Direct Orthopedic Care (DOC) is seeking a Pain Management Physician to join our growing multidisciplinary practice focused on interventional pain management, physical therapy, orthopedic care, and function-based recovery.
This opportunity is located in Austin, Texas, and is available due to a physician retirement, creating a rare opportunity to step into a well-established, turnkey practice with an existing guest base, referral network, and operational infrastructure already in place.
Our mission is to help guests reduce pain, restore function, and improve quality of life through coordinated, evidence-based care with a strong emphasis on non-opioid treatment strategies.
This role combines direct guest care with clinical leadership, including oversight and development of Advanced Practice Providers (APPs). The physician will work in a highly integrated environment with access to in-house imaging, physical therapy, and orthopedic specialists.
Practice Environment
Established turnkey practice in the Austin marketImmediate access to an existing guest population and referral streamMultidisciplinary orthopedic and pain management settingIn-house X-ray and ultrasoundIntegrated physical therapy servicesAccess to orthopedic specialistsEMR-driven, data-focused care modelPhysician Responsibilities
Clinical Care
Evaluate guests in-office and via telemedicineObtain histories and perform physical exams when guests are seen in personDevelop individualized treatment plansInterpret and document in-house X-ray findingsOrder appropriate imaging, labs, and specialty referralsPerform and prescribe interventional pain proceduresPrescribe non-opioid medications when clinically indicatedMaintain timely, accurate, and complete documentation in DOC’s EMRLearn and maintain EMR templates to support efficient, standardized documentationCall & Availability
Be available for after-hours and weekend emergencies, which are extremely rareAPP Oversight & Leadership
The Pain Management Physician will provide clinical oversight and leadership for APPs within the DOC Pain Management Department, including:
Service Line & Operational Leadership
The physician will meet routinely with DOC’s Vice President of Clinical Operations to:
Review service-line reportsAnalyze Key Performance IndicatorsDevelop strategies to improve service-line performance, access, guest outcomes, and operational efficiencyIdeal Candidate
Board-certified or board-eligible in Pain Medicine, or board-certified in a related specialty with interventional pain trainingPhysicians with backgrounds in Physical Medicine & Rehabilitation (PM&R), Anesthesiology, or related specialties are encouraged to applyStrong interest in non-opioid, function-focused pain careComfortable supervising and developing APPsCollaborative, data-driven, and interested in operational improvementStrong communication and documentation skillsCommitted to timely, guest-centered care in a multidisciplinary environment Read LessAPP Resident
Physician Assistant or Nurse Practitioner
Direct Orthopedic Care | Dallas Fort Worth, TX | Full-Time | Rolling Admissions
About the Role
Direct Orthopedic Care is seeking Physician Assistants and Nurse Practitioners to join our APP Residency. This is a 12-month, full-time training program focused on developing confident, procedurally skilled clinicians within a collaborative, APP-led orthopedic and pain care model.
This is not an observership. Residents are active clinicians from early in the program, with structured mentorship, protected education time, and hands-on procedural training built into every week.
About the Program
The DOC APP Residency was built around how high-functioning orthopedic teams actually work. Experienced APPs lead front-line patient evaluation and procedural care while working closely with orthopedic surgeons and pain physicians for operative exposure and complex decision-making. Residents train alongside experienced orthopedic and pain APP mentors across the DOC network in the Dallas Fort Worth region, with clinical responsibility increasing as competence and judgment develop.
What You'll Do
Evaluate and manage patients across acute orthopedic, sports, degenerative, and musculoskeletal pain presentationsPerform and assist with ultrasound-guided injections, aspirations, and fracture proceduresInterpret radiographic imaging and manage fracture care including splinting, casting, and follow-upParticipate in surgical first assist and postoperative orthopedic follow-upAttend protected didactic sessions, case-based learning, and procedural workshops each weekComplete curriculum aligned with Orthopedic CAQ expectationsEngage in structured mentorship and formal progress reviews throughout the yearWho We're Looking For
New PA and NP graduates seeking a structured entry into orthopedic practice and experienced clinicians transitioning into the specialty are equally well-suited. Strong candidates have a genuine interest in musculoskeletal medicine, value mentorship and accountability, and are prepared for an intensive, high-volume clinical environment.
Requirements
Candidates pending graduation: graduate of an ARC-PA accredited PA program or accredited NP program, anticipated graduation date and planned board exam, CV, personal statement, and unofficial transcripts.
Graduated applicants: NCCPA certification or applicable board certification, Texas Medical Board licensure or pending application, DEA registration, CV, personal statement, and two letters of recommendation.
Compensation and Benefits
Residents are hired as full-time salaried employees from day one with a full benefits package including competitive salary, health, dental and vision insurance, 401(k), paid time off, CME allowance, and CME days in addition to PTO.
Where Graduates Go
100% of DOC APP Residency graduates have secured employment following completion, with the majority continuing their careers within Direct Orthopedic Care. Graduates practice across the full spectrum of orthopedic and pain settings including general orthopedics, sports medicine, spine, hand and upper extremity, pain management, physical medicine and rehabilitation, pediatric orthopedics, orthopedic oncology, and orthopedic urgent care.
Read Less** 90-120k total compensation. 4-10 work week available.
At Direct Orthopedic Care, our Physical Therapists evaluate and treat guests with a variety of orthopedic and sports-related injuries. Physical Therapists have caseload independence to manage as they see appropriate, and get to truly collaborate with referring providers within the same clinic. Benefits include paid PTO and sick leave, continuing education reimbursement (includes APTA and license renewal), health insurance premiums covered at 100%, and employer matching 401k.
Lead Outcomes
With the DOC team I ensure all guests receive high quality orthopedic care and guest services.All of my actions demonstrate the DOC WHY, our Core Values, my mission and responsibilities.I work with my DOC team to assure DOC policies, procedures, and systems are excellent, guest-focused, and profitable.I implement business plans and strategic change initiatives that improve practice performance and exceed benchmark standards.I assure that my knowledge, skills, and licensure as a clinician and DOC team member are current and excellent.Core Responsibilities
I organize, manage, and evaluate all physical therapy activities in the DOC clinic, assuring high quality and cost-effective rehabilitation outcomes for our guests.I am accountable for caseload management, program development, and marketing to assure continued growth of physical therapy services.I give and receive data-based feedback with my team on a daily basis with pleasure and appreciation. I maintain the physical therapy dashboard and provide DOC Corporate with metrics, proactively responding to fiscal changes and adjusting operations to ensure productivity standards are met. I contribute to planning and decision-making for therapy services by providing input on financial services and policies.I maintain guest confidentiality and ensure PHI is secure at all times.I collaborate to build a high-functioning team, modeling conscious communication and being accountable for my actions.Additional Requirements
I am able to lift up to 50lbs.I am proficient in computer skills/EMR programs.I have a Texas Physical Therapy License Read LessAs the Limited Medical Radiologic Technologist, I report to the Practice Manager. I understand the significance of providing sincere care for each of our guests and their safety while in our care. In conjunction, I provide x-rays at the provider’s direction and offer outstanding clinical support by understanding the value of communication, a helpful hand and the importance of relating to one’s needs.
Lead Outcomes
I will take initial x-rays per DOC protocol and any follow-up x-rays at the Provider’s discretion. I provide a genuine welcome to all guests as they enter DOC and lead hospitality efforts by maintaining a courteous, attentive and professional manner. I follow all protocols to reduce anxiety, provide explanation of treatment and ensure each guest departs with all questions answered.I lead guest flow including rooming guests, taking vitals, setting up injections, obtaining prior authorizations for injections, taking inventory/ordering supplies, educating guests and applying DME.I apply safety techniques, register guests in PACS and transport guests between rooms.I am able to check-in guests and collect demographic information, verify insurance coverage and collect copays.I maintain patient confidentiality and ensure PHI is secure at all times. I have a comprehensive knowledge and working understanding of HIPAA regulations and continual compliance.Core Responsibilities
I facilitate guest flow by notifying providers and other team members of guests’ arrival, having awareness of delays, and providing continual communication with all.I proactively minimize radiation to guest and team members by practicing radiation protection techniques and following all DOC protocols.I input CPT codes in EMR.I ensure operation of radiology equipment by completing preventative maintenance requirements including but not limited to following manufacturer’s instructions, troubleshooting malfunctions, scheduling for repairs, maintaining equipment inventory and service history.I assist providers with guest care by documenting care utilizing both EMR and PAC technology.I ensure compliance with federal, state, and local legal requirements by studying existing and new legislation; anticipating legislation; enforcing adherence to requirements.I maintain and evolve my professional and technical knowledge.I exemplify the following competencies
My leadership is proactive.My behaviors and standards model DOCs values and deliver a service experience that is unrivaled.I use active listening skills.My behavior is enthusiastic.I enjoy working as part of a team.I am flexible and adaptable.I am able to lift up to 50lbs.I am proficient in computer skills. Read Less** 90-120k total compensation. 4-10 work week available.
At Direct Orthopedic Care, our Physical Therapists evaluate and treat guests with a variety of orthopedic and sports-related injuries. Physical Therapists have caseload independence to manage as they see appropriate, and get to truly collaborate with referring providers within the same clinic. Benefits include paid PTO and sick leave, continuing education reimbursement (includes APTA and license renewal), health insurance premiums covered at 100%, and employer matching 401k.
Lead Outcomes
With the DOC team I ensure all guests receive high quality orthopedic care and guest services.All of my actions demonstrate the DOC WHY, our Core Values, my mission and responsibilities.I work with my DOC team to assure DOC policies, procedures, and systems are excellent, guest-focused, and profitable.I implement business plans and strategic change initiatives that improve practice performance and exceed benchmark standards.I assure that my knowledge, skills, and licensure as a clinician and DOC team member are current and excellent.Core Responsibilities
I organize, manage, and evaluate all physical therapy activities in the DOC clinic, assuring high quality and cost-effective rehabilitation outcomes for our guests.I am accountable for caseload management, program development, and marketing to assure continued growth of physical therapy services.I give and receive data-based feedback with my team on a daily basis with pleasure and appreciation. I maintain the physical therapy dashboard and provide DOC Corporate with metrics, proactively responding to fiscal changes and adjusting operations to ensure productivity standards are met. I contribute to planning and decision-making for therapy services by providing input on financial services and policies.I maintain guest confidentiality and ensure PHI is secure at all times.I collaborate to build a high-functioning team, modeling conscious communication and being accountable for my actions.Additional Requirements
I am able to lift up to 50lbs.I am proficient in computer skills/EMR programs.I have a Texas Physical Therapy License Read Less** 90-120k total compensation. 4-10 work week available.
At Direct Orthopedic Care, our Physical Therapists evaluate and treat guests with a variety of orthopedic and sports-related injuries. Physical Therapists have caseload independence to manage as they see appropriate, and get to truly collaborate with referring providers within the same clinic. Benefits include paid PTO and sick leave, continuing education reimbursement (includes APTA and license renewal), health insurance premiums covered at 100%, and employer matching 401k.
Lead Outcomes
With the DOC team I ensure all guests receive high quality orthopedic care and guest services.All of my actions demonstrate the DOC WHY, our Core Values, my mission and responsibilities.I work with my DOC team to assure DOC policies, procedures, and systems are excellent, guest-focused, and profitable.I implement business plans and strategic change initiatives that improve practice performance and exceed benchmark standards.I assure that my knowledge, skills, and licensure as a clinician and DOC team member are current and excellent.Core Responsibilities
I organize, manage, and evaluate all physical therapy activities in the DOC clinic, assuring high quality and cost-effective rehabilitation outcomes for our guests.I am accountable for caseload management, program development, and marketing to assure continued growth of physical therapy services.I give and receive data-based feedback with my team on a daily basis with pleasure and appreciation. I maintain the physical therapy dashboard and provide DOC Corporate with metrics, proactively responding to fiscal changes and adjusting operations to ensure productivity standards are met. I contribute to planning and decision-making for therapy services by providing input on financial services and policies.I maintain guest confidentiality and ensure PHI is secure at all times.I collaborate to build a high-functioning team, modeling conscious communication and being accountable for my actions.Additional Requirements
I am able to lift up to 50lbs.I am proficient in computer skills/EMR programs.I have a Texas Physical Therapy License Read LessThe purpose of completing an orthopedic physical therapy residency at Direct Orthopedic Care (DOC) is to advance clinical expertise, professional development, and patient care excellence. Our residency program aligns with the principles and guidelines established by the American Physical Therapy Association (APTA) and is designed to foster comprehensive growth in a dynamic and supportive environment.
Program Goals & Objectives
The objective of the orthopedic physical therapy residency is to enhance clinical expertise by providing advanced training in areas such as manual therapy, dry needling, and pain management, while fostering evidence-based practice to improve patient outcomes.
It supports professional development by preparing residents for Orthopedic Clinical Specialist (OCS) certification, cultivating leadership skills, and promoting interdisciplinary collaboration. The residency emphasizes patient-centered care through individualized treatment and the integration of patient education. Additionally, it encourages participation in research and innovation, promoting clinical research and the dissemination of findings within the orthopedic field.
Curriculum
The residency program structure includes over 1,500 hours of clinical experience in orthopedic physical therapy, allowing residents to manage diverse patient caseloads. Residents will receive 150 hours of one-on-one mentoring, case reviews, and research discussions, along with quarterly evaluations to guide clinical skill development. The program also features 300 hours of didactic learning through online and in-person sessions, access to APTA resources, MedBridge, and continuing education. Hands-on training in advanced techniques is provided across various clinical settings. Additionally, career guidance and support for personal well-being are integral to fostering both professional and personal growth.
Ideal Candidate
The Direct Orthopedic Care Orthopedic Physical Therapy Residency Program is seeking highly energetic physical therapists who are passionate about orthopedics and looking to improve their clinical skills in addition their knowledge on how to build a successful nonoperative orthopedic surgical practice. While this opportunity will allow exposure to the operating room, collaboration with DOC surgeons and APPs, the primary focus will be on clinical orthopedic care.
Admissions
Our program accepts applications on a rolling-basis. An interview will be awarded based on evaluation of the applicants CV, educational transcripts, personal statements, and letters of recommendation. PT residents who are accepted must apply for a Texas License.
Requirements
Graduate from an CAPTE accredited physical therapy program Transcripts from physical therapy program2 letters of recommendationCurrent CVPersonal StatementTX license (or pending)Program Benefits
Competitive Base Salary
Sign on bonus available for those selected to continue as provider with DOC at the end of the residency program.
Health insurance, dental, vision, 401K, PTO
Read LessAs the Radiologic Technologist, I report to the Practice Manager. I understand the significance of providing sincere care for each of our guests and their safety while in our care. In conjunction, I provide x-rays at the provider’s direction and offer outstanding clinical support by understanding the value of communication, a helpful hand and the importance of relating to one’s needs.
Lead Outcomes
I will take initial x-rays per DOC protocol and any follow-up x-rays at the Provider’s discretion.I provide a genuine welcome to all guests as they enter DOC and lead hospitality efforts by maintaining a courteous, attentive and professional manner.I follow all protocols to reduce anxiety, provide explanation of treatment and ensure each guest departs with all questions answered.I lead guest flow including rooming guests, taking vitals, setting up injections, obtaining prior authorizations for injections, taking inventory/ordering supplies, educating guests and applying DME.I apply safety techniques, register guests in PACS and transport guests between rooms.I am able to check-in guests and collect demographic information, verify insurance coverage and collect copays.I maintain patient confidentiality and ensure PHI is secure at all times. I have a comprehensive knowledge and working understanding of HIPAA regulations and continual compliance.Core Responsibilities
I facilitate guest flow by notifying providers and other team members of guests’ arrival, having awareness of delays, and providing continual communication with all.I proactively minimize radiation to guest and team members by practicing radiation protection techniques and following all DOC protocols.I input CPT codes in EMR.I ensure operation of radiology equipment by completing preventative maintenance requirements including but not limited to following manufacturer’s instructions, troubleshooting malfunctions, scheduling for repairs, maintaining equipment inventory and service history.I assist providers with guest care by documenting care utilizing both EMR and PAC technology.I ensure compliance with federal, state, and local legal requirements by studying existing and new legislation; anticipating legislation; enforcing adherence to requirements.I maintain and evolve my professional and technical knowledge.I exemplify the following competencies
My leadership is proactive.I am ARRT certified.I obtain a Texas Medical Radiologic Technologist License.My behaviors and standards model DOCs values and deliver a service experience that is unrivaled.I use active listening skills.My behavior is enthusiastic.I enjoy working as part of a team.I am flexible and adaptable.I am able to lift up to 50lbs.I am proficient in computer skills. Read Less