About The Position

The Orthopedic Access Advanced Practice Provider independently evaluates and manages patients with a broad range of musculoskeletal conditions, with collaborative support from orthopedic subspecialty teams. The clinic aims to improve timely access to orthopedic care. The APP generally manages non-surgical cases independently at the Prairie Meadows Drive location and coordinates referrals to the appropriate surgical team when surgery is indicated. The role may include in-office procedures such as joint injections, depending on experience and clinical assessment. The position may also provide cross-coverage in the Orthopedic Injury Walk-In Clinic at the North Liberty Campus, seeing musculoskeletal injuries and pain that occurred within the prior seven days. Care may include splinting and casting, for which training is provided. The role requires an organized, motivated, and efficient clinician. The schedule includes an evening shift every Thursday from 12 p.m. to 8 p.m. and every other Saturday from 8 a.m. to 2 p.m. The Orthopedic Access Clinic is located at the Orthopedics Prairie Meadows Drive location. The Orthopedic Walk-In Clinic is located at the Main Campus North Liberty Hospital. The North Liberty Campus is a 469,000-square-foot facility opened in spring 2025, providing outpatient, inpatient, and surgical orthopedic care along with imaging, laboratory, physical therapy, pharmacy, emergency, and support services.

Requirements

  • Master's degree required; if the master's degree is in a related field, a baccalaureate degree in nursing is required.
  • Current license to practice nursing in Iowa required.
  • Current specialty certification and licensure as an ARNP in Iowa required.
  • At least 2 years of patient care experience, which may be gained through clinical rotations or clinical practice.
  • At least 2 years of demonstrated experience and/or knowledge of orthopedic patient care.
  • Experience working effectively in a welcoming and respectful workplace environment.
  • Excellent written and verbal communication skills.
  • Timely and prompt documentation.

Nice To Haves

  • Master's degree or DNP in Nursing preferred.
  • Experience in an orthopedic outpatient clinic highly desired.
  • Relevant orthopedic experience in an emergency department or urgent care considered.

Responsibilities

  • Evaluate and manage a variety of orthopedic conditions in the Orthopedic Access Clinic.
  • Order diagnostic and therapeutic procedures and prescribe, dispense, or deliver medications under a collaborative practice agreement.
  • Follow up with patients regarding diagnostic tests and laboratory results.
  • Provide longitudinal follow-up when surgical or subspecialty consultation is not needed or desired.
  • Consult and collaborate with care team members and orthopedic subspecialty teams to facilitate care.
  • Use clinical judgment to apply information within the overall clinical picture and address health issues.
  • Promote adoption of best practices.
  • Complete patient medical records, reports, and forms for treatment records and billing.
  • Improve quality of care through chart reviews and participation on performance improvement committees.
  • Escalate care appropriately when surgical conditions are identified and coordinate referrals to appropriate surgical teams.
  • In the Orthopedic Walk-In Clinic, triage, evaluate, and manage acute orthopedic injuries and pain, including back pain, sprains, strains, tendon and ligament injuries, suspected fractures, and joint pain.
  • Order appropriate imaging, including X-rays, CT, or MRI, when indicated.
  • Provide initial injury management using durable medical equipment such as wrist splints, slings, and boots, and perform splinting or casting as needed.
  • Educate patients about their injuries and facilitate follow-up with orthopedic subspecialty surgeons and providers.
  • Work with North Liberty Hospital Emergency Room staff to transfer patients when emergency-department care is more appropriate.
  • Perform in-office procedures such as joint injections when appropriate to experience and clinical assessment.
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