Physician Assistant/Nurse Practitioner - Carrell Clinic

Position Summary

The Physician Assistant (PA)/Nurse Practitioner supports orthopedic physicians in delivering high-quality musculoskeletal care to patients. This role includes conducting clinical evaluations, performing procedures, assisting in surgery, managing follow-up care, and coordinating treatment plans in accordance with Texas state laws and the supervising physician's delegation.

This position is Part-Time and will be clinic with minimal OR time.

Key Responsibilities

Clinical Care

• Perform comprehensive patient histories, physical examinations, and orthopedic assessments.
• Order, interpret, and manage diagnostic tests including X-rays, MRIs, CT scans, EMG/NCV, bone scans, and laboratory studies.
• Formulate differential diagnoses and develop treatment plans under physician supervision consistent with Texas Physician Assistant Board rules.
• Independently manage follow-up visits, post-operative checks, acute injury evaluations, and chronic orthopedic conditions within defined scope of practice.
• Perform in-office procedures such as joint injections and aspirations, splinting, casting, wound care, and suture/staple removal.
• Provide patient education on diagnoses, treatment plans, medications, rehabilitation, and preventive care.

Surgical Support

• Assist the supervising orthopedic surgeon in the operating room.
• Conduct pre-operative evaluations and contribute to surgical planning.
• Provide post-operative management including wound checks, medication management, and rehabilitation coordination.
• Conduct hospital rounds, write orders, take call, manage inpatient care, and document histories, H&Ps, and discharge summaries.

Documentation & Compliance

• Maintain accurate, timely, and compliant medical records, ensuring documentation aligns with Texas Medical Board and Physician Assistant Board regulations.
• Complete billing and coding documentation consistent with practice policies and payer guidelines.
• Follow all Texas scope-of-practice requirements, including maintaining a written prescriptive authority agreement as required.

Collaboration & Communication

• Work closely with physicians, medical assistants, imaging staff, therapists, and administrative teams to ensure effective patient flow.
• Participate in interdisciplinary case discussions and care coordination.
• Support patient triage and respond to clinical questions from staff and patients.

Qualifications

Qualifications

Required

• Master's degree from an accredited Physician Assistant/Nurse Practitioner program.
• Current, unrestricted Texas Physician Assistant/Nurse Practitioner License.
• NCCPA certification.
• Current DEA and DPS (Texas) registration for prescriptive authority, if applicable.
• BLS and ACLS certification (or willingness to obtain).

Preferred

• 1+ years of orthopedic PA/NP experience.
• Surgical first-assist experience in relevant orthopedic subspecialties.
• Strong proficiency with EMR systems, specifically AthenaOne, and orthopedic documentation templates.
• Prior orthopedic or musculoskeletal experience or completion of orthopedic-focused clinical rotations.

Skills & Competencies

• Strong understanding of musculoskeletal anatomy and orthopedic conditions.
• Ability to perform procedures with confidence and competency.
• Excellent communication and patient-relationship skills.
• Ability to work independently within the delegated scope while collaborating effectively with supervising physicians.
• Strong organizational and time-management abilities; and strong clinical reasoning and problem-solving abilities.

Working Conditions

• Fast-paced clinical environment with some extended or flexible hours depending on physician schedules.
• May include surgical days, evening clinics, or rotating call depending on practice needs.
• Physical requirements include standing for extended periods, lifting up to 25 lbs, and assisting with patient mobility.

Supervision

The Physician Assistant/Nurse Practitioner works under the supervision and delegation of the designated orthopedic physician(s) in accordance with the Texas Medical Board and Texas Physician Assistant Board rules.