Washington University in St. Louis logo
Washington University in St. Louis
Town and Country, Missouri

Nurse Practitioner or Physician Assistant - Orthopedic Surgery (Spine)

Nurse PractitionerNo weekendsFull-Time Physician-Supervised State

Listed compensation

$97k-$175k

The week · per this posting · Monday – Friday

Ask the employer about the work setting, call expectations and nights and shift pattern.

Posted 46m ago · Verified live

Job Description

Location: TOWN AND COUNTRY, MO 63131

Scheduled Hours

40

Position Summary

The Orthopedic Spine Nurse Practitioner (NP) or Physician Assistant (PA) at WashU Orthopedics is an integral clinical leader and valued member of the interdisciplinary Spine team. This position practices primarily in the outpatient setting across our Sunset Hills and Missouri Baptist locations in St. Louis. There is a potential for this position to include 1st assisting in the operating room depending on the needs of the division and skills of the applicant.

This role requires strong leadership skills to inspire and support staff, along with the adaptability to navigate changing priorities, workflows, and clinical protocols while maintaining exceptional patient care. Spine Surgery Clinical Care operates Monday through Friday.

The NP or PA will facilitate multidisciplinary care for spine patients from adolescence through adulthood—with a focus on outstanding clinical outcomes, patient experience, and compassionate care. Success in this role requires collaboration, excellent communication, and the ability to build strong relationships with patients, families, physicians, and care teams.

At Washington University Orthopedics, we are committed to treating every patient like family while delivering world-class orthopedic care to our community each day. If you are a dedicated Nurse Practitioner or Physician Assistant with a passion for teamwork, leadership, and quality care, we invite you to join our team.

Job Description

Primary Duties & Responsibilities

  • Delivers comprehensive outpatient spine care across multiple practice locations.
  • Supports Spine Surgeons and Division needs.
  • Supports and guides orthopedic clinical staff across sites.
  • Partners with hospital teams, physicians, and Spine leadership to improve patient access and operational throughput.
  • Prepares patients for treatment through education, care coordination, and review of clinical needs.
  • Facilitates communication between patients, referring providers, and the physician team.
  • Promotes an exceptional patient and family experience through compassionate, patient-centered care.
  • Performs other duties as assigned.

Working Conditions

  • Job Location/Working Conditions
  • Normal office environment
  • Exposure to blood-borne pathogens
  • Exposure to chemicals
  • Requires protective devices
  • Dust, dirt, grease or other disagreeable elements
  • Patient care setting
  • Direct patient care setting
  • Physical Effort
  • Typically sitting at desk or table
  • Typically standing or walking
  • Typically bending, crouching, stooping
  • Using tools requiring high dexterity
  • Occasional lifting (25 lbs or less)
  • Equipment
  • Office equipment
  • Lab/research equipment

Clinical/diagnostic Equipment

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.

Required Qualifications

Education

Master's degree

Certifications/Professional Licenses

The list below may include all acceptable certifications, professional licenses and issuers. More than one credential, certification or professional license may be required depending on the role.

Basic Life Support - American Heart Association, Basic Life Support - American Red Cross

Work Experience

No specific work experience is required for this position.

Skills

Not Applicable

Driver's License

  • A driver's license is not required for this position.
  • More About This Job
  • Below are additional requirements and information based on each role:

Required Qualifications

Nurse Practitioner

  • Master of Science in Nursing with emphasis in the Nurse Practitioner program.
  • Advanced Practical Nurse licensure (or ability to successfully obtain licensure within three months of date of hire).
  • Certain/additional certifications may be necessary based on area of specialty.
  • Basic Life Support certification (Online Basic Life Support certifications, those without a skills assessment component, are not sufficient to meet the Basic Life Support requirements).
  • Physician Assistant
  • Graduate of PA program.
  • Current PA licensure to practice in the state of Missouri and/or Illinois, depending on location, or ability to obtain within three months of date of hire.
  • Certain/additional certifications may be necessary based on area of specialty.

Basic Life Support certification (Online BLS certifications, those without a skills assessment component, are not sufficient to meet the BLS requirements).

Preferred Qualifications

Prior Orthopedic/Spine experience.

Preferred Qualifications

Education

Master's degree - Nurse Practitioner, Master's degree - Physician Assistant Studies

Certifications/Professional Licenses

Advanced Practice Nurse (APN) - Illinois Department of Financial and Professional Regulation, Advanced Practice Nurse (APN) - Missouri Division of Professional Registration, Certified Nurse Practitioner - Illinois Department of Financial and Professional Regulation, Certified Nurse Practitioner - Missouri Division of Professional Registration, Physician Assistant - Illinois Department of Financial and Professional Regulation, Physician Assistant - Missouri Division of Professional Registration

Work Experience

No additional work experience unless stated elsewhere in the job posting.

Skills

Adaptability, Clinical Decision Making, Clinical Diagnostics, Communication, Customer Empathy, Detail-Oriented, Disease Management, Epic EHR, Family Support, HIPAA Compliance, Interpersonal Communication, Interpersonal Relationships, Multitasking, Organizing, Patient Care, Patient Education, Patient Evaluations, Patient Management, Pharmacology, Preventive Care, Teamwork, Time Management

  • Grade
  • S31

Salary Range

$97,000.00 - $174,600.00 / Annually

The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.

Questions

For frequently asked questions about the application process, please refer to our External Applicant FAQ.

Accommodation

If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request.

All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.

Pre-Employment Screening

All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position.

The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.

Benefits Statement

Personal

  • Up to 22 days of vacation, 10 recognized holidays, and sick time.
  • Competitive health insurance packages with priority appointments and lower copays/coinsurance.
  • Take advantage of our free Metro transit U-Pass for eligible employees.
  • WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.

Wellness

Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!

Family

We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We’ve got you covered.

WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.

For policies, detailed benefits, and eligibility, please visit: hr.wustl.edu

EEO Statement

Washington University in St. Louis is committed to the principles and practices of equal employment opportunity.

It is the University’s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity or shared ancestry, color, national origin, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.

As a federal contractor, the university maintains affirmative action programs to implement its equal employment opportunity policy for individuals with disabilities and protected veterans, in accordance with Section 503 of the Rehabilitation Act of 1973, as amended, and the Vietnam Era Veterans’ Readjustment Assistance Act of 1974 (VEVRAA), as amended.

Key Responsibilities

Provide comprehensive outpatient spine care across multiple locations and support spine surgeons and clinical staff. Coordinate patient education and care, facilitate communication among patients and care teams, and collaborate with hospital and division leaders to improve access, operations, and patient experience.

Requirements

Applicants must have a master's degree and qualify as either a nurse practitioner, with an MSN focused on nurse practitioner training, or a physician assistant who graduated from an accredited PA program. The appropriate state license must be held or obtainable within three months of hire, and current Basic Life Support certification is required; prior orthopedic or spine experience is preferred.

Qualifications

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

Orthopedic Surgery — Nurse Practitioner Career Context

Washington University in St. Louis holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 71/100, 72 active listings.

Of the 50 active Orthopedic Surgery listings this role was benchmarked against, 24% are remote, 56% have no call, 82% require no weekends.

Orthopedic Surgery by the numbers
MeasureThis jobMarket
Work-life score5.4 / 10 · above average in orthopedic surgery (np)ranked against 128 Orthopedic Surgery (NP) listingslisting-based score, 0–10
Listed pay$97k–$175kOrthopedic Surgery median $139k (middle half $130k–$159k)286 comparable listings, Oct 2026
Cost-of-living adjusted pay~$150k in purchasing powerMissouri index 90.8 (US = 100)BEA Regional Price Parities (2024)
Work settingon-sitepeers: 24% remote · 56% no call · 82% no weekends50 benchmarked listings
Orthopedic Surgery pay trend+24.6% vs prior quarter—through Sep 2026
Washington University in St. Louissilver tier, 71/100Top Employers work-life index72 active listings
Sources: WeekdayDoc live listing index (128 Orthopedic Surgery (NP) listings), Top Employers work-life index, BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Nurse Practitioner Jobs

25 matches · ranked by pay

Salary Distribution

25 jobs · 17 employers
15
<$170k
3
$170k-205k
0
$205k-240k
7
$240k-275k

Annual compensation range

Benefits & Perks

24 jobs · 17 employers
401k / retirement match
92% this job
Sign-on bonus
75%
CME allowance
46%
Loan repayment
17%
Relocation assistance
8%

Share of similar jobs offering each benefit

#1

PMHNP Nurse Practitioner @ Philadelphia / Rittenhouse Square, PA

LifeStance Health · Philadelphia, Pennsylvania

$230k-$260k
#2

PMHNP Nurse Practitioner @ Philadelphia / Penn, PA

LifeStance Health · Philadelphia, Pennsylvania

$230k-$260k
#3

Child & Adolescent PMHNP @ Haverford, PA

$230k-$260k
#4

Child & Adolescent PMHNP @ Multiple Philadelphia Suburbs PA

$230k-$260k
+ 23 more · ranked by pay

Work-life snapshot

median 5.1this job 5.4
Better work-life than 60% of Orthopedic Surgery (NP) listings

Listing-based score, 0–10, across 128 comparable listings. Shaded area = the share scoring below this one.

  • No weekends

Living in Town and Country

Typical 3-bedroom home value
$804k≈ 8.3× annual pay
Median resident rent
$1,955/mo≈ 24% of gross pay
Residents’ average commute
20 min
Metro price indexU.S. average = 100
95.1
State income tax
Up to 5.3%
Sources & methodology

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

BEA 2024 · St. Louis, MO-IL metro prices. Housing figures are city-level.

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