Shriners Children's logo
Shriners Children's
Sacramento, California

Advanced Practice Provider - Nurse Practitioner or Physician Assistant

Nurse Practitioner 8.8 Work-LifeNo callNo weekendsPer Diem Physician-Supervised State

Listed compensation

$78.33-$110.59/hr

The week · per this posting · Monday – Friday

Ask the employer about nights and shift pattern and time off.

Posted 1h ago · Verified live

Job Description

Company Overview

Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact.

We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families.

With 20+ hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, we provide excellent care to children up to age 18 regardless of their family’s ability to pay or insurance status. Please click here to learn more about our locations.

Current Employees

Please log into Workday Click Here to apply internally through the "Jobs Hub"

Job Description

Shriners Children's Northern California is seeking a compassionate and highly motivated Nurse Practitioner or Physician Assistant to join our multidisciplinary Spina Bifida Program in a PRN capacity.

This unique opportunity allows an advanced practice provider to work alongside specialists in Urology, Neurosurgery, Physical Medicine & Rehabilitation (PM&R), and other disciplines to provide comprehensive care for children with spina bifida and other complex neuromuscular conditions.

The APP will participate in multidisciplinary outpatient clinics and provide inpatient support, managing approximately six patients per half-day clinic session and one to two inpatients during designated coverage periods.

This position is based exclusively at Shriners Children's Northern California and does not require call, weekend, holiday, or after-hours coverage. Coverage needs are primarily focused on Tuesdays from 8:00 a. m. to 4:30 p. m., with occasional Wednesday clinic coverage.

In addition, the provider will support inpatient Spina Bifida services one week per month, Monday through Friday from 8:00 a. m. to 12:00 p. m. At minimum, candidates must be available to provide Tuesday clinic coverage and morning inpatient coverage during the designated week each month.

The hourly compensation range for this position is $78.33 to $110.59 per hour. Placement within the range is determined by factors including relevant advanced practice experience, specialized clinical expertise, and internal equity considerations.

Key Responsibilities

  • Conduct comprehensive and age-appropriate health assessments, histories, and physical exams.
  • Formulate differential diagnoses and develop care plans in coordination with supervising physicians and the care team.
  • Manage care for specialty populations including orthopedic and neuromuscular patients.
  • Provide pre-operative and post-operative evaluations and ongoing management in both inpatient and ambulatory surgical environments.
  • Order and interpret diagnostic imaging, lab 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 (EHR).
  • 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 all professional licensure, certifications, and mandatory training in compliance with state and organizational requirements.

Maintain accountability for meeting established productivity benchmarks (e. g. wRVUS), quality metrics, and institutional performance standards

Ensure time is allocated in accordance with assigned clinical, surgical, administrative, and academic expectations.

Required Qualifications

If Physician Assistant

  • Master of Physician Assistant Studies (or equivalent degree) from an accredited Physician Assistant program
  • Current, unrestricted Physician Assistant license in the state of practice
  • Certification by the National Commission on Certification of Physician Assistants (NCCPA)

If Nurse Practitioner

Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) from an accredited Nurse Practitioner program

American Nurses Credentialing Center (ANCC), American Association of Nurse Practitioners (AANP), or equivalent board certification in applicable specialty area, such as Pediatric Nurse Practitioner (CPNP-AC, CPNP-PC) or Family Nurse Practitioner (FNP)

Current, unrestricted Registered Nurse (RN) and Advanced Practice Registered Nurse (APRN) license in the state of practice

Both

Must Possess Eligibility for 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

2+ years of advanced practice clinical experience in a pediatric or pediatric specialty setting preferred. Recent graduates will be considered based on previous experience, training and clinical exposure.

  • Experience with pediatric orthopedic, spinal, or craniofacial patient populations preferred
  • Strong pediatric assessment and clinical decision-making skills.
  • Familiarity with pediatric specialty protocols and post-surgical care.
  • Excellent communication and interpersonal skills to engage effectively with patients, families, and care teams.
  • Proficient in EHR systems and clinical documentation.
  • Demonstrated commitment to patient safety, family-centered care, and trauma-informed practice.
  • Compensation is determined based on years of relevant experience and departmental equity.

Requirements

Candidates must hold a Master's degree in Physician Assistant Studies or Nursing and possess current, unrestricted licensure in the state of practice. A minimum of 2 years of advanced practice clinical experience in a pediatric setting is preferred.

Qualifications

Education
Master's degree (postgraduate degree)
Experience
2+ years of experience

Certifications

DEA License

Key Skills

Differential diagnosisCare planningOutpatient clinic managementSurgical assistanceMedication prescriptionPatient education

Pediatrics — Nurse Practitioner Career Context

Of the 43 active Pediatrics listings this role was benchmarked against, 23% are remote, 35% have no call, 53% require no weekends.

For production-based offers, this specialty runs a typical 5,000 wRVUs per year (derived from CMS CPT-frequency data), and WeekdayDoc listings compensate a median of about $50 per wRVU — implying roughly $250k in production-based pay. For reference, the 2026 CMS Medicare conversion factor is $33.40 per RVU.

What does the Pediatrics market look like in California?
MeasureThis jobMarket
Work-life score8.8 / 10 · top 5% in pediatrics (np)ranked against 261 Pediatrics (NP) listingslisting-based score, 0–10
Listed pay$163k–$230kPediatrics median $239k (middle half $239k–$239k)14 comparable listings, Oct 2026
Cost-of-living adjusted pay~$177k in purchasing powerCalifornia index 110.7 (US = 100)BEA Regional Price Parities (2024)
Pediatrics listings in California24 active281 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 23% remote · 35% no call · 53% no weekends43 benchmarked listings
Implied production pay~$250k$50/wRVU × 5,000 wRVUsCMS CPT frequencies; WeekdayDoc listing median $/wRVU
Sources: WeekdayDoc live listing index (261 Pediatrics (NP) listings), BEA Regional Price Parities (2024), CMS Physician Fee Schedule; as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Advanced Practice Provider - Nurse Practitioner or Physician Assistant at Shriners Children's a 8.8 out of 10 for work-life balance — classified as excellent. This places the position in the top 5% in Pediatrics (NP) — ranked against 261 active Pediatrics (NP) listings on WeekdayDoc. Contributing factors include no on-call duties, no weekend requirements.

Top contract/1099 Nurse Practitioner Jobs

41 matches · ranked by pay

Salary Distribution

24 jobs
9
<$165k
5
$165k-195k
4
$195k-225k
4
$225k-255k
2
$255k+

Annual compensation range

Benefits & Perks

18 jobs
401k / retirement match
78%
CME allowance
61%
Sign-on bonus
11%
PSLF eligible
11%
Loan repayment
6%

Share of similar jobs offering each benefit

#1

Nurse Practitioner - Addiction Medicine

Downtown Portland Comprehensive Treatment Center · Portland, Oregon

$120 per hour
#2

Nurse Practitioner or Physician Assistant Critical CarePer Diem

Providence · Santa Rosa, California

$94.55-$119.57/hr
#3

Nurse Practitioner

$46.03-$99.14/hr
#4

Family Nurse Practitioner (FNP) - On Call

$65-$85/hr
+ 39 more · ranked by pay

Work-life snapshot

median 6.0this job 8.8
Among the best 10% of Pediatrics (NP) listings for work-life

Listing-based score, 0–10, across 261 comparable listings. Shaded area = the share scoring below this one.

  • No call
  • No weekends
  • On-site
Shriners Children's logo

About Shriners Children's

Hospitals and Health Care
Montreal, Quebec
51-200 employees

Benefits & Perks

No call
No weekends
No holidays
No after-hours coverage

Living in Sacramento

Typical 3-bedroom home value
$455k
Typical market rent
$2,056/mo
Residents’ average commute
25 min
Metro price indexU.S. average = 100
106.7
State income tax
Up to 13.3%
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Sacramento-Roseville-Folsom, CA metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.