Physician Assistant / Nurse Practitioner

Advanced Practice Provider (PA-C or NP)

Interventional Pain Management & Minimally Invasive Spine
Wichita Falls, Texas

Position Overview

We are seeking an experienced Physician Assistant (PA-C) or Nurse Practitioner (NP) with a strong background in interventional pain management and orthopedic spine to join our growing specialty practice in Wichita Falls, TX.

This is a specialty-driven, procedure-oriented role focused on managing complex spine and chronic pain patients. The provider will be responsible for comprehensive new patient evaluations, follow-up management, development of interventional treatment pathways, and coordination of procedural and surgical care with our physician partners.

This is not a medication-management role. We are seeking a clinically confident provider who understands imaging correlation, conservative care sequencing, procedural algorithms, and documentation requirements for interventional pain procedures.

Clinical Responsibilities

• Conduct comprehensive new patient consultations for spine and chronic pain conditions
• Perform detailed musculoskeletal and neurologic examinations
• Independently review and interpret MRI, CT, and X-ray imaging
• Correlate imaging findings with clinical presentation
• Develop stepwise, evidence-based interventional treatment plans
• Manage follow-up visits and progression through procedural pathways
• Ensure documentation supports payer-specific medical necessity criteria
• Appropriately manage non-operative spine care and chronic pain conditions

Interventional Case Development

• Identify and optimize candidates for:
• Epidural steroid injections (cervical, thoracic, lumbar)
• Medial branch blocks and radiofrequency ablation
• SI joint injections and stabilization procedures
• Vertebral augmentation
• Peripheral nerve interventions
• Minimally invasive lumbar decompression procedures
• Sequence diagnostic blocks appropriately prior to ablation
• Ensure conservative therapy requirements are clearly documented
• “Tee up” clean, audit-ready procedural cases for physician procedural days
• Coordinate pre-authorizations and facility scheduling logistics
• Work closely with hospital and ASC partners

Facility & Outreach Responsibilities

• Travel periodically to partnered hospitals to conduct specialty spine/pain clinics
• Evaluate procedural candidates at partner facilities
• Provide follow-up care in outreach locations
• Serve as liaison between clinic and procedural facilities
• Assist in expansion of interventional and minimally invasive spine service lines

Community Networking & Business Development

• Build and maintain referral relationships with:
• Primary care providers
• Chiropractors
• Physical therapists
• Neurology and specialty providers
• Educate referral sources on interventional pain treatment pathways
• Participate in local medical networking events
• Represent the practice at hospital and community meetings
• Assist leadership in identifying strategic growth opportunities in the region

Compensation Structure

We offer a production-dominant compensation model designed for high-performing, specialty-focused providers who want meaningful earning upside.

Base Salary

• Competitive but modest guaranteed base salary to support ramp-up

Production Incentive (Primary Earnings Driver)

The majority of total compensation is driven by measurable clinical production. Incentives may be structured around:

• Work RVU generation
• Patient visit volume (new consults and follow-ups)
• Procedural case development
• Interventional conversion metrics
• Service line growth

This model rewards:

• High new patient consult volume
• Strong interventional pathway development
• Efficient clinic flow
• Audit-ready documentation
• Growth of minimally invasive spine and interventional pain services

There is significant earning potential for providers who are organized, productive, and growth-minded. Production incentives are uncapped.

Qualifications

• Active Texas PA or NP license
• 2+ years experience in:
• Interventional pain management or
• Orthopedic spine
• Strong understanding of procedural sequencing and payer requirements
• Comfortable managing complex chronic pain patients
• Independent spine imaging review skills
• Highly organized and systems-oriented
• Comfortable in a performance-driven specialty practice

Practice Environment

• Specialty outpatient clinic in Wichita Falls
• Collaborative interventional pain and orthopedic spine model
• Procedure-oriented practice with strong growth trajectory

Opportunity to expand into partner hospital clinics

Pay: $300.00 - $1,200.00 per day

Benefits:

• Flexible schedule

Work Location: In person