Advanced Practice Provider - Nurse Practitioner or Physician Assistant

150 Shriners Hospitals for Children; San Francisco (CA); On-site; USD 108,000 - 152,000; Part time

Benefits offered by this job

Medical, dental, and vision insurance

Tuition assistance

Retirement matching

Job summary

Shriners Children's Northern California is seeking a compassionate Nurse Practitioner or Physician Assistant to join the Spina Bifida Program in a PRN capacity. The APP will work with Urology, Neurosurgery, PM&R, and other teams to care for children with spina bifida and complex neuromuscular conditions in outpatient clinics and inpatient settings.

Coverage focuses on Tuesdays 8:00 a.m. to 4:30 p.m., with occasional Wednesday clinic coverage; one week per month covers inpatient services.

Qualifications

• PA degree from an accredited PA program.
• NP degree (MSN or DNP) from an accredited program.
• Current, unrestricted PA license in state of practice.
• NCCPA certification.
• Current, unrestricted RN/APRN license in state of practice.

Responsibilities

• Conduct comprehensive health assessments and physical examinations.
• Formulate differential diagnoses and care plans with care team.
• Manage care for orthopedic and neuromuscular patients.
• Provide pre- and post-operative evaluations in inpatient/outpatient settings.
• Order and interpret diagnostic tests as allowed by licensure.
• Prescribe medications within scope and guidelines.
• Engage in multidisciplinary clinics and care conferences.
• Educate patients and families on treatment plans and home care.

Skills

Communication skills

Pediatric assessment

Clinical decision making

Team collaboration

EHR proficiency

Trauma-informed care

Mentoring/teaching

Education

PA degree (ACPA/CA accredited)

NP degree (MSN or DNP)

NCCPA certification

RN/APRN license

DEA eligibility

Job description

Company Overview

Company Overview Shriners Children's is an organization that respects, supports, and values each other. Named 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 evidence 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.

Position Summary

Shriners Children's Northern California is seeking a compassionate and highly motivated Nurse Practitioner or Physician Assistant to join our multidisciplinary Spina Bifida Program in a PRN capacity. This unique opportunity allows an advanced practice provider to work alongside specialists in Urology, Neurosurgery, Physical Medicine & Rehabilitation (PM&R), and other disciplines to provide comprehensive care for children with spina bifida and other complex neuromuscular conditions. The APP will participate in multidisciplinary outpatient clinics and provide inpatient support, managing approximately six patients per half-day clinic session and one to two inpatients during designated coverage periods. This position is based exclusively at Shriners Children's Northern California and does not require call, weekend, holiday, or after-hours coverage. Coverage needs are primarily focused on Tuesdays from 8:00 a.m. to 4:30 p.m., with occasional Wednesday clinic coverage. In addition, the provider will support inpatient Spina Bifida services one week per month, Monday through Friday from 8:00 a.m. to 12:00 p.m. At minimum, candidates must be available to provide Tuesday clinic coverage and morning inpatient coverage during the designated week each month.

Key Responsibilities

• Conduct comprehensive and age-appropriate health assessments, histories, and physical exams.
• Formulate differential diagnoses and develop care plans in coordination with supervising physicians and the care team.
• Manage care for specialty populations including orthopedic and neuromuscular patients.
• Provide pre-operative and post-operative evaluations and ongoing management in both inpatient and ambulatory surgical environments.
• Order and interpret diagnostic imaging, lab work, and other tests as permitted by licensure and protocol.
• Perform routine procedures and assist in specialty surgical cases within the scope of licensure.
• Prescribe medications and therapeutic interventions consistent with the scope of practice and Shriners Children's policies.
• Participate in multidisciplinary clinics and care conferences to support coordinated, integrated care.
• Educate patients, caregivers, and staff on disease processes, treatment plans, and home care strategies.
• Document clinical findings, treatment plans, and patient responses using the electronic health record (EHR).
• Support quality improvement, patient safety, and research initiatives as appropriate to the role.
• Provide mentorship or precepting to clinical staff or trainees as assigned.
• Maintain compliance with hospital, state, and federal regulations, including infection control and documentation standards.
• Perform additional duties within the scope of licensure as assigned to support patient care and organizational goals.
• Maintain all professional licensure, certifications, and mandatory training in compliance with state and organizational requirements.
• Maintain accountability for meeting established productivity benchmarks (e.g. wRVUS), quality metrics, and institutional performance standards.
• Ensure time is allocated in accordance with assigned clinical, surgical, administrative, and academic expectations.

Required Qualifications

• Physician Assistant master of Physician Assistant Studies (or equivalent degree) from an accredited Physician Assistant program.
• Current, unrestricted Physician Assistant license in the state of practice.
• Certification by the National Commission on Certification of Physician Assistants (NCCPA).
• Nurse Practitioner master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) from an accredited Nurse Practitioner program.
• American 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 practice.
• Both must possess eligibility for active DEA.
• Must possess Basic Life Support for Healthcare Providers (BLS for HCP).
• Pediatric Advanced Life Support (PALS) certification may be required based on clinical assignment.
• Credentialing and privileging by the medical staff in accordance with hospital bylaws.
• 2+ years of advanced practice clinical experience in a pediatric or pediatric specialty setting preferred.
• Recent graduates will be considered based on previous experience, training and clinical exposure.
• Experience with pediatric orthopedic, spinal, or craniofacial patient populations preferred.
• Strong 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.

Compensation

The hourly compensation range for this position is $78.33 to $110.59 per hour. Placement within the range is determined by factors including relevant advanced practice experience, specialized clinical expertise, and internal equity considerations.

Benefits

Eligible Shriners Children's employees receive comprehensive benefits packages, including medical, dental and vision insurance, tuition assistance, retirement matching and so much more!

About Shriners Children's

Every day, we provide innovative, compassionate care and conduct leading research that enhances the quality of life for children and their families. We invite you to explore the many rewarding career paths at Shriners Children's, from clinical and non-clinical positions to education and research opportunities. We're always looking for driven, compassionate professionals to join our team as nurses, physical therapists, medical assistants, administrative staff and much more. No matter where you're located, you'll find openings at our Shriners Children's facilities across the U.S., in Canada and Mexico and at our corporate headquarters in Tampa, Florida.