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How to hire a physician extender

Physician extender hiring summary. Here are some key points about hiring physician extenders in the United States:

  • In the United States, the median cost per hire a physician extender is $1,633.
  • It takes between 36 and 42 days to fill the average role in the US.
  • Human Resources use 15% of their expenses on recruitment on average.
  • On average, it takes around 12 weeks for a new physician extender to become settled and show total productivity levels at work.

How to hire a physician extender, step by step

To hire a physician extender, you should clearly understand the skills and experience you are looking for in a candidate, and allocate a budget for the position. You will also need to post and promote the job opening to reach potential candidates. Here's a step-by-step guide on how to hire a physician extender:

Here's a step-by-step physician extender hiring guide:

  • Step 1: Identify your hiring needs
  • Step 2: Create an ideal candidate profile
  • Step 3: Make a budget
  • Step 4: Write a physician extender job description
  • Step 5: Post your job
  • Step 6: Interview candidates
  • Step 7: Send a job offer and onboard your new physician extender
  • Step 8: Go through the hiring process checklist

What does a physician extender do?

Physician extenders are not physicians. However, physician extenders perform a vital task in the overall care of patients. They diagnose and treat medical conditions, document and update patient records, consult patients, and perform physical exams. They may serve either as physician assistants or nurse practitioners. In becoming a physician extender, they must be a registered nurse or must have medical experience by working in the medical field even at a lower level. They need to be a regulatory agency certified and licensed instructor in their region or state.

Learn more about the specifics of what a physician extender does
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  1. Identify your hiring needs

    First, determine the employments status of the physician extender you need to hire. Certain physician extender roles might require a full-time employee, whereas others can be done by part-time workers or contractors.

    Determine employee vs contractor status
    Is the person you're thinking of hiring a US citizen or green card holder?

    Hiring the perfect physician extender also involves considering the ideal background you'd like them to have. Depending on what industry or field they have experience in, they'll bring different skills to the job. It's also important to consider what levels of seniority and education the job requires and what kind of salary such a candidate would likely demand.

    This list shows salaries for various types of physician extenders.

    Type of Physician ExtenderDescriptionHourly rate
    Physician ExtenderPhysician assistants, also known as PAs, practice medicine on teams with physicians, surgeons, and other healthcare workers. They examine, diagnose, and treat patients.$60-228
    Rehabilitation TechnicianA rehabilitation technician is responsible for assisting therapists and other medical personnel on supporting the patients in their daily activities and physical therapy sessions. Rehabilitation technicians provide high-quality care services for the patients by administering medications, accompanying them on medical appointments, and ensuring the cleanliness and orderliness of all equipment and facilities to prevent hazards within the premises... Show more$11-17
    Cardiovascular TechnicianA cardiovascular technician is responsible for monitoring and administering treatment plans for patients with cardiovascular illnesses. Cardiovascular technicians operate various equipment and machinery to ensure the accuracy of diagnosis and determine the medical procedures to take... Show more$20-43
  2. Create an ideal candidate profile

    Common skills:
    • Patients
    • Patient Care
    • Medical Care
    • Rehabilitation
    • Physical Therapy
    • Clinical Care
    • Physical Examinations
    • Mental Health
    • Outpatient Clinic
    • Office Procedures
    • Diagnostic Tests
    • Surgical Procedures
    • Discharge Planning
    • Patient History
    Check all skills
    Responsibilities:
    • Work closely with patients to manage their depression and anxiety beginning with initial diagnosis to med-initiation and follow-up care.
    • Render emergency medical treatment and transport patients.
    • Initial reading of EKG's.
    • Assess patients' symptoms while conducting initial injury evaluation.
    • Work in an outpatient orthopedic clinic with emphasis on physical medicine, rehabilitation of both chronic and acute orthopedic conditions.
    • Perform wound care.perform laceration repair including suturing.
    More physician extender duties
  3. Make a budget

    Including a salary range in your physician extender job description helps attract top candidates to the position. A physician extender salary can be affected by several factors, such as geography, experience, seniority, certifications, and the prestige of the hiring company.

    For example, the average salary for a physician extender in Delaware may be lower than in New Mexico, and an entry-level physician extender usually earns less than a senior-level physician extender. Additionally, a physician extender with certifications may command a higher salary, and working for a well-known company or start-up may also impact an employee's pay.

    Average physician extender salary

    $244,718yearly

    $117.65 hourly rate

    Entry-level physician extender salary
    $125,000 yearly salary
    Updated December 15, 2025

    Average physician extender salary by state

    RankStateAvg. salaryHourly rate
    1Iowa$277,468$133
    2Washington$271,536$131
    3California$268,847$129
    4Arizona$264,011$127
    5Texas$238,603$115
    6Mississippi$237,598$114
    7North Carolina$229,026$110
    8Ohio$212,941$102
    9Alabama$211,207$102
    10Kentucky$207,901$100
    11New Jersey$202,703$97
    12New York$198,515$95

    Average physician extender salary by company

    RankCompanyAverage salaryHourly rateJob openings
    1UnitedHealth Group$342,306$164.57453
    2Hanger$259,715$124.86
    3Wake County$252,366$121.33
    4Addiction Recovery Care$249,883$120.14
    5Nationwide Children's Hospital$248,564$119.5015
    6Memorial Hospital$247,843$119.166
    7New Bridge Medical Center$236,914$113.90
    8St. John's Episcopal Hospital$236,826$113.86
    9Luke & Associates$231,007$111.06
    10Alliance Health$230,050$110.605
    11Americorps$221,304$106.40
    12Ohio State University Medical Center$206,791$99.421
    13Tenet Healthcare$197,268$94.84121
    14Select Medical$146,025$70.202,768
    15NC.gov$112,389$54.034
    16State of Georgia: Teachers Retirement System of Georgia$109,615$52.702
  4. Writing a physician extender job description

    A job description for a physician extender role includes a summary of the job's main responsibilities, required skills, and preferred background experience. Including a salary range can also go a long way in attracting more candidates to apply, and showing the first name of the hiring manager can also make applicants more comfortable. As an example, here's a physician extender job description:

    Physician extender job description example

    St. John’s Episcopal Hospital is the only hospital providing emergency and ambulatory care to the densely populated, culturally and economically diverse, and medically underserved populations of the Rockaways and Five Towns in southern Queens County and southwestern Nassau County, New York. Celebrating over 110 years of community care, the 257-bed facility provides people of all faiths with comprehensive preventive, diagnostic treatment and rehabilitative services, regardless of ability to pay.

    Come Grow With Us!

    Type: Part-Time

    Hours: 11:00 PM - 7:30 AM

    Shift: Nights

    Job Summary:

    The Patient Care Extender participates in a patient-focused team approach to providing direct and collaborative health care in the inpatient clinical settings, which includes the Behavioral units. Performs limited direct and inpatient care duties. The PCE acts in accordance with corporate, hospital, and all relevant regulatory policies regarding patient care as per policies and procedures. Under the direction of the RN or Physician, and in collaboration with the interdisciplinary team, the PCE performs crisis and de-escalation interventions and therapeutic observations.

    Responsibilities (including but not limited to):

    • Assists in orienting the patient and family to the patient care unit
    • Responds promptly to patient requests
    • Fulfills requests or refers needs to the appropriate resource promptly
    • Assisting patients with movement, meal time, hygiene, acting as a Safety Monitor, and keeping patient areas tidy
    • Demonstrates the appropriate ability and techniques to de-escalate a crisis situation

    Requirements:

    • High School Diploma
    • Minimum of 1 year of full-time experience in Nursing, Psych/Behavioral Health or a combination of education, training, and experience required
    • CPR/Heart Saver certification
    • Crisis Intervention Training
  5. Post your job

    There are a few common ways to find physician extenders for your business:

    • Promoting internally or recruiting from your existing workforce.
    • Ask for referrals from friends, family members, and current employees.
    • Attend job fairs at local colleges to meet candidates with the right educational background.
    • Use social media platforms like LinkedIn, Facebook, and Twitter to recruit passive job-seekers.
    Post your job online:
    • Post your physician extender job on Zippia to find and recruit physician extender candidates who meet your exact specifications.
    • Use field-specific websites such as healthcarejobsite, health jobs nationwide, hospitalcareers, medreps.com.
    • Post a job on free websites.
  6. Interview candidates

    To successfully recruit physician extenders, your first interview needs to engage with candidates to learn about their interest in the role and experience in the field. You can go into more detail about the company, the role, and the responsibilities during follow-up interviews.

    It's also good to ask about candidates' unique skills and talents to see if they match your ideal candidate profile. If you think a candidate is good enough for the next step, you can move on to the technical interview.

    The right interview questions can help you assess a candidate's hard skills, behavioral intelligence, and soft skills.

  7. Send a job offer and onboard your new physician extender

    Once you have selected a candidate for the physician extender position, it is time to create an offer letter. In addition to salary, the offer letter should include details about benefits and perks that are available to the employee. Ensuring your offer is competitive is vital, as qualified candidates may be considering other job opportunities. The candidate may wish to negotiate the terms of the offer, and it is important to be open to discussion and reach a mutually beneficial agreement. After the offer has been accepted, it is a good idea to formalize the agreement with a contract.

    It's also important to follow up with applicants who do not get the job with an email letting them know that the position is filled.

    After that, you can create an onboarding schedule for a new physician extender. Human Resources and the hiring manager should complete Employee Action Forms. Human Resources should also ensure that onboarding paperwork is completed, including I-9s, benefits enrollment, federal and state tax forms, etc., and that new employee files are created.

  8. Go through the hiring process checklist

    • Determine employee type (full-time, part-time, contractor, etc.)
    • Submit a job requisition form to the HR department
    • Define job responsibilities and requirements
    • Establish budget and timeline
    • Determine hiring decision makers for the role
    • Write job description
    • Post job on job boards, company website, etc.
    • Promote the job internally
    • Process applications through applicant tracking system
    • Review resumes and cover letters
    • Shortlist candidates for screening
    • Hold phone/virtual interview screening with first round of candidates
    • Conduct in-person interviews with top candidates from first round
    • Score candidates based on weighted criteria (e.g., experience, education, background, cultural fit, skill set, etc.)
    • Conduct background checks on top candidates
    • Check references of top candidates
    • Consult with HR and hiring decision makers on job offer specifics
    • Extend offer to top candidate(s)
    • Receive formal job offer acceptance and signed employment contract
    • Inform other candidates that the position has been filled
    • Set and communicate onboarding schedule to new hire(s)
    • Complete new hire paperwork (i9, benefits enrollment, tax forms, etc.)
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How much does it cost to hire a physician extender?

Before you start to hire physician extenders, it pays to consider both the one-off costs like recruitment, job promotion, and onboarding, as well as the ongoing costs of an employee's salary and benefits. While most companies that hire physician extenders pay close attention to the initial cost of hiring, ongoing costs are much more significant in the long run.

The median annual salary for physician extenders is $244,718 in the US. However, the cost of physician extender hiring can vary a lot depending on location. Additionally, hiring a physician extender for contract work or on a per-project basis typically costs between $60 and $228 an hour.

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