delivered, when applicable.
- Uses resources efficiently; does not waste supplies. Self-motivated to independently manage time effectively and prioritize daily tasks.
- When appropriate, adjusts personal timecard to appropriately document time spent in various research projects.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
- Participates in departmental/research projects and studies submitted for research purposes. Seeks opportunities to expand learning competencies with a focus on constant development as Advanced Cardiac Sonographer.
SUPPLEMENTAL REQUIREMENTS
-
WORK ATTIRE
- Uniform: No
- Scrubs: Yes
- Business professional: No
- Other (department approved): No
- Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
- On Call* Yes
- May require travel within the Houston Metropolitan area Yes
- May require travel outside Houston Metropolitan area No
ON-CALL*
TRAVEL**
**Travel specifications may vary by department**
EDUCATION
- Graduate of education program approved by the credentialing body for the required credential(s) indicated below
- Advanced medical training which might be acquired through medical school or higher level of medical background experience
EXPERIENCE
- Seven years of experience as cardiac echo sonographer of which three years have been in a hospital based practice; or experience in the capacity of a physician not actively licensed to practice in the United States but in good standing
- Research experience in scanning, data processing and keeping technical logs preferred
LICENSES AND CERTIFICATIONS
Required
- Certification as RDCS-AE, RDCS, RSC, RCCS, RVS or RVT and
- ACS - Advanced Cardiac Sonographer (CCI) - Cardiovascular Credentialing International_PSV and BLS - Basic Life Support or Instructor (AHA) - American Heart Association
Company Profile:
Houston Methodist Hospital is recognized by U.S. News & World Report as the No. 1 hospital in Texas and one of America’s “Best Hospitals.” As a full-service, acute-care hospital located in the Texas Medical Center and the flagship hospital of Houston Methodist, it has evolved into one of the nation’s largest nonprofit teaching hospitals and a leader in innovative medical research with a comprehensive residency program. Two of Houston Methodist’s primary academic affiliates are among the nation’s leading health care organizations: Weill Cornell Medicine and New York-Presbyterian Hospital. Houston Methodist also has affiliations with Texas A&M University and the University of Houston. Houston Methodist Hospital offers unparalleled care for thousands of patients from around the world.
Houston Methodist is an Equal Opportunity Employer.
Houston Methodist
Advanced Cardiac Sonographer
Houston, Texas
New 1m ago10,000+ employees
Job functions:
7+ yrs exp.
BLS Certification
Full Time
Job Description
At Houston Methodist, the Advanced Echo Sonographer (AES) position is an experienced and fully competent cardiac echo sonographer, well-versed in all echocardiographic techniques, whose role necessitates physician trust as it has responsibility for quantitation of echocardiographic images, pre-reading of echocardiographic exams prior to submittal to the physician, and preparation of preliminary interpreting physician reports for final physician review and approval. This position performs cardiac echo sonography at an advanced level that ensures proper anatomic and physiologic data to establish an accurate diagnosis for clinical decision-making and patient management. The AES position reviews the indication for and quality of an echocardiographic examination and assists with obtaining additional images if needed to result in a complete and fully diagnostic examination. Working under the supervision of a physician trained and certified in echocardiography, this position participates in research studies involving echocardiography, performing studies and assisting the medical and clinical staff in obtaining consent as needed.
EDUCATION
EXPERIENCE
LICENSES AND CERTIFICATIONS
Required
FLSA STATUS
Non-exempt
QUALIFICATIONS
EDUCATION
EXPERIENCE
LICENSES AND CERTIFICATIONS
Required
SKILLS AND ABILITIES
ESSENTIAL FUNCTIONS
PEOPLE ESSENTIAL FUNCTIONS
SERVICE ESSENTIAL FUNCTIONS
QUALITY/SAFETY ESSENTIAL FUNCTIONS
FINANCE ESSENTIAL FUNCTIONS
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
SUPPLEMENTAL REQUIREMENTS
QUALIFICATIONSNon-exempt
QUALIFICATIONS
EDUCATION
- Graduate of education program approved by the credentialing body for the required credential(s) indicated below
- Advanced medical training which might be acquired through medical school or higher level of medical background experience
EXPERIENCE
- Seven years of experience as cardiac echo sonographer of which three years have been in a hospital based practice; or experience in the capacity of a physician not actively licensed to practice in the United States but in good standing
- Research experience in scanning, data processing and keeping technical logs preferred
LICENSES AND CERTIFICATIONS
Required
- Certification as RDCS-AE, RDCS, RSC, RCCS, RVS or RVT and
- ACS - Advanced Cardiac Sonographer (CCI) - Cardiovascular Credentialing International_PSV and
- BLS - Basic Life Support or Instructor (AHA) - American Heart Association
SKILLS AND ABILITIES
- Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills and competency assessments; demonstrates ongoing knowledge indicative of current practices and new advanced procedures
- Ability to work independently; capable of handling challenging/difficult diagnostic procedures and patient care situations while juggling multiple priorities; demonstrates sound judgment and creativity in problem solving and executes above-average clinical skills
- Possesses knowledge of multiple Ultrasound systems and ability to learn and master the DigiView reporting system; possesses effective and intermediate computer knowledge; operates multiple computer systems to include, Hospital/Radiology/Cardiology Information Systems and Office software to maintain patient and exam documents
- Exhibits strong interpersonal and team player skills with all levels of the healthcare team and assures delivery of excellent customer service to all patients, visitors, physicians and co-workers
- Demonstrates leadership and motivational skills to help motivate fellow employees and promoting cooperation between various clinical/research areas
- Able to gain and maintain the confidence and trust of applicable physicians
- Adapts to multiple ongoing priorities with minimal supervision including, organizing workflow and actively participating in problem-solving
- Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
ESSENTIAL FUNCTIONS
PEOPLE ESSENTIAL FUNCTIONS
- Promotes a positive work environment and contributes to a dynamic, team-focused work unit that actively helps one another to achieve optimal department results. Collaborates with all members of the patient care team by actively communicating and reporting pertinent patient care information and data in a comprehensive manner.
- Guides and mentors other cardiac echo sonographers to help build confidence in skills, knowledge and abilities.
SERVICE ESSENTIAL FUNCTIONS
- Performs echocardiograms in a timely fashion, ensuring precise and accurate data following departmental/research policies and procedures. Quantitates echocardiographic images, performs pre-reading of studies, and prepares the preliminary physician interpreting report for final attending physician review and approval.
- Provides care for the physical and emotional needs of patients when conducting the echocardiograms. Proactively identifies issues and initiates actions for resolution in order to achieve optimal outcomes.
- Provides direct assistance to physicians and other health care team members during echocardiogram studies. Responds appropriately to needs of the Echocardiography and Research Laboratory as requested.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
- Recognizes and identifies normal and abnormal cardiac anatomy and structures; proactively determines need to utilize different techniques and calculations, applying accurately and appropriately when performing echocardiographic studies. Identifies abnormal findings and communicates to the attending reading cardiologist.
- Ensures the quality of the study is optimized and pre-read according to the best imaging practices, following departmental policies and procedures and IAC accreditation requirements to provide for the best possible diagnostic interpretation. Ensures adherence to various research protocols.
- Identifies opportunities for corrective action and process improvement providing recommendations and contributes to meeting departmental and hospital targets for quality and safety. Reports “near misses” and inputs errors promptly into documentation system to improve processes and identify trends. Confirms all orders and verifies patient’s identification per policy and protocols prior to performing the exam.
- Ensures all patient care equipment has had QC performed by the biomedical engineering team as required and is in safe working condition prior to use. Tags equipment and reports any malfunctions to the hospital’s appropriate departments and management, and makes sure the equipment is not in use until inspection confirms malfunction is fixed. Keeps equipment in clean and safe working condition; calls for service if needed.
FINANCE ESSENTIAL FUNCTIONS
- Provides accurate and complete documentation of patient procedures. Enters charges at the time service is delivered, when applicable.
- Uses resources efficiently; does not waste supplies. Self-motivated to independently manage time effectively and prioritize daily tasks.
- When appropriate, adjusts personal timecard to appropriately document time spent in various research projects.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
- Participates in departmental/research projects and studies submitted for research purposes. Seeks opportunities to expand learning competencies with a focus on constant development as Advanced Cardiac Sonographer.
SUPPLEMENTAL REQUIREMENTS
-
WORK ATTIRE
- Uniform: No
- Scrubs: Yes
- Business professional: No
- Other (department approved): No
- Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
- On Call* Yes
- May require travel within the Houston Metropolitan area Yes
- May require travel outside Houston Metropolitan area No
ON-CALL*
TRAVEL**
**Travel specifications may vary by department**
EDUCATION
- Graduate of education program approved by the credentialing body for the required credential(s) indicated below
- Advanced medical training which might be acquired through medical school or higher level of medical background experience
EXPERIENCE
- Seven years of experience as cardiac echo sonographer of which three years have been in a hospital based practice; or experience in the capacity of a physician not actively licensed to practice in the United States but in good standing
- Research experience in scanning, data processing and keeping technical logs preferred
LICENSES AND CERTIFICATIONS
Required
- Certification as RDCS-AE, RDCS, RSC, RCCS, RVS or RVT and
- ACS - Advanced Cardiac Sonographer (CCI) - Cardiovascular Credentialing International_PSV and BLS - Basic Life Support or Instructor (AHA) - American Heart Association
Company Profile:
Houston Methodist Hospital is recognized by U.S. News & World Report as the No. 1 hospital in Texas and one of America’s “Best Hospitals.” As a full-service, acute-care hospital located in the Texas Medical Center and the flagship hospital of Houston Methodist, it has evolved into one of the nation’s largest nonprofit teaching hospitals and a leader in innovative medical research with a comprehensive residency program. Two of Houston Methodist’s primary academic affiliates are among the nation’s leading health care organizations: Weill Cornell Medicine and New York-Presbyterian Hospital. Houston Methodist also has affiliations with Texas A&M University and the University of Houston. Houston Methodist Hospital offers unparalleled care for thousands of patients from around the world.
Houston Methodist is an Equal Opportunity Employer.
See All 308+ Senior Level Certified Registered Nurse Practitioner Jobs
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Find JobsSenior Level Certified Registered Nurse Practitioner Job Market
Who's Hiring
- Honeywell22
- General Dynamics Mission Systems9
- Airbnb7
- Fresenius Medical Care6
- US Military Treatment Facilities under DHA6U
Top Industries Hiring
- Healthcare & Medical Services43
- Consulting & Professional Services35
- Technology & Software31
- Electronics & Hardware27
- Manufacturing19
Senior Level Certified Registered Nurse Practitioner Jobs: Frequently Asked Questions
How do I get a senior level certified registered nurse practitioner job?
Employers hiring at this level look for candidates who have moved beyond executing protocols to owning them. That means demonstrated experience leading quality improvement initiatives, managing complex or high-acuity patient populations independently, and serving as a clinical resource for less experienced staff. Board certification in a relevant specialty, a clean prescriptive authority record, and documented outcomes across your practice area give your application a decisive edge over generalist candidates.
Which companies hire senior level certified registered nurse practitioners?
Companies hiring senior level certified registered nurse practitioners right now include Honeywell, General Dynamics Mission Systems, and Airbnb, based on current listings on Migrate Mate as of July 2026. Hiring at this level tends to come from large health systems, multispecialty group practices, federally qualified health centers, and specialty clinics that need advanced practice clinicians who can lead clinical programs with minimal physician oversight.
Are there remote senior level certified registered nurse practitioner jobs?
Yes, though the availability depends heavily on specialty. About 24% of senior level certified registered nurse practitioner openings are remote or hybrid as of July 2026, with the strongest remote concentration in telehealth platforms, utilization management, and population health roles where clinical consultation and documentation do not require in-person patient contact.
What makes a certified registered nurse practitioner role senior level?
Senior level roles are defined by scope and accountability, not just tenure. A senior certified registered nurse practitioner owns a clinical area or patient population rather than simply contributing to one. Expectations include developing or revising clinical protocols, precepting residents or newer NPs, participating in credentialing or quality committees, and making independent treatment decisions on complex cases without routine physician co-signature.
Which industries hire the most senior level certified registered nurse practitioners?
Senior Level certified registered nurse practitioner roles concentrate in Healthcare & Medical Services, Consulting & Professional Services, and Technology & Software, based on current listings on Migrate Mate as of July 2026. These sectors drive hiring at this level because they operate high-volume or high-acuity care environments that require seasoned advanced practice clinicians who can function autonomously, supervise support staff, and contribute to program-level clinical decisions.