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University of Washington
Seattle, Washington

ARNP or PA-C – Spine Clinic - Harborview

Physician Assistant 8.0 Work-LifeNo callNo weekendsNo nightsFull-Time

Listed compensation

$134k-$210k

The week · per this posting · Monday – FridayWeekdays only

Ask the employer about the work setting and time off.

Posted 23m ago · Verified live

Job Description

Harborview Medical Center’s (HMC) Orthopaedic Surgery Department Spine Clinic has an outstanding opportunity for a PA-C, Physician Assistant or ARNP, Nurse Practitioner.

WORK SCHEDULE: Full-time, 100% FTE, 40 hours per week

Day shift, Monday – Friday (no call is required)

The anticipation is that the role may include both ambulatory clinic and surgical assist duties; percentage of time in clinic and OR may vary depending on clinical needs of the service line.

Department Description

Recognized as one of the world's premier trauma centers, Harborview has also developed a state-of-the-art Spine Center, with an extensive elective spine referral base, which handles spine conditions ranging from complex reconstructive deformity procedures, high energy traumatic injuries, professional athletic injuries, and single-level degenerative outpatient-type pathology.

The division partners with our Sports & Spine Rehabilitation Medicine providers to manage nonoperative spine care. The clinic has Radiology imbedded in clinic for onsite X-rays, as well as ancillary staff support for coordinating care. The patient referral base extends to multiple states across the Pacific Northwest.

Position Highlights

Outpatient Clinic and Operating Room Responsibilities

  • Provide pre- and post-operative care for spine surgery patients.
  • Care delivery to a diverse patient population, including pediatrics.

Approximately 60% elective and 40% trauma cases including complex adult deformity correction, high energy traumatic injuries and other routine spinal decompression and/or fusion surgeries.

Independent and shared clinic models that include new patient consults, pre- and post-op care and imaging interpretation to determine appropriate treatment plans.

The role will primarily support the Orthopaedic Spine service in the ambulatory setting with a percentage of time assigned to OR assisting. There may be future needs to include cross training in an inpatient role or with other Orthopaedic service lines.

Currently there are four board certified spine surgeons at HMC.

Primary Job Responsibilities

Outpatient

Evaluate, diagnose, and establish treatment plans for new, established, and post-operative patients both independently and in collaboration with attending physicians. May include team-based and/or independent clinic days. This will include assessing postoperative surgical sites, conducting appropriate physical exams, interpreting imaging studies, and fitting orthotic devices.

Communicate clearly and compassionately both verbally and in writing with patients about treatment/surgical plans, including during clinic visits as well as via telephone or electronic patient messaging system.

Respond in a timely manner to clinic RNs, patient care coordinators, referral coordinators and other staff regarding care coordination by managing EHR inbasket daily.

Maintain accurate and timely documentation in the electronic medical record (prior experience with EPIC, a plus)

Order and interpret diagnostic tests including x-rays, CT, MRI, and labs and share results with clinicians and patients.

Prescribe medications per department policy and within state and federal guidelines

Operating ROOM

Work collaboratively with OR staff to ensure the appropriate equipment is available and ready to position patient appropriately and safely.

Gain a comprehensive knowledge of surgical procedures, techniques, Standards of Care, instrumentation, equipment, and supplies as they directly correlate to the specialty.

Maintain sterile technique and help ensure infection control protocols are followed.

First and/or second assist attendings, fellows and residents in Orthopedic Spine surgery cases as needed including dissection, suturing, and instrumentation.

Maintain accurate and timely documentation in the EHR including pre-op H&P, brief op notes, post op orders, and discharge instructions per hospital protocol

  • Stand for prolonged periods of time in sterile environment
  • Handle operative instruments safely, requiring repetitive hand movements
  • Able to lift and maneuver patients with assistance
  • Exposure to body fluids, bloodborne pathogens and radiation regularly

Requirements

  • Prior experience in Orthopedic surgery or Spine surgery, including surgical first assisting, is preferred.
  • Graduation from an ARC-PA–accredited Physician Assistant program.
  • Current Washington State Physician Assistant licensure by the start of employment.
  • Current certification by the National Commission on Certification of Physician Assistants (NCCPA).
  • Current DEA registration/eligibility required for the position.

OR

  • Master’s or doctoral degree from an accredited Nurse Practitioner program.
  • Current Washington State ARNP licensure and prescriptive authority by the start of employment.
  • Current national board certification appropriate to the assigned patient population and clinical setting.
  • Current DEA registration/eligibility required for the position.
  • AND

Eligibility for UW Medicine credentialing and clinical privileges.

Current BLS and ACLS certification; additional life-support certification as required by the assigned clinical setting.

Ability to work effectively with medically and socially complex patients and within an interprofessional academic practice.

Demonstrated commitment to respectful, equitable, inclusive, and patient-centered care.

Equivalent education and/or experience may substitute for minimum qualifications except when there are legal requirements, such as a license, certification, and/or registration.

About Harborview Medical Center

As the region's only Level I Trauma and verified burn center, Harborview Medical Center is a comprehensive healthcare facility owned by King County and operated by UW Medicine.

It is dedicated to providing specialized care for a broad spectrum of patients from throughout the Pacific Northwest, including the most vulnerable residents of King County.

It provides exemplary patient care in leading-edge centers of emphasis, including emergency medicine, trauma and burn care, neurosciences, ophthalmology, vascular surgery, HIV/AIDS, rehabilitation, mental health and substance abuse care.

Harborview employees are committed to the vital role the institution plays in the immediate community, as well as the entire Northwest region.

Challenge. Collaboration. Compassion.

Compensation, Benefits and Position Details

Pay Range Minimum

$133,944.00 annual

Pay Range Maximum

$209,664.00 annual

Other Compensation

Relocation assistance available

Benefits

For information about benefits for this position, visit washington.edu

Shift: First Shift (United States of America)

  • Temporary or Regular?
  • This is a regular position

FTE (Full-Time Equivalent)

100.00%

Union/Bargaining Unit

SEIU 1199NW HMC PA-ARNP

About UW Medicine – Where Your Impact GOES Further

UW Medicine is Washington’s only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine’s mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow’s physicians, scientists and other health professionals.

All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest.

Our Commitment

The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81.

To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 or dso@uw.edu.

Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law.

Key Responsibilities

The provider will evaluate, diagnose, and manage spine patients in both ambulatory clinic and operating room settings. Responsibilities include performing surgical assists, interpreting diagnostic imaging, and coordinating comprehensive treatment plans for a diverse patient population.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Certifications

DEA License

Key Skills

Patient diagnosisTreatment planningPatient care coordinationMedication prescriptionTrauma care

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates ARNP or PA-C – Spine Clinic - Harborview at University of Washington a 8.0 out of 10 for work-life balance — classified as excellent. This places the position in the top 5% in Physician Assistant roles — ranked against 4,785 active Physician Assistant roles listings on WeekdayDoc. Contributing factors include no on-call duties, no weekend requirements, no night shifts.

Orthopedic Spine Surgery — Physician Assistant Career Context

University of Washington ranks #4 of 22 employers hiring Physician Assistant on WeekdayDoc by average advertised pay, and holds silver-tier status on the Top Employers work-life index, composite score 71/100, 96 active listings.

Of the 50 active Physician Assistant listings this role was benchmarked against, 6% are remote, 66% have no call, 72% require no weekends.

Physician Assistant by the numbers
MeasureThis jobMarket
Work-life score8.0 / 10 · top 5% in physician assistant rolesranked against 4,785 Physician Assistant roles listingslisting-based score, 0–10
Cost-of-living adjusted pay~$161k in purchasing powerWashington index 107.0 (US = 100)BEA Regional Price Parities (2024)
All physician assistant listings in Washington126 active4,842 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 6% remote · 66% no call · 72% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedWashington physician assistant listings (all specialties): 24% state a sign-on bonus · 13% offer loan repayment126 active listings, Nov 2026
Physician Assistant pay trend (all specialties)+3.2% vs prior quarter—through Oct 2026
University of Washingtonsilver tier, 71/100 · #4 of 22 for payTop Employers work-life index96 active listings
Sources: WeekdayDoc live listing index (4,785 Physician Assistant roles listings), Top Employers work-life index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page. Washington figures use all physician assistants: too few Washington Orthopedic Spine Surgery postings state pay.

Location & Logistics

Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$172k midpoint, that is roughly $7k–$12k a year versus a typical 4–7% state rate.

Top Physician Assistant Jobs

40 matches · ranked by pay

Salary Distribution

40 jobs · 30 employers
11
<$150k
13
$150k-180k
9
$180k-210k
6
$210k-240k
1
$243k

Annual compensation range

Benefits & Perks

36 jobs · 30 employers
401k / retirement match
89%
CME allowance
61%
Sign-on bonus
50%
Loan repayment
19%
Relocation assistance
17% this job

Share of similar jobs offering each benefit

#1

Nurse Practitioner or Physician Assistant Orthopedic Surgery (Roseville, CA)

Sutter Health · Roseville, California

$175k-$243k
#2

Physician AssistantContract

Akicita Federal · Rosebud, South Dakota

$229k-$239k
#3

Outpatient Advanced Practice Provider (APP), Nurse Practitioner or Physician Assistant/Associates

$172k-$229k
#4

Advanced Practice Provider (APP), Nurse Practitioner or Physician Assistant/Associate

$172k-$229k
+ 38 more · ranked by pay

Work-life snapshot

median 4.5this job 8.0
Among the best 10% of Physician Assistant roles listings for work-life

Listing-based score, 0–10, across 4,785 comparable listings. Shaded area = the share scoring below this one.

  • No call
  • No weekends
  • No nights

Living in Seattle

Typical 3-bedroom home value
$869k≈ 6.5× annual pay
Typical market rent
$2,227/mo≈ 20% of gross pay
Residents’ average commute
26 min
Metro price indexU.S. average = 100
111.1
State income tax
None
Sources & methodology

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

BEA 2024 · Seattle-Tacoma-Bellevue, WA metro prices. Housing figures are city-level.

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