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

Saint Agnes Medical Providers (SAMP) was founded in 2013 under the leadership of Dr. Stephen P. Soldo, Saint Agnes Medical Providers (SAMP) is a physician led, multi specialty medical group dedicated to delivering high quality, patient centered care.

SAMP offers comprehensive medical services through a broad range of specialties, including Cardiology, Cardiothoracic Surgery, Endocrinology, Family Medicine, Internal Medicine, Bariatrics, Colo-rectal Surgery, Obstetrics & Gynecology, Occupational Health, Orthopedic Surgery, Pediatrics, Pulmonology, Rheumatology, Surgical Services, Urgent Care, and Vascular Surgery.

SAMP is deeply committed to clinical excellence, patient safety, and quality outcomes. The medical group emphasizes evidence based care, care coordination, and continuous quality improvement, ensuring consistency and high standards across all practices. Physicians and care teams actively engage in quality initiatives, performance measurement, and best practice standards designed to enhance outcomes and the overall patient experience.

Supported by knowledgeable and compassionate care teams, SAMP clinics provide welcoming, modern facilities with convenient access and ample parking. This unwavering focus on quality, service, and compassionate care reflects SAMP’s commitment to improving the health and well being of the diverse communities we serve.

Saint Agnes Medical Center (SAMC) – Saint Agnes Medical Center's mission and values were first inspired by the Sisters of the Holy Cross who, with a staff of 32, opened the original 75-bed Saint Agnes Hospital in 1929 in downtown Fresno. We answered the Valley's need for expanded health services with our move north in 1975, and have since evolved into a 436-bed, state-of-the-art medical center campus.

As a member of Trinity Health – one of the largest multi-institutional Catholic health care delivery systems in the United States – Saint Agnes collaborates with the national system to deliver the most innovate care solutions for over 350,000 patients each year. From emergency, diagnostic, surgical and obstetrics services, to award-winning cardiovascular and orthopedic care, Saint Agnes combines the most advanced equipment and technology with the expertise of top-ranked physicians and staff to meet the Valley’s growing and diverse healthcare needs.

Saint Agnes continues to improve access to high quality care for Valley residents through nonprofit subsidiary Saint Agnes Care, offering primary, specialty and urgent care services across Fresno and Clovis.

For more than nine decades, Saint Agnes has remained faithful to its healing mission to provide the highest quality, compassionate care for the patients and families we serve.

For more information about Saint Agnes Medical Center, please visit www.samc.com.

Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. It is a family of 133,000 colleagues and more than 38,900 physicians and clinicians caring for diverse communities across 25 states. Nationally recognized for care and experience, the Trinity Health system includes 92 hospitals, 101 continuing care locations, the second largest PACE program in the country as well as many other health and well-being services. In fiscal year 2025, the Livonia, Michigan-based health system invested $2.9 billion in its communities in the form of charity care, community benefit and other programs and services. 

Our mission: We, Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities. We support this mission by living our core values of Reverence, Commitment to Those Experiencing Poverty, Safety, Justice, Stewardship, and Integrity. Committed to recruiting talented physicians, we are looking for physicians who share our values and want to help us fulfill the health care needs of the communities we serve.

At Trinity Health, we value the physician relationship and focus on partnering with our physicians. Whether you are a practicing physician looking to relocate or a medical resident, we offer opportunities with the flexibility to fit your individual needs. If you would like to be part of Trinity Health, we encourage you to explore more at www.trinity-health.org.