Physician Assistant - Clinic/Surgical First Assist

Job Description

Job Description

Physician Assistant or Nurse Practitioner with RNFA
Clinic and Surgical OR First Assist

Location: Chester County Hospital

Organization: Premier Orthopaedics, in partnership with Philadelphia Hand to Shoulder

Overview

Premier Orthopaedics, in partnership with Philadelphia Hand to Shoulder, is seeking a dedicated and skilled Physician Assistant to provide support to a Spine Surgeon in West Chester and Kennett Square. As two of the region’s most respected providers of orthopedic and upper extremity care, we offer a collaborative, patient-focused environment that prioritizes clinical excellence, innovation, and ongoing professional development.  

Position Summary

Responsible for providing comprehensive medical and surgical care as delegated by the supervising physician. The Physician Assistant functions as an integral member of the healthcare team, providing patient care in the clinic and First Assist in the OR.

ESSENTIAL FUNCTIONS

Schedule: Two days in the OR; Three days in the clinic.

Responsibilities on Clinic Days:

• Perform initial evaluations of new patients, post-op patients, and follow up patients along with the supervising physician
• Evaluate and treatment post-op patients independently when supervising physician is away
• Dictate patient office note in Company HER system
• Perform suture remove & provide dressings
• Order appropriate x-rays & review images with supervising physician
• Order other appropriate diagnostic studies
• Review diagnostic reports to determine if patient needs to be seen sooner than already scheduled
• Alert patients of any urgent results
• Order medications (Must have DEA license)
• Search Pennsylvania Drug Monitoring program prior to prescribing any narcotics
• Educate patients about condition and post-op course/treatment
• Answer patient phone calls pertaining to medical questions/concerns
• Coordinate patient care needs with administrative members of team and assist as needed with administrative tasks
• Communicate with other medical specialists involved with patient’s care including occupational therapists, trainers and physicians

Responsibilities on OR Days:

• Communicate with OR staff prior to the start of case to confirm all necessary instrumentation is present & working properly
• Communicate with nursing staff any special concerns
• First-assist in surgery
• Suture deep and superficial wounds
• Apply splint
• Perform surgical history and physical
• Confirm consent with patient
• Pre-operative orders
• Write brief note
• Post-operative orders
• Write discharge summary/post-op instructions for patients
• Confirm with patients that they are set up for therapy if they are expected to begin prior to their first post-op visit
• Prescribe post-op antibiotics and pain medication

Education:

• Graduate of an accredited Physician Assistant program.
• Bachelor’s degree required.

  Licenses & Certifications:  

• Active and unrestricted Pennsylvania Physician Assistant (or eligibility to obtain).

  Experience:  

• Minimum of 1 year as a Physician Assistant with Spine OR Experience.
• Familiarity with Athena or other EMR systems preferred.

Compensation & Benefits  

• Competitive Salary plus bonus potential based on productivity
• Comprehensive benefits package including medical, dental, and vision plans
• 100% employer-paid life insurance
• 401(k) retirement plan with employer Safe Harbor contribution and additional discretionary profit sharing
• Benefits are effective on your hire date (for full-time employees)
• Generous paid sick and vacation time
• 7 paid holidays annually
• Opportunities for growth and advancement
• Employee referral reward program

About Premier Orthopaedics & Philadelphia Hand to Shoulder

Premier Orthopaedics and Philadelphia Hand to Shoulder Center (PHSC) are leading providers of comprehensive musculoskeletal care throughout Pennsylvania, New Jersey, and Delaware. 

Premier Orthopaedics delivers expert treatment for orthopedic injuries, joint disease, interventional spine care, regenerative medicine, and comprehensive physical therapy services, supported by more than 170 providers across 50+ locations. Facilities include state-of-the-art MRI centers, outpatient surgery centers, physical therapy clinics, and orthopedic urgent care centers. 

Philadelphia Hand to Shoulder Center (PHSC), a division of Premier Orthopaedics, has been nationally recognized for more than 50 years for its specialized care of the hand, wrist, elbow, arm, and shoulder. Our fellowship-trained surgeons and certified Hand and Occupational Therapists collaborate to provide seamless care—from diagnosis and treatment to post-operative and rehabilitative recovery. With 10+ convenient locations across Pennsylvania and New Jersey, PHSC offers advanced, integrated care to restore function, mobility, and quality of life for patients with upper extremity conditions.