Nurse Practitioner / Physician Assistant (Total Joint & Adult Reconstruction)

Nurse Practitioner / Physician Assistant Total Joint & Adult Reconstruction

Join a highly respected, fellowship-trained Total Joint and Adult Reconstruction Surgeon in a collaborative orthopedic practice focused on delivering exceptional musculoskeletal care. This position offers a meaningful combination of clinic autonomy, surgical involvement, and inpatient care, giving you the opportunity to support patients throughout their orthopedic journey.

You will maintain an independent clinic schedule while working closely with the surgeon and broader care team to evaluate new and established patients, manage acute and chronic orthopedic concerns, provide pre- and postoperative care, and support continuity of care. You will also participate in hospital rounding and a shared inpatient and outpatient call rotation.

Approximately 1.5 days each week are spent in the operating room, providing direct surgical support and first-assist coverage. For Nurse Practitioners, completion of an RN First Assist program meeting AORN Standards is required to perform first-assist responsibilities.

This is an excellent opportunity for an experienced surgical APP who enjoys combining hands-on procedural exposure with independent patient management and wants to deepen their expertise in Total Joint and Adult Reconstruction.

Work directly alongside a fellowship-trained Total Joint and Adult Reconstruction Surgeon

Maintain your own clinic schedule with meaningful autonomy in patient management

Spend approximately 1.5 days per week in the OR with direct surgical involvement

Manage patients across clinic, hospital, surgical, and postoperative settings

Build specialized expertise in Total Joint and Adult Reconstruction

Join a collaborative team within a comprehensive musculoskeletal care model

At least 1 year of surgical experience as an NP or PA

Clinical confidence in a surgical and orthopedic care environment

Ability to manage patients independently while collaborating closely with a surgeon

Strong patient education, communication, and continuity-of-care skills

Comfort moving between clinic, hospital, and operating room responsibilities

A team-oriented, adaptable approach to patient care

Evaluate patients through comprehensive histories, physical examinations, and assessment of health status and treatment progress

Diagnose and manage acute and chronic orthopedic conditions within the APP scope of practice

Order, review, and interpret appropriate diagnostic studies and develop treatment plans in collaboration with the supervising surgeon

Maintain an independent outpatient clinic schedule and manage new, established, preoperative, and postoperative patients

Administer injections and medications and perform appropriate office-based procedures, including wound care and suturing

Assist the surgeon in the operating room, including first-assist responsibilities as appropriately credentialed

Perform hospital rounds and coordinate inpatient and postoperative care

Triage patient calls and address clinical concerns in person and by phone

Participate in the shared inpatient and outpatient call rotation, including scheduled after-hours and weekend coverage

Educate patients and families regarding diagnoses, procedures, recovery, treatment plans, and ongoing care

Collaborate with physicians, nursing staff, and interdisciplinary team members to promote coordinated patient care

Maintain timely, accurate clinical documentation and strict patient confidentiality

Minimum 1 year of surgical experience

Graduate of an accredited Physician Assistant or Nurse Practitioner program

Current Arizona Physician Assistant license and NCCPA certification

Current Arizona RN license and Arizona Advanced Practice Registered Nurse license

National NP certification as required by the Arizona APRN Board

NP candidates must have completed an RN First Assist program meeting AORN Standards to perform required first-assist responsibilities

Current CPR and ACLS certification

Ability to participate in inpatient and outpatient call coverage

Previous orthopedic or musculoskeletal experience

Total Joint or Adult Reconstruction experience

Experience managing preoperative and postoperative surgical patients

Experience with hospital rounding and inpatient orthopedic care

Master's degree for Physician Assistant candidates

Enjoy a role that combines independent clinic responsibilities with hands-on surgical involvement

Want to work closely with a fellowship-trained orthopedic surgeon and develop deeper specialty expertise

Are comfortable managing patients across outpatient, inpatient, and perioperative settings

Thrive in a busy surgical environment where priorities can shift throughout the day

Value autonomy while still being part of a collaborative clinical team

Enjoy building continuity with patients from evaluation through surgery and recovery

Have less than one year of surgical experience

Prefer a clinic-only position without operating room responsibilities

Are not comfortable participating in an inpatient and outpatient call rotation

Prefer a role with little autonomy or independent patient management

Are an NP without the required first-assist training and credentials

Do not enjoy working across multiple care settings, including clinic, hospital, and OR environments

This role offers the opportunity to become an integral part of a specialized orthopedic team while building expertise across the full continuum of Total Joint and Adult Reconstruction care. You will have meaningful clinical autonomy, consistent surgical exposure, and the opportunity to work directly with a fellowship-trained surgeon while making a visible impact on patient outcomes.

If you have at least one year of surgical experience and are ready to take the next step in your orthopedic career, we encourage you to apply with your most updated resume or CV. A cover letter and references are preferred but optional. We look forward to learning more about you.