Orthopedic Physician Assistant (PA-C) or Nurse Practitioner (APRN)

Pacific Bone & Joint; Big Island (VA); On-site; USD 120,000 - 180,000; Full time

Job summary

Pacific Bone & Joint in Hawai‘i is seeking a Physician Assistant or Nurse Practitioner to join our growing orthopedic practice across the islands. You will work closely with a fellowship‑trained surgeon and a collaborative team spanning orthopedics, sports medicine, imaging, and rehabilitation.

The role emphasizes hands‑on musculoskeletal care, longitudinal patient relationships, and opportunities to grow procedural skills based on training and credentials.

Qualifications

• Graduate of an accredited Physician Assistant or Nurse Practitioner program.
• Active Hawai‘i PA or APRN license, or eligibility to obtain Hawai‘i licensure before starting.
• Experience in orthopedics, sports medicine, musculoskeletal care, or surgery preferred.
• Comfort with patient evaluations, clinical decision‑making, follow‑up care, and collaborating within a physician‑led surgical team.
• Interest in office‑based procedures, joint injections, and ultrasound‑guided care is a plus.
• Ability to meet prescriptive‑authority, payer credentialing, BLS, and facility‑privileging requirements.

Responsibilities

• Evaluate patients with hip, knee, and other musculoskeletal conditions; develop treatment plans with the physician team.
• Manage preoperative preparation and postoperative follow‑up for hip/knee procedures and related care.
• Provide ongoing care for orthopedic injuries and recovery concerns; escalate when needed.
• Perform office‑based injections and other procedures when trained and privileged to do so.

Skills

Orthopedics

Sports Medicine

Ultrasound‑guided care

Education

PA/NP program graduate

Hawai‘i license or eligibility

Job description

Home/ Now Hiring/ Orthopedic Physician Assistant (PA-C) or Nurse Practitioner (APRN)

Now Hiring — Actively Interviewing

Orthopedic Physician Assistant (PA-C) or Nurse Practitioner (APRN)

Advanced Practice Provider

• Orthopedics
• Oahu or Hawai‘i Island

Pacific Bone & Joint Oahu & Big Island, Hawai‘i FULL TIME / PART TIME

Pacific Bone & Joint is looking for a Physician Assistant or Nurse Practitioner to join our growing orthopedic practice in Hawai‘i. You'll work closely with a fellowship-trained hip and knee replacement surgeon and a collaborative team that spans orthopedic surgery, sports medicine, imaging, and physical therapy.

We're looking for a clinician who enjoys hands‑on musculoskeletal care and longitudinal patient relationships — from the first evaluation through surgery, rehabilitation, and return to activity. You will have meaningful clinical responsibility, direct access to the surgical team, and opportunities to grow your procedural skills based on your training, interests, and credentials.

Please note: This is a patient-facing, on-site position. Our clinics are in Honolulu, Waipahu, Hilo, and Kona; the primary location, schedule, and any interisland travel will be discussed with each candidate.

What you’ll do

• Evaluate patients with hip, knee, and other musculoskeletal conditions; obtain focused histories and exams, review imaging, and help develop evidence-based treatment plans with the physician team.
• Manage preoperative preparation and postoperative follow‑up for hip and knee replacement, arthroscopy, and other orthopedic procedures, including patient education and care coordination.
• Provide ongoing care for orthopedic injuries, arthritis, joint pain, and recovery concerns, with appropriate escalation of complex cases.
• Perform office‑based injections and other musculoskeletal procedures when trained, licensed, credentialed, and privileged to do so; ultrasound‑guided techniques are a plus.
• Coordinate directly with physical therapy, clinical staff, imaging, and outside medical teams to keep patients moving through treatment and recovery.
• Participate in operating‑room care or surgical first‑assisting if mutually agreed and permitted by training, privileges, and facility requirements.
• Maintain clear, timely clinical documentation and support safe, efficient outpatient workflows.

What we’re looking for

• Graduate of an accredited Physician Assistant or Nurse Practitioner program, with current national certification.
• Active Hawai‘i PA or APRN license, or eligibility to obtain Hawai‘i licensure before starting.
• Experience in orthopedics, sports medicine, musculoskeletal care, or surgery preferred; candidates with strong clinical fundamentals and a genuine interest in orthopedics are welcome.
• Comfort with patient evaluations, clinical decision‑making, follow‑up care, and collaborating within a physician‑led surgical team.
• Interest in office‑based procedures, joint injections, and ultrasound‑guided care is a plus.
• Ability to meet applicable prescriptive‑authority, payer credentialing, BLS, and facility‑privileging requirements for assigned duties.
• Strong communication, professionalism, and commitment to excellent care for patients across Hawai‘i.

Why join Pacific Bone & Joint

• Work side by side with a fellowship‑trained joint replacement surgeon in a high‑touch, procedure‑oriented orthopedic practice.
• Exposure to modern orthopedic care, including robotic‑assisted hip and knee replacement, sports medicine, ultrasound‑guided procedures, and in‑house rehabilitation.
• A collaborative practice with direct communication between providers, imaging, physical therapy, and surgical teams.
• Opportunity to build lasting patient relationships and expand your orthopedic skills with experience and appropriate training.
• Full‑time and part‑time candidates may apply; compensation, benefits, primary location, and schedule will be discussed during the hiring process.