NP or PA – Marshall Orthopaedics, Hand & Upper Extremity Division

Position Summary

The Advanced Practice Provider (APP) functions as a member of the Hand and Upper Extremity care team within Marshall Orthopaedics, providing comprehensive patient care in both clinic and surgical settings. Practicing primarily out of Marshall University Medical Center, the APP collaborates with supervising hand surgeons and interdisciplinary staff to deliver high-quality care across the continuum, including evaluation and treatment of hand, wrist, elbow, and upper extremity conditions.The role spans outpatient hand clinic, operating room first assisting, and post-operative follow-up. Occasional coverage at other Marshall Orthopaedics locations may be requested to support patient access and operational needs.

Job Responsibilities

Obtains a complete musculoskeletal history with focused hand and upper extremity examination, including motor, sensory, and vascular assessment

Interprets diagnostic studies, including hand and upper extremity radiographs, CT, MRI, and electrodiagnostic studies, to determine appropriate treatment plans in collaboration with the supervising surgeon

Collaborates with the hand surgeons in managing acute and chronic upper extremity conditions, including carpal tunnel and other compressive neuropathies, tendon and nerve injuries, arthritis of the hand and wrist, distal radius and hand fractures, Dupuytren contracture, and infections

Serves as surgical first assist for hand and upper extremity procedures at Cabell Huntington Hospital and affiliated operative sites

Orders appropriate laboratory and diagnostic procedures as indicated

Performs in-office procedures under physician direction, including joint and tendon sheath injections, aspirations, splint and cast application and removal, suture removal, wound and burn care, nail bed repair, and closure of minor lacerations

Counsels patients regarding hand and upper extremity diagnoses, surgical and non-surgical options, and recovery expectations

Instructs patients and families regarding medications, splinting and immobilization, post-operative care, and activity restrictions; coordinates with hand therapy on rehabilitation protocols

Maintains and reviews patient records, charts, and other pertinent information; posts test and examination results

Triages patient calls and provides clinical consultation

Manages pre-operative and post-operative patient care

Provides monitoring and continuity of care between physician visits

Attends required meetings and participates in committees as requested

Participates in professional development activities and maintains professional affiliations

Performs related work as required