Advanced Practice Provider - Nurse Practitioner or Physician Assistant

Shriners Children's; Portland (OR); On-site; USD 96,000 - 165,000; Full time

Job summary

Shriners Children’s Portland is seeking a PRN Advanced Practice Provider to deliver weekend inpatient coverage for pediatric orthopedic and medically complex patients. The APP will assess, manage, and discharge patients, coordinating care with the multidisciplinary team and families.

The role requires hours on weekends, with orientation and periodic weekend coverage scheduled in advance. Liscensure, certifications, and pediatric experience are preferred to ensure high-quality patient care.

Qualifications

• PA/NP licensure requirements and national certification.
• Ability to manage medically complex inpatient pediatric patients.
• Experience in pediatric orthopedic or similar specialty preferred.
• Proficient in ordering/interpretation of lab tests and imaging.

Responsibilities

• Provide weekend inpatient coverage for pediatric orthopedic/medically complex patients.
• Perform comprehensive assessments, histories, and exams.
• Develop care plans with multidisciplinary team and discharge planning.
• Document care and communicate with families and supervisors.

Skills

Pediatric assessment

Clinical decision-making

Communication skills

EHR proficiency

Education

Master of Physician Assistant Studies (or equivalent)

Current PA license

NCCPA certification

MSN or DNP (for NP track)

ANCC/AANP specialty certification (CPNP-AC/CPNP-PC or FNP)

RN and APRN license (for NP track)

Tools

EHR systems

Job description

Company OverviewShriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families.With 20+ hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, we provide excellent care to children up to age 18 regardless of their family’s ability to pay or insurance status. Please click here to learn more about our locations.Job DescriptionShriners Children’s Portland is seeking a PRN Advanced Practice Provider (APP) to provide weekend coverage for the inpatient unit. This role requires approximately one 10-hour shift every three months, with anticipated coverage of one to two days per month. Shifts are typically scheduled six to eight weeks in advance and generally run from 7:00 a.m. to 5:00 p.m. The APP will provide comprehensive inpatient medical management for a daily census of approximately three to nine patients, including feeding advancement, pain management, discharge planning, and follow-up with patient families by phone.This is an inpatient-only position supporting medically complex pediatric orthopedic patients and requires the ability to work independently after a focused orientation period. Preferred candidates will have several years of relevant experience managing medically complex patients or inpatient populations, with pediatric orthopedic experience considered valuable. Orientation includes approximately 10 weekday shifts alongside an experienced provider, followed by two to three weekend shifts with provider support.Key ResponsibilitiesProvide weekend inpatient coverage for pediatric patients with orthopedic and medically complex conditions.Conduct comprehensive, age-appropriate assessments, histories, and physical examinations.Manage inpatient care, including medical management, feeding advancement, pain management, discharge planning, and patient or caregiver phone calls.Develop and implement individualized care plans in collaboration with supervising physicians and the multidisciplinary care team.Perform preoperative and postoperative evaluations and provide ongoing inpatient management.Order and interpret laboratory studies, imaging, and other diagnostic tests as permitted by licensure, protocols, and hospital policies.Prescribe medications and therapeutic interventions within the APP’s scope of practice.Perform routine proceduresParticipate in care coordination, multidisciplinary discussions, and patient care conferences.Educate patients, caregivers, and staff regarding diagnoses, treatment plans, medications, and discharge or home-care needs.Document assessments, clinical decisions, interventions, and patient responses accurately and promptly in the electronic health record.Deliver safe, high-quality care while adhering to hospital policies, infection-control standards, regulatory requirements, and documentation expectations.Collaborate effectively with physicians, nurses, therapists, case managers, and other members of the pediatric specialty care team.Participate in quality-improvement, patient-safety, research, and educational activities as appropriate.Maintain required licensure, PALS certification, mandatory training, and professional credentials.Complete assigned administrative or other clinical responsibilities within the scope of practice and support organizational goals.Required QualificationsIf Physician AssistantMaster of Physician Assistant Studies (or equivalent degree) from an accredited Physician Assistant programCurrent, unrestricted Physician Assistant license in the state of practiceCertification by the National Commission on Certification of Physician Assistants (NCCPA)If Nurse PractitionerMaster of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) from an accredited Nurse Practitioner programAmerican Nurses Credentialing Center (ANCC), American Association of Nurse Practitioners (AANP), or equivalent board certification in applicable specialty area, such as Pediatric Nurse Practitioner (CPNP-AC, CPNP-PC) or Family Nurse Practitioner (FNP)Current, unrestricted Registered Nurse (RN) and Advanced Practice Registered Nurse (APRN) license in the state of practiceBothAdvanced practice experience managing pediatric, medically complex, or inpatient patients.Must possess eligibility for active DEAMust possess Basic Life Support for Healthcare Providers (BLS for HCP). Pediatric Advanced Life Support (PALS) certification may be required based on clinical assignmentCredentialing and privileging by the medical staff in accordance with hospital bylawsPreferred QualificationsExperience with pediatric orthopedic, spinal, craniofacial, neuromuscular, burn, general surgery or rehabilitation patient populations preferredStrong pediatric assessment and clinical decision-making skills.Familiarity with pediatric specialty protocols and post-surgical care.Excellent communication and interpersonal skills to engage effectively with patients, families, and care teams.Proficient in EHR systems and clinical documentation.Demonstrated commitment to patient safety, family-centered care, and trauma-informed practice.Compensation is determined based on years of relevant experience and departmental equity.