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Nurse Practitioner or Physician Assistant - Orthopedic Surgery (PM&R/Spine)
Washington University in St. Louis
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About this role
Location SAINT LOUIS, MO 63129

 Scheduled Hours 40
Position Summary The Orthopedic Spine Nurse Practitioner (NP) or Physician Assistant (PA) at WashU Orthopedics is an integral clinical leader and valued member of the PM&R/Spine team managing non-operative spine patients.
This position practices primarily in the outpatient setting across our Sunset Hills and Missouri Baptist and South County locations in St. Louis.
This role requires strong leadership skills to inspire and support staff, along with the adaptability to navigate changing priorities, workflows, and clinical protocols while maintaining exceptional patient care.
The NP or PA will facilitate multidisciplinary care—with a focus on outstanding clinical outcomes, patient experience, and compassionate care. Success in this role requires collaboration, excellent communication, and the ability to build strong relationships with patients, families, physicians, and care teams.
At WashU Orthopedics, we are committed to treating every patient like family while delivering world-class orthopedic care to our community each day. If you are a dedicated Nurse Practitioner or Physician Assistant with a passion for teamwork, leadership, and quality care, we invite you to join our team.
Job Description
Primary Duties & Responsibilities:
• Provides direct patient care to include obtaining patient history, performing patient assessment via observation, interview and examination; orders, performs and interprets diagnostic studies; performs preventative health assessments, screenings, immunizations and care; provides direct treatment and management of acute and chronic disease conditions; develops and implements patient-centered plan of care in collaboration with physicians, patients, consultants, nurses, ancillary care providers and others as appropriate to the patient's condition. • May bill for services covered by collaborative practice agreement. • Provides counseling and education of patients and their families/caregivers concerning disease management, complication prevention, disease prevention, and quality of life improvement measures, and outcome management activities. • Monitors/ensures accuracy of patient medical records; maintains all required reports, records, statistics, etc. • Maintains a safe, comfortable and therapeutic environment for patients/families in accordance with established clinic/hospital standards. • Manages health conditions via prescriptive authority or referral to other healthcare providers or community resources; may perform diagnostic or therapeutic interventions consistent with certification and state regulations. • Champions the safety and quality of care for patients using ITB therapy and serves as an expert in the care and management of ITB pumps. Helps develop a detailed educational program for the patients and lead the quality and safety initiative for the program. • Serves as clinical expert regarding rehabilitation nursing while demonstrating a high level of autonomy and expert skill in complex clinical nursing situations. • Provides management services for clinical research study projects; monitors participating subjects, including medication administration and family/patient education. • Works in accordance with established departmental policies and procedures, objectives, quality assurance programs, and safety, environmental and infection control standards. • Regularly participates in constant quality improvement and process improvement activities centered on the goal of providing exceptional, evidence-based patient care. • Enhances professional growth and development through educational programs, current literature, in-service meetings and workshops. • Contributes to the advancement of the rehabilitation nursing profession as a whole through research, publications, and presentations. • Performs other duties as assigned.
Working Conditions: Job Location/Working Conditions • Normal office environment
• Exposure to blood-borne pathogens
• Exposure to chemicals
• Requires protective devices
• Dust, dirt, grease or other disagreeable elements
• Patient care setting
• Direct patient care setting
Physical Effort • Typically sitting at desk or table
• Typically standing or walking
• Typically bending, crouching, stooping
• Using tools requiring high dexterity
• Occasional lifting (25 lbs or less)
Equipment • Office equipment
• Lab/research equipment
• Clinical/diagnostic equipment
The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.
Required Qualifications
Education: Master's degree Certifications /Professional Licenses : The list below may include all acceptable certifications, professional licenses and issuers. More than one credential, certification or professional license may be required depending on the role.
Basic Life Support - American Heart Association, Basic Life Support - American Red Cross Work Experience: No specific work experience is required for this position. Skills: Not Applicable Driver's License: A driver's license is not required for this position.
More About This Job We are seeking a dedicated NP or PA to join our team. Below are additional requirements and information based on each role:
Required Qualifications:
Nurse Practitioner • Master of Science in Nursing with emphasis in the Nurse Practitioner program. • Advanced Practical Nurse licensure (or ability to successfully obtain licensure within three months of date of hire). • Certain/additional certifications may be necessary based on area of specialty. • Basic Life Support certification (Online Basic Life Support certifications, those without a skills assessment component, are not sufficient to meet the Basic Life Support requireme
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