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Kaiser Permanente
Downey, California

Physician Assistant II / NP II - Orthopedics, Per Diem (Downey)

Nurse Practitioner 8.1 Work-LifePer Diem Physician-Supervised State

Compensation

Pay not listed

The week · per this posting

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 1mo ago · Verified live

Job Description

Physician Assistants (PA) provide health care services to patients who may have acute episodic conditions or chronic problems, as well as those seeking health evaluation, preventive care and/or education and counseling.

Under physician supervision, PAs provide care in areas within KP in primary care or specialty departments consistent with their educational preparation following the Regional Practice Guidelines and Protocols for Ambulatory and Hospital-Based Practice.

They perform complete physical examinations, including ordering, interpreting and evaluating diagnostic tests and examinations. Assume on-going responsibility for each patient from discovery of the disorder to recovery.

Diagnose and treat both chronic and episodic disorders including complications of otherwise normal processes. Establish and document the health care plan and diagnosis, maintain records of each case that are sufficiently complete for any physician reviewing them to evaluate the effectiveness of the plan.

Consistently demonstrates the knowledge, skills, abilities and behaviors necessary to provide superior and culturally sensitive service to each other, to our members and to customers, contracted providers and vendors.

Function in an expanded role to regularly provide primary, acute or emergency care to patients with complicated medical or surgical conditions which requires an intensive level of care and advanced certification in a specialty area (e. g., neonatal, intensive care, emergency medicine, operating room, etc.).

A formal internship and/or equivalent on-the-job training in the specialty area are also required.

Essential Responsibilities

  • Collect subjective data (obtain history).
  • Collect objective data (perform a physical exam).
  • Develop an assessment (diagnosis).
  • Develop and implement a management plan.
  • Facilitate the referral of patients to the appropriate health facilities, agencies and resources within the community.
  • Order pharmacologic interventions.
  • Develop and implement an educational plan.
  • Plan for appropriate follow-up care.
  • Manages the care of patients with complicated medical or surgical conditions.

Consistently supports compliance and the Principles of Responsibility (Kaiser Permanentes Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state and local laws and regulations, accreditation and licenser requirements (if applicable), and Kaiser Permanentes policies and procedures.

Basic Qualifications

Experience

Minimum one (1) year experience unless specified by department, as an NP or PA.

Education

  • Graduate of an approved Physician Assistant Program OR graduate of an accredited RN and NP Program.
  • NP Only: Masters degree in nursing (effective 1/1/03 for those not previously grandfathered in by CMS).
  • License, Certification, Registration
  • Nurse Practitioner Furnishing Number (California) AND Nurse Practitioner National Certificate AND Registered Nurse License (California) AND Nurse Practitioner Certificate (California)
  • OR
  • Physician Assistant License (California) from National Commission for the Certification of Physician Assistants AND Physician Assistant National Certificate
  • Basic Life Support
  • National Provider Identifier

Additional Requirements

  • Willing to consider Nurse Practitioner job code 50159.
  • If department elects to hire a new grad NP or PA, the California Furnishing Number and if applicable, the DEA Registration Number, must be obtained within twelve (12) months of hire.
  • The probationary period would also be extended from six (6) to twelve (12) months.
  • Current DEA Registration Number

Preferred Qualifications

Complex spine experience

Notes

  • OR assist.
  • Weekly schedules will vary.

If ten (10) hour option chosen, shift will be 7:30 am-6:00 pm, back up 8-hour shift will be 7:30 am to 4:00 pm.

Key Responsibilities

The Physician Assistant or Nurse Practitioner will provide acute and chronic care, perform physical examinations, and develop management plans for patients in an orthopedic setting. They are responsible for diagnosing disorders, ordering diagnostic tests, and documenting health care plans to ensure effective patient recovery.

Requirements

Candidates must hold a valid California license as a Physician Assistant or Nurse Practitioner, along with relevant national certifications and Basic Life Support. A minimum of one year of experience is required, with a preference for those with complex spine experience.

Qualifications

Experience
2+ years of experience

Certifications

BLSDEA License

Key Skills

Diagnostic testingPatient assessmentTreatment planningOrthopedicsPatient educationAcute careOperating room assistanceMedical documentationClinical diagnosisComplex spine care

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Physician Assistant II / NP II - Orthopedics, Per Diem (Downey) at Kaiser Permanente a 8.1 out of 10 for work-life balance — classified as excellent. This places the position in the top 5% in Orthopedic Surgery (NP) — ranked against 124 active Orthopedic Surgery (NP) listings on WeekdayDoc.

Orthopedic Surgery — Nurse Practitioner Career Context

Of the 50 active Nurse Practitioner listings this role was benchmarked against, 22% are remote, 62% have no call, 62% require no weekends.

Nurse Practitioner pay on WeekdayDoc is down 1.4% vs. the prior quarter (through Aug 2026).

The cost-of-living index for California is 110.7 (US average = 100; BEA Regional Price Parities (2024)). 63.6% of California clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Nurse Practitioner Jobs

46 matches · ranked by pay

Salary Distribution44 jobs · 36 employers

11
<$145k
7
$145k-170k
11
$170k-195k
11
$195k-220k
4
$220k+

Annual compensation range

Benefits & Perks37 jobs · 36 employers

401k / retirement match
84%
CME allowance
68%
Sign-on bonus
35%
Loan repayment
14%
Relocation assistance
8%

Share of similar jobs offering each benefit

#1

Locum Urgent Care Nurse Practitioner or Physician Assistant (NP/PA)Locums

Rinvio Recruitment · Lafayette, Colorado

$110-$120/hr
#2

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

Sutter Health · Fairfield, California

$175k-$243k
#3

Nurse Practitioner - Deployment Health w/bonus 5349

$60-$114/hr
#4

Physician Assistant/Nurse Practitioner, Orthopaedics- Full time

$230k
+ 44 more · ranked by pay

Work-life snapshot

median 5.1this job 8.1
Among the best 10% of Orthopedic Surgery (NP) listings for work-life

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

Living in Downey

Typical 3-bedroom home value
$869k
Typical market rent
$2,305/mo
Residents’ average commute
31 min
Metro price indexU.S. average = 100
113.6
State income tax
Up to 13.3%
Sources & methodology

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

BEA 2024 · Los Angeles-Long Beach-Anaheim, CA metro prices. Housing figures are city-level.

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