Provide direct patient care in a Medical ICU setting with a 1:1-2 nurse-to-patient ratio, managing complex diagnoses including ARDS, sepsis, chronic vent, ETOH withdrawal, DKA, CRRT, therapeutic hypothermia, and IABP. Prior to contract start, candidates must complete a competency exam (DYS Exam through UNA) within 24-48 hours of offer; a minimum score of 80% is required within two attempts.