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Esse Health
St. Louis, Missouri

Hospital At Home Physician: Providing High-quality, Coordinated Hospital Care in the Patient Home; PRN Openings, $1800 Shift Pay Rate

Internal MedicineIncludes callIncludes weekendsPer Diem

Listed compensation

$2K–$2K/shift

The week · per this posting

Ask the employer about the work setting, nights and shift pattern and time off.

Posted 7mo ago · Verified live

Job Description

Join Our Team

At Esse Health, we believe physicians deserve a workplace where they can practice medicine the way it’s meant to be—patient centered, collaborative, and supported by a culture that values innovation and work life balance.

If you’re looking for a place where your ideas matter and your impact is felt every day, Esse Health is where you can truly thrive.

We are seeking compassionate, Internal Medicine and Family Medicine physicians to provide high-quality, coordinated hospital care to patients from the comfort of their home.

What Sets Us Apart

  • Achieve a healthy work-life balance with greater control over your practice
  • Collegial and supportive partners offering support, mentorship, and collaboration
  • Onboarding, business, and practice ramp up support provided
  • Resources, training on best practices, and a strong infrastructure to support patient care beyond the clinic
  • An environment free from hospital bureaucracy that allows faster decision-making and autonomy
  • 20% lower average cost of care compared to hospitals

About the Opportunity

Help patients with the care they need in the comfort of their home. PRN

Comprehensive Care Management opportunities to provide home health through team approach for continuity of care in each patient's home setting.

Treating Patients with and who have some self-care/caregiver support:

  • Acute and post-acute care
  • COPD/Asthma
  • Cellulitis
  • Dehydration
  • Gastroenteritis
  • Heart Failure
  • Altered Mental Status
  • Pneumonia
  • COVID
  • Diabetes
  • Urinary Tract Infection

Position Details

  • Opportunities to cover 12- hour shifts
  • Shifts are from 8a-8p and 8p-8a, 7 days per week
  • Provide daily clinical guidance and decision-making as the attending Advanced

Care Physician

  • Collaborate with Primary Care Physicians and offices, supported by a multidisciplinary Care Team of Nurses, Nurse Practitioners, Medical

Assistants, and Care and Case Managers

  • Patient visits and on call responsibilities; be available for ongoing orders, next steps, coordinating care with staff, and communicating with primary care provider
  • Answering service takes after hours call first, then dispatched out to team
  • NextGen EMR
  • See 10-12 patients per day on average for follow-up days
  • See 5-6 patients per day on average for new patients

Coverage Areas

  • St. Louis
  • St. Louis County
  • St. Charles
  • Jefferson County

Compensation for 12-Hour Shifts

  • Weekday shift rate- $1800.00
  • Weekend shift rate and holiday rate- $2000.00
  • On-call rate- $150.00
  • $265.00 per hr, (min of 2 hrs) for in-home visits outside of scheduled

shift: Preferred Requirements:

  • Hospitalist or home health experience
  • Experience and training in quality improvement and patient safety
  • Able to create personal relationships and build human connections
  • Communicate effectively with patients, family, medical power of attorney, primary care provider and all individuals involved in the patient’s care
  • Provide care with compassion, empathy, and cultural competency
  • MD or DO
  • Must be Board Certified or Board Eligible with plans to certify (AB or AOA)
  • Active Missouri Medical License or eligible to obtain licensure in Missouri
  • Enrolled in Essence and other Medicare HMO plans
  • ACLS Certified
  • Good driving record and auto insurance

About Esse Health, a Surround Care Company

  • Physician-owned and managed for over 30 years
  • Independent, multi-specialty group: Allergy & Immunology, Child Psychiatry,

Family Medicine, Gastroenterology, Internal Medicine, Pediatrics, and Urology

  • 150 Providers and 40 Locations in the St. Louis, MO metro area and surrounding communities
  • Disease Management Programs: Diabetes, Heart Failure, COPD, Obesity,

Palliative C.A.R.E Program, Wellness Program

  • Care Management support team includes In-Practice Health Coaches, Dietitians,

Home Health, Transition Care, Memory Care, Behavioral Health Referral process, Facility Case managers, Hospice/ Palliative care, Fit Kits, and much more

  • Hospital at Home Services: Home Care, Home Medical Equipment, Lab, Infusion

Pharmacy, Imaging, EMS Transport, Remote Monitoring and more

  • Practice Support Services: EMR (NextGen), Care Management, Lab, Corporate

Development, IT, Ins/Patient Accts, Clinical Programs, Credentialing, Human

Resources, Coding/Compliance, Quality, Practice Operations,

Finance/Accounting, Purchasing, In-House Legal, Marketing, and Hospital at

Home

*For consideration, please attach CV and provide 3 professional references; include name, organization/title, email address and phone number for each.

Key Responsibilities

Physicians will provide high-quality, coordinated hospital care to patients within their homes, covering 12-hour shifts and offering daily clinical guidance and decision-making as the attending Advanced Care Physician. Responsibilities include managing acute and post-acute conditions, collaborating with primary care physicians, and coordinating care with a multidisciplinary team.

Requirements

Candidates must be compassionate Internal Medicine or Family Medicine physicians, holding an MD or DO degree, and must be Board Certified or Eligible with plans to certify. Applicants need an active Missouri Medical License or eligibility, ACLS Certification, and experience in hospitalist or home health care is preferred.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
2+ years of experience

Certifications

Board Certification

Key Skills

Care Coordination

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Hospital At Home Physician: Providing High-quality, Coordinated Hospital Care in the Patient Home; PRN Openings, $1800 Shift Pay Rate at Esse Health a 6.3 out of 10 for work-life balance — classified as good. This places the position in the Above average in Physician roles — ranked against 21,832 active Physician roles listings on WeekdayDoc. Contributing factors include flexible scheduling.

Internal Medicine — Physician Career Context

Esse Health holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 79/100, 32 active listings.

Of the 40 active Internal Medicine listings this role was benchmarked against, 33% are remote, 50% have no call, 48% require no weekends.

The cost-of-living index for Missouri is 90.8 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$551k midpoint carries the purchasing power of roughly $607k in an average-cost state. 60.1% of Missouri clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top contract/1099 Internist Jobs

40 matches · ranked by pay

Salary Distribution33 jobs · 24 employers

4
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8
$340k-370k
13
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7
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1
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Annual compensation range

Benefits & Perks27 jobs · 24 employers

401k / retirement match
93%
CME allowance
56%
Sign-on bonus
48%
Relocation assistance
30%
Loan repayment
7%

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Work-life snapshot

median 6.4this job 6.3
Better work-life than 50% of Internal Medicine listings

Listing-based score, 0–10, across 1,304 comparable listings. Shaded area = the share scoring below this one.

  • Includes call
  • Includes weekends