About The Position

Harborview Medical Center's Plastic & Reconstructive Surgery team has an outstanding opportunity for a ARNP, Nurse Practitioner; or PA-C, Physician Assistant. This role involves inpatient, outpatient, ED, and OR responsibilities, providing continuity of care for patients throughout their reconstructive needs, including Craniomaxillofacial and Gender-Affirming Care. The position also includes cross-training to support other specialties within the Plastic Surgery Department. The APP will manage a diverse patient population, including pediatrics, and will work independently with supportive and collaborative surgical providers. Responsibilities include wound evaluation, debridement, management, and performing independent procedures such as anesthesia-assisted wound care, arch bar removal, laceration repair, in-clinic scar revisions, incision and drainage, and aspirations.

Requirements

  • Master's or doctoral degree from an accredited Nurse Practitioner program.
  • Current Washington State ARNP licensure and prescriptive authority by the start of employment.
  • Current national board certification appropriate to the assigned patient population and clinical setting.
  • Current DEA registration/eligibility required for the position.
  • Graduation from an ARC-PA–accredited Physician Assistant program.
  • Current Washington State Physician Assistant licensure by the start of employment.
  • Current certification by the National Commission on Certification of Physician Assistants (NCCPA).
  • Eligibility for UW Medicine credentialing and clinical privileges.
  • Current BLS and ACLS certification; additional life-support certification as required by the assigned clinical setting.
  • Ability to work effectively with medically and socially complex patients and within an interprofessional academic practice.
  • Demonstrated commitment to respectful, equitable, inclusive, and patient-centered care.
  • Equivalent education and/or experience may substitute for minimum qualifications except when there are legal requirements, such as a license, certification, and/or registration.

Responsibilities

  • Support continuity across the continuum of surgical care—from initial evaluation and preoperative preparation through hospitalization, discharge, postoperative follow-up, and long-term recovery.
  • Conduct new patient consultations, pre-operative evaluations, and postoperative follow-up visits in outpatient clinics.
  • Manage wound care, suture/staple removal, and surgical site assessments in outpatient clinics.
  • Perform in-office procedures commensurate with skill level and training.
  • Coordinate multidisciplinary care plans with surgeons.
  • Hold the Plastic Surgery team pager, round on primary and consult patients, and manage acute surgical issues while inpatient.
  • Write orders and progress notes, coordinate discharge planning, and serve as a primary point of contact for nursing staff and consulting services.
  • Collaborate with residents and assess new consults throughout the hospital: ED, OR, acute care, and outpatient clinics.
  • Independently perform ED procedures commensurate with skill level and training.
  • Serve as first assistant for craniofacial reconstruction, gender-affirming surgical procedures, free flap and microsurgical cases, and general reconstructive procedures.
  • Assist with positioning, exposure, closure, and intraoperative decision-making in the OR.
  • Maintain accurate, timely documentation across EMR systems.
  • Assist with in-basket messaging with patients, secure chat messaging with providers, and care coordination for medically complex patients.
  • Provide compassionate, culturally competent and trauma informed counseling to patients and families navigating complex reconstructive or gender-affirming care pathways.

Benefits

  • Relocation assistance available
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