Physician Assistant/Nurse Practitioner

Freedom Spine & Pain Center

Kerrville Clinic (20% of time): 703 Hill Country Drive, Ste. 101, Kerrville, TX 78028

Boerne Clinic (80% of time): 1002 E Blanco Rd B, Boerne, TX 78006

POSITION: Physician Assistant/Nurse Practitioner- Interventional Pain Management

REPORTS TO: Rajesh Sharma, MD

Freedom Spine & Pain Center is a physician-led interventional pain and spine practice serving the greater San Antonio area and Texas Hill Country. We are seeking an experienced, self-directed Physician Assistant or Nurse Practitioner to help carry a busy, procedure-driven clinic. This is a high-autonomy role with significant procedural exposure and a compensation structure that rewards production. It is a seasoned-clinician position — not an entry-level role.

Compensation & Benefits

• Base salary: $145,000–$155,000, commensurate with experience and procedural skill.
• Production Bonus: With potential to earn $185k+ with the appropriately motivated candidate
• Benefits: malpractice coverage, license and DEA reimbursement, paid time off, retirement plan, and health benefits
• Schedule: Monday–Friday. No nights, no weekends, no call.

What You'll Do

• Manage a clinic panel under physician supervision — new evaluations, follow-ups, and medication management —
• Evaluate patients for and post interventional and spine procedures: injection therapies (medial branch blocks, ESI, RFA), kyphoplasty/vertebroplasty, spinal cord stimulator trials and permanent implants, Minimally Invasive Lumbar Decompression (MILD), sacroiliac joint fusion, and posterolateral lumbar fusion — including wound care, neuromuscular exams, and recognition of complications.
• Perform in-clinic therapeutic procedures: trigger-point injections and intra-articular/joint injections (shoulder, knee, bursa) and related modalities.
• Continue and implement individualized treatment plans; counsel patients on therapeutic regimens, wellness, and pain management.
• Work comfortably in a fluoroscopy/C-arm environment.
• Document accurately and on time in our EMR (eClinicalWorks).
• Support volume across our Boerne (≈80%) and Kerrville (≈20%) locations.

What We're Looking For

• Minimum 3 years of clinical experience as a PA or NP in interventional pain, spine, or orthopedics. This is not a new-graduate position.
• Proven ability to work autonomously and effectively carry a patient panel — self-directed, organized, and dependable.
• Strong procedural and injection skills, plus competence managing post-operative spine and neuromodulation patients.
• Productivity-minded — motivated by, and able to thrive within, a production-based compensation model.
• A low-friction professional: excellent judgment and communication, collaborative with staff, and someone who makes the clinic run more smoothly rather than adding to its workload.

Credentials

• Active Texas PA or NP license in good standing (NPs: current prescriptive authority / board certification).
• Valid DEA registration.
• Current BLS/CPR certification (ACLS a plus).
• PA: NCCPA-certified; NP: appropriate national board certification.

Why Join Us

• High procedural exposure and a supportive collaborative environment.
• Strong base salary with production bonus — your effort is directly rewarded.
• Monday–Friday, no call — a sustainable schedule uncommon in procedural specialties.
• A collegial, physician-led practice with low bureaucracy and room to grow as we expand.

Additional Compensation:

• Bonuses

Benefits:

• Paid time off

Relocation Assistance Provided:

• No

Schedule:

• Monday to Friday

Medical Specialty:

• Pain Management

Job Types: Contract, Full-time

Pay: $140,000.00 - $185,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Medical Specialty:

• Physical & Rehabilitation Medicine
• Surgery

Education:

• Bachelor's (Preferred)

Work Location: In person