Fredericksburg Orthopaedic Associates, P.C. (FOA) is a leading multispecialty orthopedic practice serving the Fredericksburg region through a partnership with Mary Washington Medical Group (MWMG). FOA provides orthopedic physician and advanced practice provider services throughout the service area and supports orthopedic urgent care operations through dedicated APP coverage.

We are seeking a full-time *Advanced Practice Provider (Physician Assistant or Nurse Practitioner)* to join our growing Orthopedic Urgent Care team. This position offers the opportunity to practice independently while collaborating closely with orthopedic surgeons and APP colleagues to provide timely, high-quality musculoskeletal care.

*Position Summary*

The Orthopedic Urgent Care APP is responsible for evaluating, diagnosing, and treating patients presenting with acute orthopedic injuries and musculoskeletal conditions in an outpatient urgent care setting. The APP will provide comprehensive care, coordinate follow-up treatment, and facilitate appropriate referrals within the orthopedic practice.

This position is primarily based in Orthopedic Urgent Care and may also support orthopedic clinic operations, physician practices, and related orthopedic services as operational needs require. FOA Advanced Practitioners provide on-site coverage for MWMG-affiliated outpatient orthopedic urgent care facilities within the service area.

*Schedule*

* Full-Time
* Flexible schedule including evenings, weekends, and holidays as needed
* Opportunities for additional shifts based on operational demand

*Essential Responsibilities*

*Clinical Care*

* Evaluate and treat patients with acute orthopedic and musculoskeletal conditions, including:
* Fractures
* Sprains and strains
* Sports injuries
* Joint pain
* Back and neck pain
* Work-related injuries
* Minor lacerations and wound concerns
* Postoperative concerns requiring urgent evaluation
* Obtain comprehensive histories and perform focused physical examinations.
* Develop differential diagnoses and treatment plans.
* Order and interpret diagnostic studies, including:
* X-rays
* MRI studies
* CT scans
* Laboratory testing when indicated
* Perform office-based procedures within scope of practice, including:
* Fracture management
* Splinting and casting
* Bracing
* Joint aspirations and injections
* Wound care
* Removal of sutures or staples
* Determine when consultation or referral to an orthopedic surgeon is appropriate.
* Coordinate timely follow-up appointments with orthopedic specialists.

*Patient Education*

* Educate patients regarding diagnosis, treatment options, activity restrictions, rehabilitation expectations, and return-to-work recommendations.
* Provide instructions regarding medications, home care, bracing, casting, and follow-up treatment plans.

*Care Coordination*

* Collaborate with orthopedic surgeons, APPs, therapists, radiology staff, nurses, and support personnel.
* Coordinate referrals to physical therapy, occupational therapy, imaging, surgical evaluation, and other specialty services.
* Assist with patient triage and urgent orthopedic consultations.

*Documentation and Compliance*

* Document accurately and thoroughly within the electronic medical record.
* Complete coding and documentation requirements in a timely manner.
* Comply with all regulatory, accreditation, organizational, and clinical standards.

*Additional Responsibilities*

Depending on operational needs, physician assignment, and individual qualifications, the APP may:

* Support orthopedic clinic operations.
* Assist with preoperative and postoperative patient management.
* Participate in outreach or community-based orthopedic initiatives.
* Support orthopedic service-line growth and access initiatives.
* Provide coverage at multiple orthopedic urgent care locations within the service area. FOA's orthopedic services include facilities located in Fredericksburg, Spotsylvania, and Stafford.

*Qualifications*

*Education*

*Physician Assistant*

* Graduate of an accredited Physician Assistant program.

*Nurse Practitioner*

* Graduate of an accredited Nurse Practitioner program (Master's or Doctoral degree).

Required Licensure and Certification

* Current Virginia license or eligibility for Virginia licensure.
* Current national certification applicable to profession.
* DEA registration or eligibility to obtain.
* Basic Life Support (BLS) certification.

Preferred Qualifications

* Orthopedic experience.
* Orthopedic urgent care experience.
* Sports medicine experience.
* Emergency medicine experience.
* Prior experience independently evaluating musculoskeletal conditions.
* Experience with fracture management, splinting, casting, and orthopedic procedures.

*Ideal Candidate*

The successful APP will demonstrate:

* Strong musculoskeletal assessment skills.
* Ability to work independently in a fast-paced urgent care environment.
* Excellent communication and patient-education skills.
* Strong clinical judgment and decision-making abilities.
* Collaborative team-based approach to patient care.
* Commitment to exceptional patient experience and access.

*Compensation and Benefits*

FOA offers:

* Competitive compensation (Experienced based Salary + Annual performance bonus + additional compensation for extra shifts worked in Ortho Urgent Care when needed)
* Comprehensive benefits package
* Paid time off
* Continuing medical education support
* Professional development opportunities
* Collaborative physician and APP support
* Relocation assistance for qualified candidates

About FredericksburgLocated midway between Washington, D.C., and Richmond, Fredericksburg offers excellent schools, rich history, outdoor recreation, and a high quality of life while maintaining convenient access to major metropolitan areas.

*Job Type:* Full-Time
*Position:* Advanced Practice Provider (PA or NP)
*Specialty:* Orthopedic Urgent Care
*Setting:* Outpatient Orthopedic Urgent Care

Grounded in orthopedic urgent care coverage responsibilities provided by FOA Advanced Practitioners under the Professional Services Agreement.

Pay: From $125,000.00 per year

Benefits:
* Dental insurance
* Health insurance
* Health savings account
* Paid time off
* Professional development assistance
* Relocation assistance
* Retirement plan

Work Location: In person