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.
We are seeking a clinically confident provider who understands imaging correlation, conservative care sequencing, procedural algorithms, and documentation requirements for interventional pain and Orthopedic Spine 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: $115,000.00 - $300,000.00 per year
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Professional development assistance
- Vision insurance
Work Location: In person
