Advanced Practice Provider - Nurse Practitioner or Physician Assistant

Shriners Hospitals for Children•St Louis, MO

About The Position

Shriners Children's St. Louis is seeking a PRN Advanced Practice Provider (Nurse Practitioner or Physician Assistant) to provide weekend coverage for its inpatient pediatric orthopedic service. The role helps ensure continuity of care for hospitalized children, primarily pediatric orthopedic and rehabilitation patients, including children in HALO traction and those recovering from orthopedic procedures. The average daily census is approximately 3 to 5 patients. The APP manages the inpatient unit during designated coverage periods, including patient assessment, implementation of treatment plans, care coordination, discharge planning, and family education. The provider works with pediatricians, orthopedic surgeons, nursing staff, therapists, and other members of the multidisciplinary care team. Weekend coverage opportunities include Friday daytime, Friday overnight call, Saturday daytime, Saturday overnight call, Sunday daytime, and Sunday overnight call. Coverage periods are structured as 12-hour shifts (7:00 a.m. to 7:00 p.m.). Friday daytime coverage is onsite; Friday night coverage is call-based. On Saturdays and Sundays, the APP rounds on assigned inpatients each morning, collaborates on treatment plans, addresses clinical concerns, and remains available by phone for the remainder of the shift. The APP must be able to respond to urgent needs and report to the hospital within 30 minutes when an in-person evaluation or intervention is required. The position requires an experienced provider able to practice independently while collaborating effectively with the care team. Newly hired APPs complete a structured orientation of approximately 20 weekday shifts and 10 weekend day shifts alongside an experienced pediatrician. The orientation covers the patient population, inpatient workflows, clinical protocols, and weekend coverage expectations. The fixed PRN rate is $62.42 per hour. This flexible opportunity involves caring for children receiving specialized orthopedic and rehabilitation services in a mission-driven pediatric healthcare environment.

Requirements

Minimum of 2 years of advanced practice experience; inpatient experience caring for pediatric patients is preferred.
Physician Assistant applicants must have a Master of Physician Assistant Studies or equivalent degree from an accredited Physician Assistant program.
Physician Assistant applicants must hold a current, unrestricted Physician Assistant license in the state of practice.
Physician Assistant applicants must be certified by the National Commission on Certification of Physician Assistants (NCCPA).
Nurse Practitioner applicants must have an MSN or DNP from an accredited Nurse Practitioner program.
Nurse Practitioner applicants must hold ANCC, AANP, or equivalent board certification in an applicable specialty area.
Nurse Practitioner applicants must hold current, unrestricted RN and APRN licenses in the state of practice.
Must be eligible for an active DEA registration.
Must have Basic Life Support for Healthcare Providers (BLS for HCP); Pediatric Advanced Life Support (PALS) may be required based on clinical assignment.
Must obtain credentialing and privileging by the medical staff in accordance with hospital bylaws.
Strong pediatric assessment and clinical decision-making skills.
Familiarity with pediatric specialty protocols and post-surgical care.
Excellent communication and interpersonal skills for engaging with patients, families, and care teams.
Proficiency with EHR systems and clinical documentation.
Demonstrated commitment to patient safety, family-centered care, and trauma-informed practice.
Ability to practice independently, collaborate effectively, and respond to urgent needs; must be able to report to the hospital within 30 minutes when in-person care is required.

Nice To Haves

Experience caring for pediatric patients in an inpatient setting.
Experience with pediatric orthopedic, spinal, craniofacial, or other surgical patient populations.

Responsibilities

Conduct comprehensive, age-appropriate health assessments, histories, and physical examinations.
Formulate differential diagnoses and develop care plans in coordination with supervising physicians and the care team.
Manage care for specialty populations, including orthopedic, spinal, craniofacial, and neuromuscular patients.
Provide pre-operative and post-operative evaluations and ongoing management in inpatient and ambulatory surgical environments.
Order and interpret diagnostic imaging, laboratory work, and other tests as permitted by licensure and protocol.
Perform routine procedures and assist in specialty surgical cases within the scope of licensure.
Prescribe medications and therapeutic interventions consistent with the scope of practice and Shriners Children’s policies.
Participate in multidisciplinary clinics and care conferences to support coordinated, integrated care.
Educate patients, caregivers, and staff on disease processes, treatment plans, and home care strategies.
Document clinical findings, treatment plans, and patient responses using the electronic health record.
Support quality improvement, patient safety, and research initiatives as appropriate to the role.
Provide mentorship or precepting to clinical staff or trainees as assigned.
Maintain compliance with hospital, state, and federal regulations, including infection control and documentation standards.
Perform additional duties within the scope of licensure as assigned to support patient care and organizational goals.
Maintain professional licensure, certifications, and mandatory training in compliance with state and organizational requirements.
Round on assigned inpatients each weekend morning, collaborate with the pediatrician and care team on treatment plans, address clinical concerns, and remain available by phone during the remainder of the shift.
Respond to urgent patient care needs and report to the hospital within 30 minutes when an in-person evaluation or intervention is required.