NP or PA – Marshall Orthopaedics, Hand & Upper Extremity Division

Marshall Health; Huntington (WV); On-site; USD 90,000 - 120,000; Full time

Job summary

Marshall Health’s Hand and Upper Extremity team seeks an Advanced Practice Provider to deliver comprehensive care in clinic and the operating room, primarily at Marshall University Medical Center in Huntington, WV. You will collaborate with hand surgeons and staff to manage conditions of the hand, wrist, elbow, and upper extremity.

The role includes outpatient clinic duties, first assisting in surgeries, and postoperative follow-up, with occasional coverage at other Marshall Orthopaedics

Qualifications

• Complete musculoskeletal history with focused hand/upper-extremity exam.
• Ability to interpret hand/upper-extremity imaging (X-ray, CT, MRI).
• Experience in perioperative care and/or surgical first assist.

Responsibilities

• Obtain a complete musculoskeletal history with focused hand and upper extremity examination.
• Interpret imaging to determine treatment plans with supervising surgeon.
• Collaborate with hand surgeons on acute and chronic upper extremity conditions.
• Serve as surgical first assistant for hand and upper extremity procedures.
• Order labs and diagnostic procedures as indicated.
• Perform in-office procedures under physician direction (injections, splints, sutures).
• Counsel patients on diagnoses, options, and recovery expectations.
• Instruct on medications, immobilization, rehab, and activity restrictions; coordinate with hand therapy.
• Maintain patient records and triage calls; provide clinical consultation.
• Support pre- and post-operative patient care and continuity of care.

Skills

Musculoskeletal exam

Imaging interpretation

Surgical first assist

Patient counseling

Postoperative care

Preoperative planning

Interdisciplinary collaboration

Wound care

Triaging calls

Tools

Imaging modalities (X-ray, CT, MRI)

Job description

The Advanced Practice Provider (APP) functions as a member of the Hand and Upper Extremity care team within Marshall Orthopaedics, providing comprehensive patient care in both clinic and surgical settings. Practicing primarily out of Marshall University Medical Center, the APP collaborates with supervising hand surgeons and interdisciplinary staff to deliver high-quality care across the continuum, including evaluation and treatment of hand, wrist, elbow, and upper extremity conditions.

The role spans outpatient hand clinic, operating room first assisting, and post-operative follow-up. Occasional coverage at other Marshall Orthopaedics locations may be requested to support patient access and operational needs.

Job Responsibilities

• Obtains a complete musculoskeletal history with focused hand and upper extremity examination, including motor, sensory, and vascular assessment
• Interprets diagnostic studies, including hand and upper extremity radiographs, CT, MRI, and electrodiagnostic studies, to determine appropriate treatment plans in collaboration with the supervising surgeon
• Collaborates with the hand surgeons in managing acute and chronic upper extremity conditions, including carpal tunnel and other compressive neuropathies, tendon and nerve injuries, arthritis of the hand and wrist, distal radius and hand fractures, Dupuytren contracture, and infections
• Serves as surgical first assist for hand and upper extremity procedures at Cabell Huntington Hospital and affiliated operative sites
• Orders appropriate laboratory and diagnostic procedures as indicated
• Performs in-office procedures under physician direction, including joint and tendon sheath injections, aspirations, splint and cast application and removal, suture removal, wound and burn care, nail bed repair, and closure of minor lacerations
• Counsels patients regarding hand and upper extremity diagnoses, surgical and non-surgical options, and recovery expectations
• Instructs patients and families regarding medications, splinting and immobilization, post-operative care, and activity restrictions; coordinates with hand therapy on rehabilitation protocols
• Maintains and reviews patient records, charts, and other pertinent information; posts test and examination results
• Triages patient calls and provides clinical consultation
• Manages pre-operative and post-operative patient care
• Provides monitoring and continuity of care between physician visits
• Attends required meetings and participates in committees as requested
• Participates in professional development activities and maintains professional affiliations
• Performs related work as required