Regional Hand Center logo
Regional Hand Center
Fresno, California

Physician Assistant PA

Physician AssistantFull-Time

Listed compensation

$145k-$185k

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 31m ago · Verified live

Job Description

Location: Regional Hand Center, California's Central Valley

Job Summary

Regional Hand Center is seeking a dedicated and skilled Physician Assistant (PA) to join our team of upper extremity care specialists. The ideal candidate will provide comprehensive healthcare services under the supervision of our experienced surgeons, Randi A. Galli, M.D., Ricardo Avena, M.D., and Isobel Santos, M.D. The PA will play a critical role in diagnosing, treating, and managing patients with upper extremity injuries and conditions, ensuring a high standard of care.

Key Responsibilities

Conduct patient assessments, including taking histories, performing physical examinations, and ordering diagnostic tests.

  • Assist in surgical procedures and provide pre-operative and post-operative care.
  • Develop and implement patient management plans, record progress notes, and participate in patient education.
  • Collaborate with physicians, nurses, and other healthcare professionals to deliver high-quality, patient-centered care.
  • Perform therapeutic procedures such as injections, suturing, and wound care.
  • Educate patients and their families on health maintenance, disease prevention, and treatment options.
  • Participate in quality improvement initiatives as needed.
  • Maintain accurate and up-to-date patient records in compliance with healthcare regulations and standards.

Assist in managing and coordinating patient flow within the clinic to ensure efficient and effective service delivery.

Qualifications

  • Master's degree from an accredited Physician Assistant.
  • Current Physician Assistant licensure in the state of California.
  • Certification by the National Commission on Certification of Physician Assistants (NCCPA) for PAs.
  • A minimum of 2 years of experience in orthopedics, hand surgery, or a related field is preferred.
  • Strong clinical skills, with the ability to work independently and as part of a multidisciplinary team.
  • Excellent communication and interpersonal skills.
  • Proficiency in electronic medical record (EMR) systems.
  • Commitment to providing compassionate and patient-focused care.

Benefits

  • Competitive salary and benefits package.
  • Opportunities for professional development and continuing education.
  • Collaborative and supportive work environment.

State-of-the-art facilities, including a surgery center, to expedite treatment and facilitate the return of injured employees to work.

How to Apply

Interested candidates can submit a resume, cover letter, and three professional references to schavarria@regionalhand.com or apply through our website at regionalhand.com.

About Regional Hand Center

Regional Hand Center is a premier healthcare provider specializing in treating upper extremity injuries. Serving patients from Fresno, Visalia, Merced, and the broader Central Valley region, we are committed to delivering exceptional care and improving the quality of life for our patients. Join our team of dedicated professionals and contribute to our mission of excellence in hand and upper extremity healthcare.

Qualifications

Education
Master's degree (postgraduate degree)
Experience
2+ years of experience

Key Skills

Patient assessmentSurgical assistancePre-operative careClinical documentationCollaboration

Orthopedic Surgery — Physician Assistant Career Context

Of the 50 active Orthopedic Surgery listings this role was benchmarked against, 12% are remote, 64% have no call, 70% require no weekends.

The cost-of-living index for California is 110.7 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$165k midpoint carries the purchasing power of roughly $149k in an average-cost state. 63.6% of California clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Orthopedic Surgery by the numbers
MeasureThis jobMarket
Listed pay$145k–$185kOrthopedic Surgery median $128k (middle half $113k–$155k)37 comparable listings, Oct 2026
Cost-of-living adjusted pay~$149k in purchasing powerCalifornia index 110.7 (US = 100)BEA Regional Price Parities (2024)
Orthopedic Surgery listings in California25 active319 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 12% remote · 64% no call · 70% no weekends50 benchmarked listings
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Physician Assistant Jobs

42 matches · ranked by pay

Salary Distribution

42 jobs · 32 employers
9
<$140k
5
$140k-160k
14
$160k-180k
12
$180k-200k
2
$200k+

Annual compensation range

Benefits & Perks

36 jobs · 32 employers
401k / retirement match
92%
CME allowance
64% this job
Sign-on bonus
53%
Relocation assistance
19%
Loan repayment
14%

Share of similar jobs offering each benefit

#1

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

Ageless Mens Health · Reno, Nevada

$250k
#2

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

Sutter Health · Roseville, California

$175k-$243k
#3

Family Nurse Practitioner or Physician Assistant - Sign-On Bonus Available

$165k-$197k
#4

Nurse Practitioner or Physician Assistant (Cow Hollow) - Sign-On Bonus Available

$165k-$197k
+ 40 more · ranked by pay

Work-life snapshot

median 3.9this job 1.5
Below most Orthopedic Surgery (PA) listings for work-life

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

Regional Hand Center logo

About Regional Hand Center

Medical Practices
Fresno, CA
11-50 employees

Benefits & Perks

Competitive salary and benefits package
Opportunities for professional development and continuing education
Collaborative and supportive work environment
State-of-the-art facilities including a surgery center

Living in Fresno

Typical 3-bedroom home value
$376k≈ 2.6× annual pay
Typical market rent
$1,945/mo≈ 16% of gross pay
Residents’ average commute
22 min
Metro price indexU.S. average = 100
102.2
State income tax
Up to 13.3%
Sources & methodology

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

BEA 2024 · Fresno, CA metro prices. Housing figures are city-level.

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