Physician Assistant - Fluoroscopy

TRA Medical Imaging; Washington (District of Columbia); On-site; USD 131,000 - 179,000; Full time

Benefits offered by this job

Generous PTO

401(k) matching

Full medical & vision benefits

Job summary

TRA Medical Imaging is seeking a Physician Assistant to provide high-quality procedural and patient care under radiologist supervision across outpatient and inpatient sites in Pierce County and beyond. This role includes both weekdays and weekends with potential travel between sites.

The position emphasizes fluoroscopic procedures and image-guided biopsies, requiring collaboration with radiologists and technologists to ensure safety, efficiency, and patient-centered care.

Qualifications

• Experience with radiologic or procedural medicine preferred (e.g., interventional radiology, fluoroscopy, or orthopedics).
• Strong procedural competence and interest in performing needle-based and fluoroscopic studies.
• Excellent interpersonal skills and ability to collaborate with radiologists, technologists, and nursing staff.

Responsibilities

• Establishes strong, productive relationships with patients, families, and colleagues.
• Works with a multidisciplinary team to coordinate patient care.
• Performs comprehensive physical examinations; diagnoses and treats patients under physician supervision.
• Conducts pre-procedure evaluations, obtains informed consents, and provides post-procedure follow-up care as appropriate.
• Performs and assists with fluoroscopic and needle-based procedures, including arthrograms, GI studies, urologic studies, biopsies and related tasks.
• Participates in scheduling across multiple sites and maintains communication with radiologists and staff.
• Documents procedure-related notes accurately and in compliance with standards.
• Supports clinic growth, development and optimization of the practice.

Skills

Radiologic/procedural medicine

Procedural competence

Interpersonal skills

Organizational skills

Patient-centered care

Education

Master’s or Bachelor’s degree in Physician Assistant studies

Washington licensure to practice

BLS & ACLS certification

Job description

Key Clinical Responsibilities

Primary Focus - Diagnostic Fluoroscopy (~75%)

Perform a high volume of fluoroscopic studies, including but not limited to:

• Upper GI studies
• Esophagrams
• Small bowel follow-through exams
• Fluoroscopic urologic studies
• Ensure accurate image acquisition, patient safety, and efficient exam throughput
• Collaborate closely with radiologists and technologists to maintain high-quality diagnostic standards

Secondary Focus - Image-Guided Procedures (~25%)

Perform and assist with arthrograms and thyroid biopsies as core procedural responsibilities

Support additional needle-based procedures as needed, based on departmental growth and provider competency

Maintain procedural excellence in patient preparation, sterile technique, and post-procedure care

Location: Multiple sites across Pierce and South King County with mileage reimbursement for qualified travel between facilities

Schedule

Two shifts available

• Wednesday - Saturday, 7:00 am to 5:00 pm
• Sunday - Wednesday, 7:00 am to 5:00 pm

Pay: $131,362 - $179,373 per year based on relevant experience, skills, and abilities. This role is also eligible for additional annual bonuses based on performance and reviews.

Benefits Highlights

• Generous PTO: Up to 176 hours for new employees + 9 holidays + rollover
• 401(k): 3% automatic employer contribution + 3% match
• Annual pay increases
• Fully employer paid medical and vision benefits for the employee and dependents
• Consistent compensation growth path, profit sharing, paid continuing education reimbursement, and more!

For more detailed benefits synopsis visit tranow.com/about/careers

About TRA Medical Imaging

TRA Medical Imaging is a premier, physician-owned and physician-led radiology practice with a 100+ year history of serving the communities of the South Puget Sound region. Centered in Tacoma, WA, TRA has a geographic presence extending from Seattle to Olympia. TRA takes pride in diversity and inclusion, a philosophy that aligns well with our Pacific Northwest values.

We are led by a progressive group of approximately 100 sub-specialized radiologists who take pride in delivering high-quality, patient-centered care while fostering a practice culture intended to feel more like a family than a corporation.

Why Choose TRA Medical Imaging

TRA is an independent, stable, and diversified practice with a broad clinical and geographic footprint. Our governance structure is transparent, democratic and equitable with an unwavering commitment to physician leadership and autonomy. As part of that promise, TRA welcomes employee participation and collaboration and is committed to providing personalized professional development opportunities.

Our commitment to culture is evidenced by our certification as a great workplace by the independent analysts at Great Place to Work and embodied by our mission statement: Trust our family to care for yours. TRA has been the respected provider of excellence in medical imaging in the South Sound since 1918. Join our team as we write the next 100 years of the TRA story.

Job Summary

The Physician Associate will provide high-quality procedural and patient care services under the supervision of a radiologist in both outpatient and inpatient settings. This position includes both weekdays and at least one weekend day and may require reimbursed same-day travel between TRA and Diagnostic Imaging NW sites as well as local hospitals, including but not limited to King, Pierce, and Thurston counties.

Essential Job Functions

• Establishes and maintains strong, productive relationships with patients, families, and colleagues.
• Works collaboratively with a multidisciplinary team member to coordinate patient care.
• Performs comprehensive physical examinations; diagnoses and treats patients; develops and carries out treatment plans under the supervision of a physician.
• Conducts pre-procedure evaluations, obtains informed consents, and provides post-procedure follow-up care as appropriate.
• Performs and assists with fluoroscopic and needle-based procedures, which may include but not limited to arthrograms, upper and lower fluoroscopic GI studies, fluoroscopic urologic studies, biopsies, drain manipulations and exchanges, feeding tube exchanges, and ultrasound-guided procedures.
• Responsibilities in this area may expand over time based on departmental needs and the provider’s demonstrated skills and competencies.
• Supports radiologists in ensuring safe, efficient, and patient-centered procedural workflows.
• Provides essential tasks to ensure a steady workflow, including consultations, follow-up visits, and coordination of outpatient care.
• Participates in procedural scheduling coordination across multiple sites, maintaining communication with radiologists and support staff.
• Documents and completes procedure-related notes accurately and in compliance with industry, TRA and hospital standards.
• Actively participates in the growth, development, and optimization of the clinic-based practice.
• Expected to work a schedule that includes at least one weekend day coverage and additional weekday shifts, generally totaling four 10-hour days per week.
• Reimbursed travel between TRA and DINW sites and hospitals may be necessary to support daily coverage, with regular time scheduled in Olympia.
• May assist and support physicians in surgical or interventional procedures within the clinic setting.
• May order and interpret diagnostic tests, including laboratory work, as appropriate.
• Participates in APP and departmental meetings, contributing to continuous quality improvement initiatives.
• Checks work email daily and responds promptly to ensure effective communication and continuity of care.
• Performs other duties as assigned.

Qualifications

Education/Work Experience

• Master’s or Bachelor’s degree in Physician Assistant studies from an accredited institution
• Current Washington licensure as a Physician Assistant. This position requires a licensure to practice in the state of Washington
• Current BLS & ACLS certification required

Job Knowledge/Skills

• Experience with radiologic or procedural medicine preferred (e.g., interventional radiology, fluoroscopy, or orthopedics).
• Strong procedural competence and interest in performing needle-based and fluoroscopic studies.
• Excellent interpersonal skills and ability to collaborate with radiologists, technologists, and nursing staff.
• Strong organizational skills and ability to manage a dynamic, multi-site schedule.
• Demonstrated ability to provide compassionate and patient-centered care.

Physical Requirements

Work is classified as moderate in physical requirements. Must be able to assist in supporting patients of varying weight. Ability to stand, walk or sit for extended periods of time. Reaching by extending hand(s) or arm(s) in any direction. Also requires manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment as necessary.

Mental Requirements

Work requires high attention to detail and the ability to handle mentally stressful situations. The ability to maintain high level of sensitivity towards confidential information is also required.

Working/Environmental Conditions

Work environment consists of normal clinical inpatient and outpatient working conditions. There may be exposure to communicable diseases. There will be limited exposure to ionizing radiation.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.