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Orthopedics, Specialty Nurse Practitioner or Physician Assistant Ortho Hand (NP/PA)

Inova Health System
parental leave, paid time off
United States, Virginia, Leesburg
Oct 21, 2025

Inova Orthopedics is seeking a dedicated and skilled Specialty Nurse Practitioner or Specialty Physician Assistant (NP/PA) to join our Ortho Hand specialty team. This outpatient-focused position offers opportunities to work with a collaborative team on upper extremity related orthopedic conditions.


Inova Orthopedic Services leads the Northern Virginia and Washington, DC metro area in helping people with arthritis, orthopedic illness, trauma or injury to regain their active lifestyles. Our ortho specialties include groundbreaking, minimally invasive procedures to treat musculoskeletal diseases and injuries, including state-of-the-art joint replacement.


Featured Benefits:



  • Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
  • Retirement: Inova matches the first 5% of eligible contributions - starting on your first day.
  • Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
  • Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
  • Work/Life Balance: offering paid time off, paid parental leave, and flexible work schedules.


Job Responsibilities:



  • Perform focused clinical evaluations for patients with upper extremity and hand conditions (e.g., fractures, tendon injuries, carpal tunnel syndrome, arthritis, lacerations)
  • Obtain comprehensive patient histories and perform detailed physical exams specific to hand and wrist anatomy and function
  • Order and interpret diagnostic studies such as X-rays, MRIs, CTs, and EMG/nerve conduction studies
  • Develop and implement non-operative treatment plans, including splinting, casting, steroid injections, and therapy referrals
  • Assist in the operating room for hand and upper extremity procedures (e.g., tendon repairs, fracture fixation, nerve decompressions) as first or second assist
  • Manage pre-operative and post-operative care, including wound care, dressing changes, suture/staple removal, and post-op follow-ups
  • Educate patients and families on diagnoses, treatment plans, post-surgical care, and rehabilitation expectations
  • Collaborate closely with orthopedic hand surgeons, therapists, and other specialists to ensure coordinated, high-quality care
  • Document all clinical encounters, procedures, and care plans accurately in the electronic medical record
  • Monitor patient progress and modify treatment as needed in consultation with supervising physician(s)
  • Participate in care team meetings, case discussions, and quality improvement initiatives
  • Stay current with evidence-based practices in hand surgery, orthopedics, and rehabilitation
  • Ensure compliance with hospital policies, regulatory standards, and APP scope-of-practice guidelines


Additional Requirements



  • Work Schedule: Full-Time
  • Education: Mastersin Advanced Clinical Practice or graduate of a post masters certificate program for nurse practitioners, OR certificate from an education program that is accredited by the Council of Nurse Anesthesia Educational Programs/Schools, American College of Nurse Midwives, American Association of Colleges of Nursing of the National League for Nursing. For physician Assistants, graduate of an accredited Physician Assistant program and certification by National Commission on Certification of Physician Assistants.
  • Experience: No experience required.
  • Certification: Basic Life Support (BLS) upon start
  • Licensure: Licensed Physician Assistant or Nurse Practitioner; If Nurse Practitioner: RN Compact License(depending on State of primary residence) AND a license (or eligibility for) as a nurse practitioner or physician assistant in the Commonwealth of Virginia AND a "Practice Agreement" signed by sponsoring/ supervising physician(s), AND a written "Scope of Practice/Protocol" signed by the supervising physician, AND "Drug Enforcement Administration License" (if prescribing controlled substances)
  • Payer Credentialing: Ability to successfully complete the credentialing process by third-party payors and Ability to enrolled as a CMS Medicare/Medicaid payor
  • Medical Staff Credentialing: Successful completion of credentialing for Medical Staff membership and appropriate clinical privileges sufficient to perform all required services


Preferred Qualifications:



  • 1 year or more experience in Hand Orthopedics.

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