Advanced Practice Provider - Nurse Practitioner or Physician Assistant
About The Position
Shriners Children’s Hawaii is seeking a PRN Advanced Practice Provider (Nurse Practitioner or Physician Assistant) to join its pediatric orthopedic team. The role provides clinical care in a collaborative, mission-focused environment dedicated to children, working closely with pediatric orthopedic surgeons and other care team members across outpatient clinic and inpatient settings. The APP primarily supports pediatric orthopedic outpatient clinics and the inpatient floor, caring for children with a variety of musculoskeletal conditions. The role includes evaluating and managing acute injuries, including walk-in fracture patients; conducting assessments; developing treatment plans; coordinating follow-up care; educating patients and families; ordering and interpreting diagnostic studies; and collaborating with physicians and ancillary staff. The APP is expected to independently manage straightforward orthopedic injuries, including simple fractures, with pediatric orthopedic surgeons available for consultation and guidance. Casting and splinting experience is preferred, though training may be provided to a qualified candidate with a strong interest in orthopedics. The schedule is based on departmental needs. Coverage is primarily during weekday clinic hours from 9:00 a.m. to 7:00 p.m., with Saturday clinic coverage expected 2–3 times per month. Shifts are generally offered with five to seven days’ notice. No minimum shift commitment is required to maintain PRN status. Candidates with at least two years of advanced practice experience are strongly preferred, particularly those with experience in pediatric orthopedics, orthopedics, sports medicine, emergency medicine, urgent care, or a related specialty.
Requirements
- For Physician Assistants: Master of Physician Assistant Studies or equivalent degree from an accredited Physician Assistant program.
- For Physician Assistants: Current, unrestricted Physician Assistant license in the state of practice.
- For Physician Assistants: Certification by the National Commission on Certification of Physician Assistants (NCCPA).
- For Nurse Practitioners: Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) from an accredited Nurse Practitioner program.
- For Nurse Practitioners: ANCC, AANP, or equivalent board certification in an applicable specialty, such as Pediatric Nurse Practitioner or Family Nurse Practitioner.
- For Nurse Practitioners: Current, unrestricted Registered Nurse (RN) and Advanced Practice Registered Nurse (APRN) licenses in the state of practice.
- Eligibility for an active DEA.
- Basic Life Support for Healthcare Providers (BLS for HCP); Pediatric Advanced Life Support (PALS) may be required depending on clinical assignment.
- Credentialing and privileging by the medical staff in accordance with hospital bylaws.
- Strong pediatric assessment and clinical decision-making skills.
- Familiarity with pediatric specialty protocols and post-surgical care.
- Excellent communication and interpersonal skills for engaging with patients, families, and care teams.
- Proficiency in EHR systems and clinical documentation.
- Demonstrated commitment to patient safety, family-centered care, and trauma-informed practice.
Nice To Haves
- At least two years of pediatric advanced practice experience is strongly preferred.
- Experience in pediatric orthopedics, orthopedics, sports medicine, emergency medicine, urgent care, or a related clinical specialty is highly desirable.
- Casting and splinting experience is preferred; training may be provided to an otherwise qualified candidate with a strong interest in orthopedic practice.
Responsibilities
- Conduct comprehensive, age-appropriate health assessments, histories, and physical examinations.
- Formulate differential diagnoses and develop care plans in coordination with supervising physicians and the care team.
- Manage care for specialty populations, including orthopedic, spinal, and neuromuscular patients.
- Provide pre-operative and post-operative evaluations and ongoing management in inpatient and ambulatory surgical environments.
- Order and interpret diagnostic imaging, laboratory work, and other tests as permitted by licensure and protocol.
- Perform routine procedures and assist in specialty surgical cases within the scope of licensure.
- Prescribe medications and therapeutic interventions consistent with the scope of practice and Shriners Children’s policies.
- Participate in multidisciplinary clinics and care conferences to support coordinated, integrated care.
- Educate patients, caregivers, and staff on disease processes, treatment plans, and home care strategies.
- Document clinical findings, treatment plans, and patient responses using the electronic health record.
- Support quality improvement, patient safety, and research initiatives as appropriate to the role.
- Provide mentorship or precepting to clinical staff or trainees as assigned.
- Maintain compliance with hospital, state, and federal regulations, including infection control and documentation standards.
- Perform additional duties within the scope of licensure as assigned to support patient care and organizational goals.
- Maintain professional licensure, certifications, and mandatory training in compliance with state and organizational requirements.
