Advanced Practice Provider - Orthopedic First Assist, Lower Extremity/Ambulatory

We are seeking a dedicated, full-time Advanced Practice Provider (APP), which includes both Nurse Practitioners (NP) and Physician Assistants (PA-C), to join our Pediatric Orthopedic Surgery team as a First Assist.

The primary duties of this role are centered in the Operating Room (OR), assisting in complex pediatric orthopedic surgery cases. This position also includes required night and weekend on-call rotations. Beyond the OR, you will provide direct care and assume primary responsibility for the clinical management of patients across ambulatory, emergency department, and inpatient settings.

Key Responsibilities

Operating Room & Clinical Management

• Surgical First Assisting: Act as the primary surgical first assist in pediatric orthopedic surgery cases.

• Patient Assessment: Obtain comprehensive patient histories and perform detailed physical examinations.

• Continuum of Care: Manage patients across all care settings, including the OR, inpatient floors, emergency department, and outpatient clinics.

• Diagnostic & Treatment Plans: Order, perform, and interpret diagnostic tests; prescribe appropriate medications; and develop evidence-based treatment plans.

• Case Management: Direct and participate in comprehensive case management and continuity of care for our vulnerable pediatric patient population.

Collaboration & Quality Improvement

• Interdisciplinary Teamwork: Collaborate, refer, and consult with department attending physicians, specialists, and multidisciplinary healthcare team members to deliver safe, efficient, and high-quality care.

• Quality & Safety: Actively contribute to organizational and departmental continuous performance and quality improvement projects.

• Education & Research: Participate in clinical research efforts and provide vital education to patients, families, and fellow healthcare team members.

Schedule & Call Expectations

• Shift: Full-time.

• OR Days: 2 to 3 days per week dedicated to surgical assisting.

• On-Call: Participation in a rotating night and weekend on-call schedule is required.

Learn more about our team and the conditions we treat:

Required Education and Experience:

Master's degree in nursing with a concentration in a pediatric or family nurse practitioner program OR graduate of a nationally accredited physician assistant program.

One year work experience in a pediatric or family focused clinical area.

Required Credentials:

For Nurse Practitioners:

Active, unencumbered registered nurse and advanced registered nurse practitioner licensure in the State of Washington.

Current national certification as a pediatric or family nurse practitioner

For Physician Assistants:

Active, unencumbered physician assistant licensure in the State of Washington

Initial certification by the National Commission on Certification of Physician Assistants

For All Providers:

Active Drug Enforcement Authority registration

Current American Heart Association Basic Life Support (BLS) for Healthcare Professionals is required at time of hire and to be maintained continuously throughout employment. American Heart Association Pediatric Advanced Life Support (PALS) will also be accepted in lieu of BLS for Healthcare Professionals.

Some clinical locations may require American Heart Association Pediatric Life Support training and continuous maintenance of certification.

Active clinical privileges as an Allied Health Provider at Seattle Children's Hospital must be secured prior to time of hire and must be maintained in good standing and in compliance with all medical staff bylaws, continuously throughout employment.

Preferred:

Two years experience in advanced practice provider role

Two years experience in pediatric health care

Compensation Range

$137,321 - $201,961 per year

$10,000 annual stipend for First Assist duties

This position is eligible for relocation benefit for qualified applicants.

Salary Information

This compensation range was calculated based on full-time employment (2080 hours worked per calendar year). Offers are determined by multiple factors including equity, skills, experience, and expertise, and may vary within the range provided.

Disclaimer for Out of State Applicants

This compensation range is specific to Seattle, positions located outside of Seattle may be compensated differently depending on various factors .

Benefits Information

Seattle Children’s offers a generous benefit package, including medical, dental, and vision plans, 403(b), life insurance, paid time off, tuition reimbursement, and more. Additional details on our benefits can be found on our website

About Us

Hope. Care. Cure. These three simple words capture what we do at Seattle Children’s – to help every child live the healthiest and most fulfilling life possible. Are you ready to engage with a mission-driven organization that is life-changing to many, and touches the hearts of all? #HOPECARECURE

Our founding promise to the community is as valid today as it was over a century ago: we will care for all children in our region, regardless of the families’ ability to pay. Together, we deliver superior patient care, advance new discoveries and treatments through pediatric research, and serve as the pediatric and adolescent, academic medical center for Washington, Alaska, Montana and Idaho – the largest region of any children’s hospital in the country.




U.S. News & World Report consistently ranks Seattle Children’s among the nation’s best children’s hospitals. For more than a decade, Seattle Children’s has been nationally recognized in key specialty areas. We are honored to be one of the nation’s very best places to care for children and the top-ranked pediatric hospital in Washington and the Pacific Northwest.

As a Magnet designated institution, we recognize the importance of hiring and developing great talent to provide best-in-class care to the patients and families we serve. Our organizational DNA takes form in our core values: Compassion, Excellence, Integrity, Collaboration, Equity and Innovation. Whether it’s delivering frontline care to our patients in a kind and caring manner, practicing the highest standards of quality and safety, or being relentlessly curious as we work towards eradicating childhood diseases, these values are the fabric of our culture and community. The future starts here.

Our Commitment

Seattle Children’s welcomes people of all experiences, backgrounds, and thoughts as this is what drives our spirit of inquiry and allows us to better connect with our patients and families. Our organization recruits, employs, trains, compensates, and promotes based on merit without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

The people who work at Seattle Children’s are members of a community that seeks to respect and celebrate all the qualities that make each of us unique. Each of us is empowered to be ourselves.

Seattle Children’s is proud to be an Equal Opportunity Workplace and Affirmative Action Employer.