Physician Assistant or Nurse Practitioner (RNFA) – Orthopedics

Trinity Health; Fresno (CA); On-site; USD 89,020 - 142,416; Full time

Benefits offered by this job

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Long‑Term Disability

HSA/FSA

401(k) Plan

PTO

CME Allowance

Tail Coverage

Relocation Reimbursement

Job summary

Saint Agnes Medical Providers (SAMP) in Fresno, California seeks a full-time Nurse Practitioner (RNFA) or PA to join a dynamic Sports Orthopedic Surgery team. The APP will collaborate with an Orthopedic Surgeon and multidisciplinary care team in surgical, inpatient, outpatient, and clinic settings.

The role emphasizes perioperative management and surgical first assist duties, with opportunities for teaching patients and families about recovery expectations.

Qualifications

• Graduate of an accredited Nurse Practitioner or Physician Assistant program.
• Current California NP or PA license required.
• DEA registration and CDS certification.
• Current BLS; ACLS preferred.
• NP candidates must hold RNFA certification.

Responsibilities

• Serve as Surgical First Assist during orthopedic procedures.
• Provide perioperative patient care across perioperative phases.
• Conduct inpatient rounds and outpatient follow-ups.
• Perform assessments, order/interpret tests, aid treatment planning.
• Coordinate care with multidisciplinary team and staff.
• Educate patients and families on diagnoses, procedures, and rehab.
• Maintain accurate clinical documentation and records.
• Share orthopedic call responsibilities as part of the team.

Skills

Surgical First Assist

Perioperative care

Team collaboration

Clinical documentation

Education

Accredited NP or PA program

Job description

Saint Agnes Medical Providers (SAMP) is seeking a full time Nurse Practitioner (NP) with RNFA certification and/or Physician Assistant (PA)to join a dynamic Sports Orthopedic Surgery teamin Fresno, California. This position supports a busy, growing orthopedic practice and works in close collaboration with a Sports Orthopedic Surgeon and multidisciplinary care team.

The APP functions as an integral part of the care team, providing comprehensive patient care across surgical, inpatient, outpatient, and clinic settings, with a strong emphasis on perioperative management and surgical first assist responsibilities.

Key Responsibilities

• Serve as Surgical First Assist during orthopedic procedures, following best practices and maintaining surgical safety standards.
• Provide perioperative patient care, including pre-operative evaluations, intraoperative assistance, and post-operative management.
• Conduct inpatient rounds and outpatient follow-ups to ensure continuity of care and optimal recovery outcomes.
• Perform comprehensive patient assessments, order and interpret diagnostic tests, and assist in treatment planning.
• Coordinate and manage the care of assigned patients, including directing ancillary clinical staff as appropriate.
• Collaborate closely with orthopedic surgeons, sports medicine physicians, nurses, therapists, and other healthcare professionals to deliver high‑quality, coordinated care.
• Educate patients and families regarding diagnoses, surgical procedures, rehabilitation plans, and recovery expectations.
• Maintain accurate, timely, and compliant clinical documentation.
• Participate in shared general orthopedic call responsibilities as part of the care team.

Practice Environment

• Join a physician-led, 120+ provider multispecialty group
• Work alongside:
  • Orthopedic Surgeons
  • Sports Medicine/Family Medicine Physicians
  • Advanced Practice Providers
• Affiliated with Saint Agnes Medical Center, recognized as a Best Regional Hospital by U.S. News & World Report (2024-2025)
• Located in Fresno, California, offering a strong community, affordable living, and proximity to major destinations and national parks

Minimum Qualifications

• Graduate of an accredited Nurse Practitioner or Physician Assistant program
• NP candidates must hold RNFA certification
• Current and unrestricted California NP or PA license
• DEA registration and Controlled Substance certification
• Current BLS certification; ACLS preferred
• Current national certification (AANP/ANCC for NP or NCCPA for PA)
• Minimum of 3 years of surgical/perioperative first assist experience preferred
• Experience in orthopedic or sports medicine surgery strongly preferred
• Ability to obtain hospital privileges at Saint Agnes Medical Center

Preferred Qualifications

• Orthopedic or sports medicine surgical experience
• Strong clinical, communication, and teamwork skills
• Ability to thrive in a fast‑paced surgical environment
• Commitment to high‑quality, patient‑centered care

Work Schedule

• Full‑time, typically Monday-Friday
• Participation in shared orthopedic ED call rotation required

Compensation & Benefits

• Pay Range: $64.62 - $103.38 per hour
• Comprehensive benefits package including:
  • Health, Dental, Vision Insurance
  • Life Insurance & Long‑Term Disability
  • Health Savings Account (HSA) and FSA
  • 401(k) Plan
  • Paid Time Off (PTO)
  • CME Allowance
  • Malpractice Insurance with Tail Coverage
  • Relocation Expense Reimbursement