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Garnet Health
Middletown, New York

Surgical APP - NP with RNFA or PA (Trauma & OB shifts)

Nurse PractitionerIncludes callIncludes weekendsFull-Time Physician-Supervised State

Listed compensation

$119K–$141K /yr

The week · per this posting · weekdays assumed

Ask the employer about the work setting and time off.

Posted 1mo ago

Job Description

At Garnet Health, the Hudson Valley’s leading integrated health system, you’ll find the perfect balance of a satisfying career and a rewarding lifestyle.

Our focus is on patient-centric care with a collective of visionary leaders and dedicated and caring professionals working as a team to deliver the best for the people we serve.

If you’re interested in a health system that’s both growing and award-winning, serving a diverse community that provides the best of both city and rural life, we invite to make your career home with us as a Surgical Physician Assistant or NP First assist on our Surgicalist team at Garnet Health.

Responsibilities

The Surgical Advanced Practice Provider position is primarily focused on clinical management, favorable impact on quality of care and is responsible to participate in all aspects of care of the Trauma and Surgery patient including physical exams and treatment of illness.

Surgical Advanced Practice Providers will function in all areas of the pre/ peri and post-operative environment including pre-admission, test review, intra-operative first assisting, PACU care, SICU care, step-down unit and other areas designated.

Surgical Advanced Practice Providers will use a variety of skills to educate, consult and manage the Trauma or Surgery patient population and assist the patient/family, the patient care team and physicians.

They will work collaboratively with the health care team including Trauma and Surgery physicians, anesthesiologists, other physicians involved in the trauma or surgery patient care, nurses, case management, physical and occupational therapy and with departments affecting the care of the Trauma or Surgery patient.

Surgical Advanced Practice Providers will act as a clinical educator working with staff on Trauma or Surgery competencies, new procedures and advanced practice skills. They will work with the Trauma Surgeons to implement necessary medical aspects of care including discharges and pain management.

The Surgical Advanced Practice Provider’s role will also include the First Assist coverage of obstetric patients undergoing cesarean sections in the Labor & Delivery ORs, weekend and night call and cross-campus coverage.

Salaries shown on independent jobs related websites reflect market averages and do not represent information obtained directly from Garnet Health System. We invite and encourage each candidate to discuss salary / hourly specifics during the application and hiring process.

Garnet Health System provides a compensation range to comply with the New York State law on Salary Transparency in Job Advertisements. The range for the role is $119,134 to $140,933 annually.

The range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

When determining a team member’s compensation and/or rate, several factors may be considered as applicable (e. g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Qualifications

Minimum Education

Minimum Experience:

Required Certification/Registration

Physician Assistant

  • Graduate of an Accredited Physician’s Assistant Program required.
  • Current Physician’s Assistant Licensure in New York State required.

Successful completion and maintenance of National Commission on Certification of Physician Assistants required.

Supervising Practice Agreement with the Medical Director of the APP and FA or the Trauma Program or their designee within the scope of practice of such supervising physician required.

Current BLS &/or ACLS & PALS Certifications required. ACLS can be accepted in lieu of BLS. ATLS Certification preferred- will be required within 1 year of hire.

  • Current Opioid Prescriber Training Certificate required.
  • Current Infectious Certificate required.

Nurse Practitioner

  • Graduate of an accredited Nurse Practitioner Program (Adult, Acute Care, Family)
  • RNFA certification or successful completion of RNFA program with certification to be obtained within one year of hire

Current ANP Licensure in New York State

Successful completion and maintenance of Board Certification as a practitioner from the ANCC or the AANP within one year of hire

Collaborative Practice Agreement with the Chief Medical Officer, Medical Director of the Trauma Program or their designee within the scope of practice

Current BLS and/or ACLS & PALS Certifications required. ACLS can be accepted in lieu of BLS. ATLS Certification preferred – will be required within 1 year of hire.

Active and unrestricted DEA Certificate

Physical Requirements

Stands, walks, sits intermittently throughout the day. Lifts, pushes, pulls light to heavy weights as required.

Working Conditions: Environmental Demands and Exposure to Hazards: Works primarily inside and may occasionally work outdoors. Frequent contact with various Garnet Health staff, sales representatives, employees and community members.

May be exposed to odors, chemical agents, dust, fumes, gases, sharp objects, hazardous or moving equipment, wet slippery floors, and extremes in temperature and humidity. Physical Demands: Demonstrates physical and functional ability to perform full anatomical range of motion to accomplish tasks.

Evidence of visual and aural acuity and finger and hand dexterity to operate computer and office equipment. Can withstand long periods of sitting, standing and/or constant walking. Ability to lift and carry up to 40 lbs and push over 75 lbs.

Other physical requirements include the ability to bend, kneel, crouch, twist, balance and reach above, out and below. Mental Demands: Ability to foster collaborative relationships, to work well under pressure, to organize and synthesize new information, and prioritize tasks.

Possesses critical thinking, analytical skills and flexibility. Ability to multi-task. Required detailed attention to work in an environment where interruptions cannot be controlled. Demonstrates sensitivity to customer needs and expectations.

May be subject to irregular hours including evenings or potentially weekends to participate in operational and community events as necessary.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Certifications

ATLS (preferred)DEA License

Key Skills

Trauma careSurgical first assistingPatient assessmentTreatment planningCollaborationPatient educationElectronic health recordsSurgicalist supportObstetric surgical assistance

Surgery — Nurse Practitioner Career Context

Of the 50 active Surgery listings this role was benchmarked against, 20% are remote, 60% have no call, 70% require no weekends.

The cost-of-living index for New York is 107.9 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$130k midpoint carries the purchasing power of roughly $121k in an average-cost state. 64.6% of New York clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Surgery NP by the numbers
MeasureThis jobMarket
Listed pay$119k–$141kSurgery NP median $167k (middle half $167k–$171k)53 comparable listings, Nov 2026
Cost-of-living adjusted pay~$121k in purchasing powerNew York index 107.9 (US = 100)BEA Regional Price Parities (2024)
Surgery NP listings in New York27 active337 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 20% remote · 60% no call · 70% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedNew York nurse practitioner listings (all specialties): 10% state a sign-on bonus (median $10k) · 10% offer loan repayment1,000 active listings, Nov 2026
Surgery NP hiring demand#6 of 19 specialtiespostings stay open a median 40 days · 6% state a sign-on bonusWeekdayDoc Hiring Index, October 2026 · 102 postings, 209 closed
New Surgery NP listings96 in the last 30 days103 the 30 days before (−7%)U.S., first seen on WeekdayDoc, Nov 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024), WeekdayDoc Hiring Index; as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Nurse Practitioner Jobs

31 matches · ranked by pay

Salary Distribution

31 jobs · 23 employers
10
<$155k
10
$155k-175k
5
$175k-195k
5
$195k-215k
1
$225k

Annual compensation range

Benefits & Perks

26 jobs · 23 employers
401k / retirement match
92%
CME allowance
42%
Sign-on bonus
38%
Loan repayment
15%
Relocation assistance
4%

Share of similar jobs offering each benefit

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Clinic Director - Physician Assistant (PA-C) or Nurse Practitioner (NP)

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+ 29 more · ranked by pay

Work-life snapshot

median 3.9this job 2.4
Better work-life than 20% of Surgery (NP) listings

Listing-based score, 0–10, across 289 comparable listings. Shaded area = the share scoring below this one.

  • Includes call
  • Includes weekends

Living in Middletown

Typical 3-bedroom home value
$407k≈ 3.4× annual pay
Typical market rent
$2,442/mo≈ 25% of gross pay
Residents’ average commute
36 min
State income tax
Up to 10.9%
Sources & methodology

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

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.