Advanced Practice Provider - Nurse Practitioner or Physician Assistant

Shriners Children's•St. Louis, MO

3d•Onsite

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 position supports continuity of care for hospitalized patients and works within a collaborative multidisciplinary team caring for children with orthopedic and rehabilitation needs. The inpatient population is generally low acuity, averaging approximately 3 to 5 patients per day, and includes pediatric orthopedic and rehabilitation patients, including children in HALO traction and those recovering from orthopedic procedures. The APP manages the inpatient unit during designated coverage periods, including patient assessment, implementation of treatment plans, care coordination, discharge planning, and family education. 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 from 7:00 a.m. to 7:00 p.m. Friday daytime coverage is onsite, while Friday night coverage is call-based. On Saturdays and Sundays, the provider rounds on assigned inpatients in the morning, collaborates with the pediatrician and care team on treatment plans, addresses clinical concerns, and remains available by phone for the rest of the shift. The APP must be able to report to the hospital within 30 minutes when an in-person evaluation or intervention is needed. The role requires an experienced provider able to practice independently while collaborating with the broader care team. Newly hired APPs complete a structured orientation of approximately 20 weekday shifts and 10 weekend day shifts alongside an experienced pediatrician. Orientation provides exposure to the patient population, inpatient workflows, clinical protocols, and weekend coverage expectations specific to Shriners Children's St. Louis. The position is compensated at a fixed PRN rate of $62.42 per hour and offers scheduling flexibility.

Requirements

Physician Assistant candidates must have a Master of Physician Assistant Studies or equivalent degree from an accredited Physician Assistant program.
Physician Assistant candidates must hold a current, unrestricted Physician Assistant license in the state of practice.
Physician Assistant candidates must have certification by the National Commission on Certification of Physician Assistants (NCCPA).
Nurse Practitioner candidates must have an MSN or DNP from an accredited Nurse Practitioner program.
Nurse Practitioner candidates must have ANCC, AANP, or equivalent board certification in an applicable specialty area, such as Pediatric Nurse Practitioner (CPNP-AC, CPNP-PC) or Family Nurse Practitioner (FNP).
Nurse Practitioner candidates must hold current, unrestricted Registered Nurse (RN) and Advanced Practice Registered Nurse (APRN) licenses in the state of practice.
At least 2 years of advanced practice experience is required.
Must possess eligibility for an active DEA.
Must possess Basic Life Support for Healthcare Providers (BLS for HCP); Pediatric Advanced Life Support (PALS) certification may be required based on clinical assignment.
Credentialing and privileging by the medical staff in accordance with hospital bylaws is required.
Strong pediatric assessment and clinical decision-making skills.
Ability to practice independently and collaborate effectively with the broader care team.
Excellent communication and interpersonal skills to engage effectively with patients, families, and care teams.
Proficiency in EHR systems and clinical documentation.
Demonstrated commitment to patient safety, family-centered care, and trauma-informed practice.
Ability to respond to urgent patient care needs and report to the hospital within 30 minutes when required.

Nice To Haves

Advanced practice experience caring for pediatric patients in an inpatient setting.
Experience with pediatric orthopedic, spinal, craniofacial, or other surgical patient populations.
Familiarity with pediatric specialty protocols and post-surgical care.

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 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 about 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.
Manage inpatient needs and coordinate patient care during Friday daytime coverage.
Round on assigned inpatients each morning on Saturdays and Sundays, collaborate with the pediatrician and care team on treatment plans, address clinical concerns, and remain available by phone throughout the remainder of the shift.
Respond to urgent patient care needs and report to the hospital within 30 minutes when in-person evaluation or intervention is required.