Advanced Practice Provider - Nurse Practitioner or Physician Assistant

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About the role

Shriners Children's Northern California is seeking a compassionate and highly motivated Nurse Practitioner or Physician Assistant to join our multidisciplinary Spina Bifida Program in a PRN capacity.

This unique opportunity allows an advanced practice provider to work alongside specialists in Urology, Neurosurgery, Physical Medicine & Rehabilitation (PM&R), and other disciplines to provide comprehensive care for children with spina bifida and other complex neuromuscular conditions.

The APP will participate in multidisciplinary outpatient clinics and provide inpatient support, managing approximately six patients per half-day clinic session and one to two inpatients during designated coverage periods.

This position is based exclusively at Shriners Children's Northern California and does not require call, weekend, holiday, or after-hours coverage. Coverage needs are primarily focused on Tuesdays from 8:00 a.m. to 4:30 p.m., with occasional Wednesday clinic coverage. In addition, the provider will support inpatient Spina Bifida services one week per month, Monday through Friday from 8:00 a.m. to 12:00 p.m. At minimum, candidates must be available to provide Tuesday clinic coverage and morning inpatient coverage during the designated week each month.

The hourly compensation range for this position is $78.33 to $110.59 per hour. Placement within the range is determined by factors including relevant advanced practice experience, specialized clinical expertise, and internal equity considerations.

Key Responsibilities

• Conduct comprehensive and age-appropriate health assessments, histories, and physical exams.
• Formulate differential diagnoses and develop care plans in coordination with supervising physicians and the care team.
• Manage care for specialty populations including orthopedic and neuromuscular patients.
• Provide pre-operative and post-operative evaluations and ongoing management in both inpatient and ambulatory surgical environments.
• Order and interpret diagnostic imaging, lab work, and other tests as permitted by licensure and protocol.
• Perform routine procedures and assist in specialty surgical cases within the scope of licensure.
• Prescribe medications and therapeutic interventions consistent with the scope of practice and Shriners Children's policies.
• Participate in multidisciplinary clinics and care conferences to support coordinated, integrated care.
• Educate patients, caregivers, and staff on disease processes, treatment plans, and home care strategies.
• Document clinical findings, treatment plans, and patient responses using the electronic health record (EHR).
• Support quality improvement, patient safety, and research initiatives as appropriate to the role.
• Provide mentorship or precepting to clinical staff or trainees as assigned.
• Maintain compliance with hospital, state, and federal regulations, including infection control and documentation standards.
• Perform additional duties within the scope of licensure as assigned to support patient care and organizational goals.
• Maintain all professional licensure, certifications, and mandatory training in compliance with state and organizational requirements.
• Maintain accountability for meeting established productivity benchmarks (e.g. wRVUS), quality metrics, and institutional performance standards
• Ensure time is allocated in accordance with assigned clinical, surgical, administrative, and academic expectations.

Required Qualifications

If Physician Assistant

• Master of Physician Assistant Studies (or equivalent degree) from an accredited Physician Assistant program
• Current, unrestricted Physician Assistant license in the state of practice
• Certification by the National Commission on Certification of Physician Assistants (NCCPA)

If Nurse Practitioner

• Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) from an accredited Nurse Practitioner program
• American Nurses Credentialing Center (ANCC), American Association of Nurse Practitioners (AANP), or equivalent board certification in applicable specialty area, such as Pediatric Nurse Practitioner (CPNP-AC, CPNP-PC) or Family Nurse Practitioner (FNP)
• Current, unrestricted Registered Nurse (RN) and Advanced Practice Registered Nurse (APRN) license in the state of practice

Both

• Must possess eligibility for active DEA
• Must possess Basic Life Support for Healthcare Providers (BLS for HCP). Pediatric Advanced Life Support (PALS) certification may be required based on clinical assignment
• Credentialing and privileging by the medical staff in accordance with hospital bylaws
• 2+ years of advanced practice clinical experience in a pediatric or pediatric specialty setting preferred. Recent graduates will be considered based on previous experience, training and clinical exposure.
• Experience with pediatric orthopedic, spinal, or craniofacial patient populations preferred
• Strong pediatric assessment and clinical decision-making skills.
• Familiarity with pediatric specialty protocols and post-surgical care.
• Excellent communication and interpersonal skills to engage effectively with patients, families, and care teams.
• Proficient in EHR systems and clinical documentation.
• Demonstrated commitment to patient safety, family-centered care, and trauma-informed practice.

Compensation is determined based on years of relevant experience and departmental equity.