Advanced Practice Provider - Nurse Practitioner or Physician Assistant

Pediatric Orthopedic Advanced Practice Provider

Shriners Children's is seeking a full-time Pediatric Orthopedic Advanced Practice Provider (Nurse Practitioner or Physician Assistant) to join our team in Portland.

This provider will deliver comprehensive care to pediatric orthopedic patients across both inpatient and outpatient settings, offering a well-rounded and rewarding clinical practice. Responsibilities include evaluating and managing patients throughout the continuum of care, including pre-operative, post-operative, and non-operative treatment for a broad range of conditions such as fractures, scoliosis, sports injuries, neuromuscular disorders, and developmental conditions. The APP will perform procedures including casting, splinting, and fracture management while working closely with orthopedic surgeons, nurses, therapists, and other multidisciplinary team members to provide exceptional patient-centered care.

This position offers a unique blend of clinic and inpatient responsibilities, allowing the provider to develop meaningful relationships with patients and families while participating in all aspects of orthopedic care. The schedule consists of four 10-hour daytime shifts per week, with no routine nights, weekends, or call responsibilities, supporting an excellent work-life balance.

In the outpatient setting, the APP will run independent clinics across fracture clinic, general orthopedics, spine clinic, and multidisciplinary clinics. While clinics are generally managed independently, an orthopedic surgeon is assigned for consult support. Clinics will be in the Portland metro area including both our Portland and Vancouver locations.

The inpatient component includes daily rounds, discharges, laboratory follow-up, and consultation with specialty services, with support from the orthopedic and hospitalist teams.

The pay range for this position is $152,921.60 – $229,403.20. Compensation is determined based on years of experience and departmental equity.

Key Responsibilities

• Conduct comprehensive and age-appropriate health assessments, histories, and physical exams.
• Formulate differential diagnoses and develop care plans in coordination with supervising physicians and the care team.
• Manage care for pediatric orthopedic specialty populations
• Provide pre-operative and post-operative evaluations and ongoing management in both inpatient and ambulatory surgical environments.
• Order and interpret diagnostic imaging, lab 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 (EHR).
• 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 all professional licensure, certifications, and mandatory training in compliance with state and organizational requirements.
• Maintain accountability for meeting established productivity benchmarks (e.g. wRVUS), quality metrics, and institutional performance standards
• Ensure time is allocated in accordance with assigned clinical, surgical, administrative, and academic expectations.

Required Qualifications

If Physician Assistant

• Master of Physician Assistant Studies (or equivalent degree) from an accredited Physician Assistant program
• Current, unrestricted Physician Assistant license in the state of practice
• Certification by the National Commission on Certification of Physician Assistants (NCCPA)

If Nurse Practitioner

• Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) from an accredited Nurse Practitioner program
• American Nurses Credentialing Center (ANCC), American Association of Nurse Practitioners (AANP), or equivalent board certification in applicable specialty area, such as Pediatric Nurse Practitioner (CPNP-AC, CPNP-PC) or Family Nurse Practitioner (FNP)
• Current, unrestricted Registered Nurse (RN) and Advanced Practice Registered Nurse (APRN) license in the state of practice

Both

• 2+ years of advanced practice clinical experience in a pediatric or pediatric specialty setting preferred. Recent graduates will be considered based on previous experience, training and clinical exposure.
• Experience with pediatric orthopedic, spinal, craniofacial, neuromuscular, burn, general surgery or rehabilitation patient populations preferred
• Must possess eligibility for active DEA
• Must possess Basic Life Support for Healthcare Providers (BLS for HCP). Pediatric Advanced Life Support (PALS) certification may be required based 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 to engage effectively with patients, families, and care teams.
• Proficient in EHR systems and clinical documentation.
• Demonstrated commitment to patient safety, family-centered care, and trauma-informed practice.

Compensation is determined based on years of relevant experience and departmental equity.