ARNP or PA-C – Spine Clinic - Harborview

University of Washington Medical Center•Seattle, WA

1d•$133,944 - $209,664•Onsite

About The Position

Harborview Medical Center’s Orthopaedic Surgery Department Spine Clinic is hiring a Physician Assistant or Advanced Registered Nurse Practitioner to support ambulatory spine care and assist in the operating room. The role primarily supports the Orthopaedic Spine service in the outpatient setting, with some time assigned to surgical assisting; the balance may vary based on service-line needs. The position provides pre- and postoperative care to a diverse patient population, including pediatric patients, and may involve independent and shared clinic models. The caseload is approximately 60% elective and 40% trauma, including complex adult deformity correction, high-energy traumatic injuries, and routine spinal decompression and fusion procedures. Future cross-training in an inpatient role or other Orthopaedic service lines may be needed. Harborview’s Spine Center serves a broad Pacific Northwest referral base and treats a range of spine conditions. The clinic has onsite radiology for X-rays and ancillary staff to coordinate care, and partners with Sports & Spine Rehabilitation Medicine providers on nonoperative care. The service currently includes four board-certified spine surgeons. The position is full-time at 100% FTE (40 hours per week), working a Monday–Friday day shift with no call required. Compensation is $133,944–$209,664 annually, and relocation assistance is available. This is a regular position.

Requirements

For the PA-C pathway: Graduation from an ARC-PA-accredited Physician Assistant program.
For the PA-C pathway: Current Washington State Physician Assistant licensure by the start of employment.
For the PA-C pathway: Current NCCPA certification.
For the ARNP pathway: A master’s or doctoral degree from an accredited Nurse Practitioner program.
For the ARNP pathway: Current Washington State ARNP licensure and prescriptive authority by the start of employment.
For the ARNP pathway: Current national board certification appropriate to the assigned patient population and clinical setting.
Current DEA registration or eligibility for registration.
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.

Nice To Haves

Prior experience in Orthopedic surgery or Spine surgery, including surgical first assisting, is preferred.
Prior experience with EPIC is a plus.

Responsibilities

Evaluate, diagnose, and establish treatment plans for new, established, and postoperative patients independently and in collaboration with attending physicians.
Assess postoperative surgical sites, perform appropriate physical examinations, interpret imaging, and fit orthotic devices.
Communicate treatment and surgical plans clearly and compassionately with patients during clinic visits and through telephone or electronic messaging.
Respond promptly to clinic nurses, patient care coordinators, referral coordinators, and other staff by managing the EHR inbox daily and coordinating care.
Maintain accurate and timely documentation in the electronic medical record.
Order and interpret diagnostic tests, including X-rays, CT, MRI, and laboratory tests, and communicate results to clinicians and patients.
Prescribe medications in accordance with department policy and state and federal guidelines.
Collaborate with operating room staff to ensure appropriate equipment is available and patients are positioned safely.
Develop comprehensive knowledge of relevant surgical procedures, techniques, standards of care, instrumentation, equipment, and supplies.
Maintain sterile technique and help ensure infection-control protocols are followed.
First- and/or second-assist attending physicians, fellows, and residents in Orthopedic Spine surgery, including dissection, suturing, and instrumentation.
Document preoperative H&Ps, brief operative notes, postoperative orders, and discharge instructions in the EHR according to hospital protocol.