Proliance Surgeons logo
Proliance Surgeons
Kirkland, Washington

Surgical First Assist (PA-C or RNFA)

Physician AssistantNo callNo weekendsPer Diem

Listed compensation

$48.24-$86.83/hr

The week · per this posting · Monday – Friday

Ask the employer about the work setting, nights and shift pattern and time off.

Posted 1mo ago

Job Description

At Proliance Surgeons our patients come from all walks of life — and so do we. We hire and support people from diverse backgrounds, fostering growth and development to make Proliance a great place to work. Our unique experiences and perspectives help us deliver Exceptional Outcomes, Personally Delivered.

We are proud to offer a comprehensive and competitive benefit and pay package including health coverage, 401k with match and profit share, PTO and more! For further details regarding Benefits and Washington State Minimum Wage details please visit our careers page at proliancesurgeons.com. Compensation during the offer process will be determined based on factors such as compensation structure, experience, qualifications, and internal equity. Be Part of Who We Are!

Position Summary

The certified Physician Assistant is a critical part of our team of committed, self-motivated people who provide critical services to promote and maintain our service, care, and our values.

The role of the Proliance certified Physician Assistant is well-rounded, ideal for a self-motivated person who wants to maximize their skill set and expand their clinical knowledge. In this role, you will act as first assistant in the ASC operating room and provide clinic-based care and post-operative care; and may provide surgical assistance in the hospital OR, and/or perform rounding on patients within the hospital.

  • Location: Proliance ProOrtho (Kirkland, WA)
  • Facility Schedule: Monday through Friday
  • Hours per week: per diem or part-time

Overview

PA or RNFA that is interested in assisting on surgical cases for a busy orthopedic surgical practice. This is primarily a surgical assist role in the OR with occasional rounding on hospital patients. No regular time seeing patients in an ambulatory clinical setting will be required. There is opportunity to participate, however, in a weekend walk-in urgent care clinic for additional compensation.

Key Duties and Responsibilities

  • The key duties and responsibilities of the Physician Assistant include, but are not limited to:
  • Greeting/ identifying patient & completing and documenting an accurate history and physical examination of patients; may include moving and positioning patients
  • Conducting comprehensive or episodic health assessments and developing patient care plans
  • Ordering and interpreting tests, treatments, and therapies, within the scope of practice
  • Prescribing medications, diet, supplies, prosthetic devices, and other home health aides according to clinical privileges

Administer And/or Inject Medications

  • Wound care; apply or remove casting, splinting, wound dressing; suture and staple removal, etc.
  • Instruct and counsel patients regarding the total treatment plan & therapeutic regimes
  • Providing clear, concise, and accurate information regarding patient care in the medical record
  • Obtain/maintain technical familiarity and proficiency for specific surgical procedures prior to their performance
  • Remain proficient in the utilization of commonly used clinical protocols and guidelines

Assist in Surgical Procedures

  • Hospital rounds, including patient care, charting & all paperwork/documentation, and interacting with the patient and family/care givers, staff, consultants, and discharge planners.
  • OPTIONAL Primary or secondary trauma call coverage
  • OPTIONAL Emergency Room: includes evaluating and treatment of patients

Answering Service Coverage and Responsibilities

  • The ability to initiate Basic/Advanced life support in response to emergency situations.
  • Provides education to patients, families, and significant others using established education materials
  • May provide other clinical duties within the scope of practice as directed under a patient’s care plan
  • Advocates for patients, families, co-workers, the community, and the health care profession
  • Integrates evidence-based knowledge and clinical expertise in decision-making
  • Seeks experiences and formal and independent learning activities to maintain and develop clinical and professional skills and knowledge
  • Establishes an effective relationship with the supervising physician

Complete Duties and Assist Others as Directed

  • Must follow all policies as introduced during new associate On-Boarding, updated real-time and outlined in Associate Handbook
  • Education/Experience
  • Graduate of accredited Physician’s Assistant Program
  • Washington State Physician Assistant License, Current
  • Current Certification as a physician assistant by the National Commission of Physician Assistants (NCCPA)
  • Current CPR and BLS from the American Heart Association
  • Two years prior experience in surgery preferred
  • Knowledge, Skills and Abilities
  • Advanced physical assessment and critical thinking skills required
  • Ability to listen, interact and communicate verbally and in writing
  • Required: Comprehensive knowledge of surgical procedures, techniques, Standards of Care, instrumentation, equipment, and supplies as they directly correlate to the specialty.

Superior Customer Service Skills

Great interpersonal skills; demonstrating patience, composure and cooperation; working well with all patients, physicians and staff.

Advanced understanding of and adherence to all safety, risk management and precautionary procedures, including the consistent respect for confidentiality (HIPAA)

  • Using time efficiently, with meticulous attention to detail, accuracy and completion
  • Ability to manage multiple factors for the best result.
  • Resourcefulness in addressing first level problems and tenacity to see things through to solution
  • Ability to remove oneself personally from given situations, remaining objective
  • Able to adapt to change, delays or unexpected events while maintaining a positive mindset
  • Clear oral and written communication

Ability to Provide Feedback to Improve Performance

Self-motivated; able to work following specific guidelines and in accordance with detailed instructions; measure self against standard of excellence, overcome obstacles and challenges with little supervision

Work Environment/Physical Demands

The work environment/physical demands described here are representative of those that must be met by a teammate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable differently abled persons to perform the essential functions.

Key Responsibilities

The Physician Assistant acts as a first assistant in the operating room and provides post-operative care and hospital rounding. They are responsible for conducting health assessments, ordering tests, prescribing medications, and documenting patient care.

Requirements

Candidates must be graduates of an accredited Physician Assistant program with a current Washington State license and NCCPA certification. Two years of prior surgical experience is preferred, along with proficiency in surgical procedures and instrumentation.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Patient assessmentSuturingMedication administrationElectronic medical recordsBasic life support

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Surgical First Assist (PA-C or RNFA) at Proliance Surgeons a 6.6 out of 10 for work-life balance — classified as good. This places the position in the top 25% in Orthopedic Surgery (PA) — ranked against 317 active Orthopedic Surgery (PA) listings on WeekdayDoc. Contributing factors include no on-call duties, no weekend requirements.

Orthopedic Surgery — Physician Assistant Career Context

Proliance Surgeons holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 71/100, 32 active listings.

Of the 40 active Orthopedic Surgery listings this role was benchmarked against, 50% have no call, 48% require no weekends.

Orthopedic Surgery pay on WeekdayDoc is up 1.2% vs. the prior quarter (through Sep 2026).

The cost-of-living index for Washington is 107.0 (US average = 100; BEA Regional Price Parities (2024)). 59.8% of Washington clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

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

Top contract/1099 Physician Assistant Jobs

40 matches · ranked by pay

Salary Distribution26 jobs

11
<$175k
5
$175k-195k
7
$195k-215k
3
$215k-235k

Annual compensation range

Benefits & Perks29 jobs · 28 employers

CME allowance
69%
401k / retirement match
69% this job
Sign-on bonus
28%
Loan repayment
14%
Relocation assistance
14%

Share of similar jobs offering each benefit

#1

Physician Assistant, Vascular Surgery, (Greenbrae), Part-Time, (20 Hour Week), Days

Marin Health · Greenbrae, California

$92.96-$127.12/hr
#2

Physician Assistant OR Nurse Practitioner PRNPer Diem

Concentra · Brentwood, California

$80-$120/hr
#3

Physician Assistant OR Nurse Practitioner PRN

$80-$120/hr
#4

Physician Assistant OR Nurse Practitioner PRN

$80-$120/hr
+ 38 more · ranked by pay

Work-life snapshot

median 3.9this job 6.6
Better work-life than 80% of Orthopedic Surgery (PA) listings

Listing-based score, 0–10, across 317 comparable listings. Shaded area = the share scoring below this one.

  • No call
  • No weekends

Living in Kirkland

Typical 3-bedroom home value
$1.12M
Typical market rent
$2,603/mo
Residents’ average commute
24 min
Metro price indexU.S. average = 100
111.1
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 · Seattle-Tacoma-Bellevue, WA metro prices. Housing figures are city-level.

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

Proliance Surgeons logo

About Proliance Surgeons

Medical Practices
Seattle, WA
501-1,000 employees

Benefits & Perks

Health coverage
401k with match and profit share
PTO
Weekend walk-in urgent care opportunity for additional compensation