Nurse Practitioner – Orthopedic Spine -Waco

Nurse PractitionerNo weekendsFull-Time Physician-Supervised State

Compensation

Pay not listed

The week · per this posting · Monday – Friday

Ask the employer about the pay range, call expectations, nights and shift pattern and time off.

Posted 1mo ago

Job Description

Baylor Scott & White Medical Center – Hillcrest is seeking an experienced Nurse Practitioner to join our team in Waco, Texas.

This is an opportunity to join a collaborative surgical practice providing comprehensive care throughout the patient journey, including pre-operative evaluations, post-operative management, outpatient clinic visits, and surgical support. The ideal candidate will have prior surgical experience and a passion for delivering high-quality, patient-centered care alongside an experienced physician team.

With dedicated operating room time, a structured clinic schedule, and the resources of one of Texas’ largest healthcare systems, this position offers the opportunity to build a rewarding surgical practice while making a meaningful impact for patients throughout Central Texas.

About Baylor Scott & White Medical Center – Hillcrest

Baylor Scott & White Medical Center – Hillcrest is a full-service community hospital and part of Baylor Scott & White Health, one of the largest not-for-profit healthcare systems in Texas. Serving Waco and surrounding Central Texas communities, the hospital provides comprehensive inpatient, outpatient, surgical, and emergency care across a wide range of specialties, including neurosurgery, urology, sports medicine, and plastic and reconstructive surgery.

Hillcrest serves as a key regional referral center and offers advanced clinical services supported by a broad primary care and specialty network. The hospital is recognized for nursing excellence through Magnet® designation and plays an important role in supporting coordinated care across the region.

About Waco, Texas

Located along the Brazos River between Dallas and Austin, Waco offers a blend of small-town charm and growing urban amenities. The community has a strong academic presence, a diverse economy, and a revitalized downtown district.

Residents enjoy access to outdoor recreation, including parks and trails along the Brazos River, as well as museums, local dining, and cultural attractions. Waco offers a balanced lifestyle with affordability, community connection, and convenient access to major Texas cities.

Position Highlights

  • Join an established surgery practice
  • Four days of operating room responsibilities each week
  • One dedicated clinic day with approximately 20 patients
  • Collaborative physician and APP team environment
  • Provide comprehensive pre-operative and post-operative care
  • Prior surgical experience required

Schedule: Monday- Friday 8a-5p

  • Outpatient/Inpatient
  • 20 patients per day

Benefits

Our benefits are designed to help you live well professionally, financially, and personally. Eligible employees may receive:

  • Immediate eligibility for health and welfare benefits
  • 401(k) savings plan with dollar-for-dollar match up to 5%

Tuition Reimbursement

Benefits may vary based upon position type and/or level.

The Nurse Practitioner – Surgical Specialty provides direct patient care within the scope of practice established by the supervising physician. This role supports surgical patients through evaluation, treatment planning, procedures, and follow-up care in both outpatient and hospital settings.

Responsibilities Include

  • Performing comprehensive patient assessments, medical histories, and physical examinations
  • Developing evidence-based treatment plans and coordinating patient care
  • Ordering and interpreting laboratory and diagnostic studies
  • Prescribing medications and treatments within scope of practice
  • Providing pre-operative and post-operative care
  • Performing procedures appropriate to training, experience, and delegated privileges
  • Collaborating with physicians and multidisciplinary teams to optimize patient outcomes
  • Educating patients and families regarding diagnoses, treatment plans, medications, and recovery

Qualifications

  • Education
  • Graduate of an accredited Nurse Practitioner program

Experience

  • One or more years of Nurse Practitioner experience
  • Prior surgical experience required

Licensure & Certifications

  • Current Texas RN license or RN license with compact privilege
  • Current Texas APRN license
  • Current Nurse Practitioner certification appropriate to the patient population
  • Basic Life Support (BLS) certification within 30 days of hire or transfer

Our Core Values

At Baylor Scott & White Health, we serve faithfully, never settle, work together, and make an impact by doing what is right for our patients, our communities, and each other.

Belonging at Baylor Scott & White Health

We believe that all people should feel welcomed, valued, and supported. We are committed to fostering an inclusive environment where our employees, patients, and communities can thrive.

Key Responsibilities

The Nurse Practitioner will provide comprehensive pre-operative and post-operative care within a surgical spine practice. Responsibilities include performing patient assessments, developing treatment plans, and providing surgical support in both clinic and operating room settings.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Orthopedic spine carePre-operative evaluationPatient assessmentDiagnostic study interpretationMedication prescriptionPatient educationClinical documentationMultidisciplinary collaborationSurgical assistance

Orthopedic Surgery — Nurse Practitioner Career Context

Of the 50 active Orthopedic Surgery listings this role was benchmarked against, 16% are remote, 58% have no call, 72% require no weekends.

Orthopedic Surgery pay on WeekdayDoc is up 16.1% vs. the prior quarter (through Sep 2026).

The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)). 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states.

Top Nurse Practitioner Jobs

42 matches · ranked by pay

Salary Distribution39 jobs · 38 employers

6
<$135k
19
$135k-165k
10
$165k-195k
2
$206k
2
$225k+

Annual compensation range

Benefits & Perks33 jobs

401k / retirement match
91% this job
CME allowance
48%
Sign-on bonus
39%
Relocation assistance
9%
Loan repayment
3%

Share of similar jobs offering each benefit

#1

Charge Clinician (NP, PA, CNM) - Central Los Angeles, CA

Planned Parenthood Los Angeles · Los Angeles, California

$110-$115/hr
#2

Physician Assistant/Nurse Practitioner, Orthopaedics- Full time

Beth Israel Lahey Health · Chestnut Hill, Massachusetts

$230k
#3

PRN Nurse Practitioner

$150k-$206k
#4

VSP Nurse Practitioner

$150k-$206k
+ 40 more · ranked by pay

Work-life snapshot

median 5.1this job 1.5
Below most Orthopedic Surgery (NP) listings for work-life

Listing-based score, 0–10, across 130 comparable listings. Shaded area = the share scoring below this one.

  • No weekends
  • On-site

Living in Woodway

Typical 3-bedroom home value
$299k
Typical market rent
$1,647/mo
Residents’ average commute
19 min
Metro price indexU.S. average = 100
92.5
State income tax
None
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Waco, TX metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.

Baylor Scott & White Health logo

About Baylor Scott & White Health

Hospitals and Health Care
Dallas, Texas
10,000+ employees

Benefits & Perks

Immediate eligibility for health and welfare benefits
401(k) savings plan with dollar-for-dollar match up to 5%
Tuition reimbursement