Advanced Practice Provider · Nurse Practitioner or Physician Assistant

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Shriners Children's Hawaii is seeking a PRN Advanced Practice Provider (Nurse Practitioner or Physician Assistant) to join our pediatric orthopedic team. This position provides an excellent opportunity to practice in a collaborative, mission-focused environment dedicated exclusively to caring for children. The APP will work closely with pediatric orthopedic surgeons and other members of the care team to provide high-quality clinical care across both the outpatient clinic and inpatient settings.

The APP will primarily support pediatric orthopedic outpatient clinics and the inpatient floor, caring for children with a variety of musculoskeletal conditions. A significant portion of the practice involves evaluating and managing acute injuries, including walk-in fracture patients. The APP will conduct comprehensive assessments, develop treatment plans, coordinate follow-up care, provide patient and family education, order and interpret diagnostic studies, and collaborate with physicians and ancillary staff to ensure exceptional patient outcomes.

This role offers a balance of autonomy and support. APPs will be expected to independently evaluate and manage straightforward orthopedic injuries, including simple fractures, while working in close collaboration with pediatric orthopedic surgeons who are readily available for consultation and guidance. Experience with casting and splinting is preferred; however, training can be provided for an otherwise qualified candidate who demonstrates a strong interest in orthopedic practice.

The schedule is based on departmental needs, with coverage primarily occurring during weekday clinic hours from 9:00 a.m. to 7:00 p.m. Saturday clinic coverage will be expected 2-3 times per month. APPs can generally expect five to seven days' notice when shifts are available. There is no minimum shift commitment required to maintain PRN status, providing flexibility for qualified candidates seeking supplemental clinical opportunities.

Candidates with at least two years of advanced practice experience are strongly preferred. Experience in pediatric orthopedics, orthopedics, sports medicine, emergency medicine, urgent care, or a related clinical specialty is highly desirable. The ideal candidate will possess strong clinical judgment, excellent interpersonal and communication skills, and a demonstrated commitment to delivering compassionate, family-centered care in a collaborative pediatric healthcare environment.

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, spinal, 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.

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

• 2+ years of pediatric advanced practice experience is strongly preferred.
• Experience in pediatric orthopedics, orthopedics, sports medicine, emergency medicine, urgent care, or a related clinical specialty is highly desirable.
• 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
• 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.