Nurse Practitioner

Hawaii Shoulder & Orthopedic Institute is a specialized orthopedic surgery clinic based in Hilo, HI, with a primary focus on shoulder conditions and treatments. The clinic provides comprehensive care for patients with acute injuries, chronic shoulder problems, and complex orthopedic needs. Team members collaborate closely to deliver high-quality, evidence-based care tailored to each patient’s goals and lifestyle. The Institute values professionalism, compassionate service, and continuous learning in a supportive clinical environment.

The Nurse Practitioner will provide direct patient care in an orthopedic surgery clinic setting, including conducting initial assessments, obtaining medical histories, performing focused musculoskeletal exams, and ordering appropriate diagnostic tests. Daily responsibilities include developing and implementing treatment plans, prescribing medications within scope, providing pre- and post-operative patient education, and assisting with follow-up care. The Nurse Practitioner will collaborate with orthopedic surgeons and other team members to coordinate care, review imaging, and adjust treatment plans as needed.

Documentation of visits, procedures, and care plans in the medical record is expected, along with participation in quality improvement activities and patient safety initiatives. This is a full-time, on-site role located in Reno, NV.

• Current Nurse Practitioner license (State of Nevada or eligibility to obtain), national board certification, and graduation from an accredited NP program.
• Demonstrated clinical experience in orthopedics, sports medicine, surgery, or a related specialty; experience with shoulder or upper extremity conditions is preferred.
• Strong skills in patient assessment, clinical decision-making, and evidence-based treatment planning, including use of imaging and diagnostic tests.
• Excellent communication and patient education skills, with the ability to explain diagnoses, procedures, and home care instructions clearly and compassionately.
• Comfort working in a fast-paced clinical environment, with strong organizational skills and attention to detail in documentation and follow-up.
• Ability to collaborate effectively with surgeons, medical assistants, and administrative staff, and to contribute to a positive, team-based culture.
• Basic proficiency with electronic health records and common clinical software systems.
• BLS certification required; ACLS and experience in outpatient surgical or procedure-based settings are beneficial.