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OR 1st Assist/General Surgery Nurse Practitioner (NP) or Physician Assistant (PA)

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Location: Cadillac
Status (FT/PT): Full-Time
Shift: Day shift
Req ID: 55762


Join Our Munson Healthcare Team!

Full-time      Monday – Friday     Required Call 1:4


The OR 1st assist Nurse Practitioner or Physician Assistant will work collaboratively with the entire patient care team. This position is a .8 FTE, salaried position. Schedule will vary depending on surgery schedule / needs and may flex to the office setting.  In addition, this position requires call 1:4 rotation; 1 in 4 weekends (starting 3pm Friday – 7am on Monday; and 1 in 4 weekdays per 4-week schedule (3pm – 7am).  

Join a not-for-profit healthcare system and find the right balance between a rewarding career and a beautiful place to live.  Enjoy access to excellent education options and multiple 4 season outdoor activities. Our mission is to improve lives, including the quality of yours.


Munson Healthcare offers a comprehensive benefits package to meet your financial, health and life-work balance goals.

  • Competitive compensation and full benefits
  • Exceptional health, dental, vision and prescription drug insurance plans
  • 401(k) matching
  • Continuing education credits
  • Malpractice insurance
  • Paid time off



  • Admit patients to the hospital, perform daily rounds, write orders, daily progress notes, discharge summaries, etc.
  • Pre & post op education and teaching with patient and family.
  • Prescribe both pharmacologic agents (pre & post-op), and non-pharmacologic therapies (ie: PT, OT, NST, etc.).
  • Order/interpret diagnostic imaging and tests/labs.
  • Coordinate care provided by multiple specialists including surgeons, hospitalist providers, cardiology, urology, nursing staff, etc.
  • Diagnosis and comprehensive patient assessment and management.
  • Complete patient FMLA, return to work, other forms as needed.

OR 1st Assist –

  • First assist surgeons in operating room daily with scheduled and add-on surgical cases.
  • Assist OR coordinators with correct case card selection/supply/equipment needs.
  • Assist OR circulating RN and surgical tech with appropriate supplies and equipment/flow of surgical cases to enhance efficiency.
  • Pre & post-op order placement/management.

Ambulatory Setting

  • Performs comprehensive patient assessments in the ambulatory setting, including history and physical examinations, surgery consultation, routine office follow up care, and post-operative care.
  • Orders diagnostic tests, such as echocardiograms, stress tests (exercise or pharmacologic), x-rays, ECG’s, laboratory tests, and interprets test result.
  • Prescribes pharmacologic and other therapeutic treatment for the benefit of patient health.
  • Performs therapeutic procedures, as needed, including post-procedure wound care. 


Education / Training: 
  • Master's Degree in Nursing OR a Masters in Physician Assistant studies
Work Experience:
  • Required:  Experience in the acute care setting, outpatient setting - specifically surgical services.
  • Prefer: Experience in the operating room as a first assist, surgical assistant, or surgical technologist.
Certification, Licensure, Registration:
  • State of Michigan Nurse Practitioner/Physician Assistant license required


Physicians & Advance Practice Providers Employed by or under a Professional Services Agreement with A MHC entity

NOTE: Does not include independent members of the medical staff

  • 550+ Physicians and Advance Practice Providers
  • >65 Practice Sites
  • Primary and Specialty Care
  • Inpatient and Ambulatory Care
  • $120M Net Revenue Annually
  • Area of Continued Strategic Growth for MHC


Munson Healthcare is northern Michigan’s largest and leading healthcare system. Based in Traverse City, Mich., our team of medical experts, award-winning hospitals, and related organizations serve people in 30 counties. Munson Healthcare is comprised of regional referral center Munson Medical Center (Traverse City) and 7 community hospitals: Cadillac Hospital (Cadillac), Charlevoix Hospital (Charlevoix), Grayling Hospital (Grayling), Kalkaska Memorial Health Center (Kalkaska), Manistee Hospital (Manistee), Otsego Memorial Hospital (Gaylord), and Paul Oliver Memorial Hospital (Frankfort). Across the system there are 694 licensed acute care beds and 212 licensed long-term care beds. Most of the region’s 540,000 residents can receive comprehensive quality care in or near their local community with access to sophisticated diagnostic technology such as 3D tomography, advanced cancer and heart treatments, and the latest robotic technology, stereotactic radiosurgery, and non-invasive surgical procedures.


Cadillac is an outdoor enthusiast’s dream situated on Lake Mitchell and Lake Cadillac and surrounded by the Huron-Manistee National Forest. Outdoor adventures, coupled with breathtaking views, make Cadillac the ultimate playground. Cadillac residents enjoy a low cost of living, including affordable housing, good schools, a vibrant downtown, festivals, a bustling farmer’s market, and a fun, vacation vibe. Unique shopping boutiques, galleries, and locally-owned restaurants makes this safe, family-friendly community a great place to live and work.

As a non-profit healthcare system, Munson Healthcare provides more than $60 million annually in:

  • Community Education
  • Free, discounted and unreimbursed healthcare services
  • Healthcare programs


Munson Healthcare grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

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