Hackensack Meridian Health logo
Hackensack Meridian Health
Hackensack, New Jersey

NP (RNFA) / PA (First Assist) - Orthopedic

Nurse PractitionerIncludes callIncludes weekendsFull-Time Physician-Supervised State

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about time off.

Posted 1h ago · Verified live

Job Description

The Orthopedic Physician Assistant assists, monitors, and manages the day-to-day needs of patients as requested by, in conjunction with, and under the supervision of a physician. Performs the duties and responsibilities of a Physician Assistant according to customary and generally accepted medical standards.

The Orthopedic Advanced Practice Nurse (APN) utilizes a patient-centered coordinated care model, demonstrating competencies in leadership, direct clinical practice, consultation/collaboration, coaching/guiding, research, and ethical decision-making. The APN works collaboratively with the practice/hospital team to assess, plan, and implement care for individuals with health and safety needs.

  • Job location is in Hackensack, NJ.
  • Day shift.
  • Position does include OR duties, and an RNFA (for NPs) or First Assist (for PAs) is required.
  • No weekends required.
  • No holidays required.
  • On-call committment required.

Responsibilities

Physician Assistant

1. Provide medical services under the supervision of a licensed physician, consistent with the PA's education, training and experience. 2. Performs and documents accurate, complete, and relevant history and physical assessments appropriate for the patient's age, gender, and clinical problem. 3.

Orders, performs, and interprets laboratory tests and diagnostic studies/procedures in collaboration with physicians and consultants as appropriate. 4.

Manages general medical and surgical conditions based on comprehensive knowledge of etiologies, risk factors, pathophysiology, and the indications and contraindications of pharmacologic agents and other treatment modalities. 5.

Prescribes medication safely and effectively in accordance with best practices, hospital policy, and NJ regulations, providing patient education as needed. 6.

Seeks opportunities to promote Hackensack Meridian Health (HMH) PA practice recognition (locally, nationally, and internationally) through conferences, publications, and presentations. 7.

Provides care that is patient- and family-centered, compassionate, and effective for the promotion of health and treatment of disease. 8. Practices as a healthcare provider according to the rules and regulations of the Medical Staff and bylaws as outlined in the delineation of privileges. 9.

Applies evidence-based and value-based medicine to systematically analyze and improve patient care practices and outcomes. 10. Evaluates patient/family transition of care planning, considering resource utilization, cost, quality, safety and self-management promotion for chronic conditions. 11.

Demonstrates clinical expertise through advanced assessment and procedural skills pertinent to the practice specialty. 12. Translates `best practice' into clinical practice by evaluating current protocols and standards of care. 13.

Provides culturally sensitive and educationally appropriate health management education to patients and families. 14. Facilitates consistent, coordinated care and clear communication among all members of the healthcare team through participation in daily interdisciplinary rounds. 15.

Serves as an advocate for patients and families, identifying and addressing obstacles to care progression and escalating issues as appropriate. 16. Serves as a clinical resource for the multidisciplinary team by addressing clinical, process, and system improvement opportunities. 17.

Participates in organizational and departmental meetings, committees, and workgroups as necessary. 18. Demonstrates the highest level of accountability for professional practice and adheres to ethical principles regarding patient confidentiality, informed consent, and adverse outcomes. 19.

Promotes a collaborative work environment supporting the organizational mission, behavior expectations, values, and pillars. 20. Mentors other PAs, precepts students in PA programs and participates in educational programs as a clinical expert. 21.

Identifies patient/family educational needs and collaborates to implement appropriate teaching materials. 22. Promotes innovation by integrating new clinical knowledge into practice. 23. Participates in clinical research activities and disseminates findings through practice, education, presentations, and publications.

24. Identifies ethical care issues and coordinates interdisciplinary meetings to resolve them. 25. Comply with HMH and department-specific scope of services, policies and procedures as applicable to role. 26. Adheres to all HMH infection control and safety policies. 27. Other duties and/or projects as assigned. 28. Adheres to HMH Organizational competencies and standards of behavior.

Advanced Practice Nurse

1. Performs and documents accurate, complete, and relevant history and physical assessments appropriate for the patient's age, gender, and clinical problem. 2. Orders, performs, and interprets laboratory tests and diagnostic studies/procedures in collaboration with physicians and consultants as appropriate. 3.

Manages general medical and surgical conditions based on comprehensive knowledge of etiologies, risk factors, pathophysiology, and the indications and contraindications of pharmacologic agents and other treatment modalities. 4.

Prescribes medication safely and effectively in accordance with best practices, hospital policy, and NJ regulations, providing patient education as needed. 5.

Seeks opportunities to promote Hackensack Meridian Health (HMH) APN practice recognition (locally, nationally, and internationally) through conferences, publications, and presentations. 6.

Provides care that is patient- and family-centered, compassionate, and effective for the promotion of health and treatment of disease. 7. Practices as a healthcare provider according to the rules and regulations of the Medical Staff and bylaws as outlined in the delineation of privileges. 8.

Adheres to HMH nursing protocols, standards of care, and disease-specific quality indicators. 9. Applies evidence-based and value-based medicine to systematically analyze and improve patient care practices and outcomes. 10.

Evaluates patient/family transition of care planning, considering resource utilization, cost, quality, safety and self-management promotion for chronic conditions. 11. Demonstrates clinical expertise through advanced assessment and procedural skills pertinent to the practice specialty. 12.

Completes medication reconciliations as appropriate. 13. Participate in annual APN peer review. 14. Translates `best practice' into clinical practice by evaluating current protocols and standards of care. 15.

Provides culturally sensitive and educationally appropriate health management education to patients and families. 16. Facilitates consistent, coordinated care and clear communication among all members of the healthcare team through participation in daily interdisciplinary rounds. 17.

Serves as an advocate for patients and families, identifying and addressing obstacles to care progression and escalating issues as appropriate. 18. Serves as a clinical resource for the multidisciplinary team by addressing clinical, process, and system improvement opportunities. 19.

Participates in organizational and departmental meetings, committees, and workgroups as necessary. 20. Demonstrates the highest level of accountability for professional practice and adheres to ethical principles regarding patient confidentiality, informed consent, and adverse outcomes. 21.

Collaborates with medical staff to support nursing-led protocols. 22. Mentors other APNs, precepts students in APN programs and participates in educational programs for nursing as a clinical expert. 23. Identifies patient/family educational needs and collaborates to implement appropriate teaching materials. 24.

Facilitates and participates in nursing educational programs as a clinical expert. 25. Promotes a collaborative work environment supporting the organizational mission, behavior expectations, values, and pillars. 26. Promotes innovation by integrating new clinical knowledge into practice. 27.

Participates in clinical research activities and disseminates findings through practice, education, presentations, and publications. 28. Identifies ethical care issues and coordinates interdisciplinary meetings to resolve them. 29.

Adheres to the legal framework and scope of practice defined by the NJ Division of Consumer Affairs, ensuring compliance with all applicable statutes and professional standards. 30. Comply with HMH and department-specific scope of services, policies and procedures as applicable to role. 31.

Other duties and/or projects as assigned. 32. Adheres to HMH Organizational competencies and standards of behavior.

Qualifications

Physician's Assistant

Education, Knowledge, Skills and Abilities Required: 1. Successful completion of an approved physician's assistant program, accredited by the AMA Council on Medical Education. 2. Excellent written and verbal communication skills. 3. Proficient computer skills that include but are not limited to Microsoft Office and/or Google Suite platforms

Licenses and Certifications Required: 1. Physician Assistant License. 2. National Commission on Certification of Physician Assistants. 3. BLS AHA Basic Health Care Life Support HCP Certification. 4. AHA Advanced Cardiac Life Support Certification.

Advanced Practice Nurse

Education, Knowledge, Skills and Abilities Required: 1. Graduate of an NLN/AACN accredited nursing program. 2. Master's or Doctorate degree from an accredited Nurse Practitioner program. 3. Maintains clinical competencies through continuing education and clinical practice. 4.

Experience in a relevant patient care setting (or as regulations dictate). 5. National Provider Identifier (NPI). 6. Prescriptive authority through CDS and DEA registration according to New Jersey state law. 7. Collaborative agreement with physicians on staff. 8. Excellent written and verbal communication skills. 9.

Proficient computer skills that include but are not limited to Microsoft Office and/or Googl

Qualifications

Education
Professional certificate or licensure
Experience
5+ years of experience

Certifications

ACLSDEA LicenseBoard Certification

Key Skills

Orthopedic CareAdvanced Patient AssessmentDiagnostic TestingMedication PrescribingSurgical CareEvidence-Based MedicinePatient and Family EducationInterdisciplinary CollaborationCare CoordinationClinical Decision-MakingPatient Advocacy

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates NP (RNFA) / PA (First Assist) - Orthopedic at Hackensack Meridian Health a 6.4 out of 10 for work-life balance — classified as good. This places the position in the Above average in Orthopedic Surgery (NP) — ranked against 124 active Orthopedic Surgery (NP) listings on WeekdayDoc.

Orthopedic Surgery — Nurse Practitioner Career Context

Hackensack Meridian Health ranks #6 of 13 employers hiring Nurse Practitioner on WeekdayDoc by average advertised pay.

Of the 50 active Orthopedic Surgery listings this role was benchmarked against, 14% are remote, 72% have no call, 66% require no weekends.

Orthopedic Surgery by the numbers
MeasureThis jobMarket
Work-life score6.4 / 10 · above average in orthopedic surgery (np)ranked against 124 Orthopedic Surgery (NP) listingslisting-based score, 0–10
Listed paynot listedOrthopedic Surgery median $125k (middle half $114k–$141k)15 comparable listings, Nov 2026
Cost of livingNew Jersey index 108.8US average = 100BEA Regional Price Parities (2024)
Work settingon-sitepeers: 14% remote · 72% no call · 66% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedNew Jersey Nurse Practitioner listings: 12% state a sign-on bonus · 5% offer loan repayment384 active listings, Nov 2026
Orthopedic Surgery hiring demandnot ranked this monthpostings stay open a median 48 daysWeekdayDoc Hiring Index, October 2026 · 38 postings, 92 closed
New Orthopedic Surgery listings340 in the last 30 days229 the 30 days before (+48%)U.S., first seen on WeekdayDoc, Nov 2026
Orthopedic Surgery pay trend+5.4% vs prior quarter—through Oct 2026
Hackensack Meridian Health#6 of 13 for payTop Employers work-life index
Sources: WeekdayDoc live listing index (124 Orthopedic Surgery (NP) listings), Top Employers work-life 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.

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Salary Distribution

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8
<$145k
13
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Annual compensation range

Benefits & Perks

28 jobs · 23 employers
401k / retirement match
89% this job
CME allowance
36% this job
Sign-on bonus
21%
Loan repayment
11%
Relocation assistance
7%

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Work-life snapshot

median 5.0this job 6.4
Better work-life than 70% of Orthopedic Surgery (NP) listings

Listing-based score, 0–10, across 124 comparable listings. Shaded area = the share scoring below this one.

  • On-site
  • Includes call
  • Includes weekends
Hackensack Meridian Health logo

About Hackensack Meridian Health

Hospitals and Health Care
Edison, New Jersey
10,000+ employees

Benefits & Perks

Health Insurance
Dental
Vision
Paid Leave
Tuition Reimbursement
Retirement Benefits
Collaborative Practice Agreement Required

Living in Hackensack

Typical 3-bedroom home value
$611k≈ 3.9× annual pay
Typical market rent
$2,723/mo≈ 21% of gross pay
Residents’ average commute
29 min
State income tax
Up to 10.8%
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.