Nurse Practitioner (RNFA) or Physician Assistant – Sports Orthopedic Surgery First Assist

Saint Agnes Medical Providers (SAMP) is seeking a full time Nurse Practitioner (NP) with RNFA certification and/or Physician Assistant (PA) to join a dynamic Sports Orthopedic Surgery team in Fresno, California. This position supports a busy, growing orthopedic practice and works in close collaboration with a Sports Orthopedic Surgeon and multidisciplinary care team.

The APP functions as an integral part of the care team, providing comprehensive patient care across surgical, inpatient, outpatient, and clinic settings, with a strong emphasis on perioperative management and surgical first assist responsibilities.

Key Responsibilities

• Serve as Surgical First Assist during orthopedic procedures, following best practices and maintaining surgical safety standards.
• Provide perioperative patient care, including pre-operative evaluations, intraoperative assistance, and post-operative management.
• Conduct inpatient rounds and outpatient follow-ups to ensure continuity of care and optimal recovery outcomes.
• Perform comprehensive patient assessments, order and interpret diagnostic tests, and assist in treatment planning.
• Coordinate and manage the care of assigned patients, including directing ancillary clinical staff as appropriate.
• Collaborate closely with orthopedic surgeons, sports medicine physicians, nurses, therapists, and other healthcare professionals to deliver high-quality, coordinated care.
• Educate patients and families regarding diagnoses, surgical procedures, rehabilitation plans, and recovery expectations.
• Maintain accurate, timely, and compliant clinical documentation.
• Participate in shared general orthopedic call responsibilities as part of the care team.

Practice Environment

• Join a physician-led, 120+ provider multispecialty group
• Work alongside:
• • Orthopedic Surgeons
  • Sports Medicine/Family Medicine Physicians
  • Advanced Practice Providers
• Affiliated with Saint Agnes Medical Center, recognized as a Best Regional Hospital by U.S. News & World Report (2024-2025)
• Located in Fresno, California, offering a strong community, affordable living, and proximity to major destinations and national parks

Minimum Qualifications

• Graduate of an accredited Nurse Practitioner or Physician Assistant program
• NP candidates must hold RNFA certification
• Current and unrestricted California NP or PA license
• DEA registration and Controlled Substance certification
• Current BLS certification; ACLS preferred
• Current national certification (AANP/ANCC for NP or NCCPA for PA)
• Minimum of 3 years of surgical/perioperative first assist experience preferred
• Experience in orthopedic or sports medicine surgery strongly preferred
• Ability to obtain hospital privileges at Saint Agnes Medical Center

Preferred Qualifications

• Orthopedic or sports medicine surgical experience
• Strong clinical, communication, and teamwork skills
• Ability to thrive in a fast-paced surgical environment
• Commitment to high-quality, patient-centered care

Work Schedule

• Full-time, typically Monday-Friday
• Participation in shared orthopedic ED call rotation required

Compensation & Benefits

• Pay Range: $64.62 - $103.38 per hour
• Comprehensive benefits package including:
• • Health, Dental, Vision Insurance
  • Life Insurance & Long-Term Disability
  • Health Savings Account (HSA) and FSA
  • 401(k) Plan
  • Paid Time Off (PTO)
  • CME Allowance
  • Malpractice Insurance with Tail Coverage
  • Relocation Expense Reimbursement