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BJC HealthCare
Saint Louis, Missouri · Hybrid

Clinical Nurse - Physician Access Line

Ambulatory Care NursingIncludes weekendsNo callPart-Time

Listed compensation

$32-$48.28/hr

The week · per this posting

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

Posted 21m ago · Verified live

Job Description

Additional Information About the Role

The Physician Access Line/Children’s Direct team is a 24/7 immediate link for referring physicians when they need to admit a patient, dispatch the hospital's transport team, obtain urgent or routine consultations, schedule appointments with specialists, or request patient information.

  • This will be a hybrid position.
  • We are seeking candidates with at least 2 years of pediatric ICU or ED nursing experience.
  • Part-time; 8hr shifts; 24 hours per week

Schedule: Days/Evenings

  • Two remote shifts per week (3:00pm-11:00pm)
  • One in-person shift per week (9:00am-5:00pm)
  • Weekend rotation: 4-5 shifts for every six week schedule
  • Holiday rotation: at least 4 per year

BJC Nursing Career Ladder

The BJC Registered Nurse Career Ladder differentiates BJC as the place for nurses to work in the greater St. Louis area.

This is a tool to empower nurses to work at the top of their license and own their career progression.

The BJC Registered Nurse Career Ladder promotes professional development, leadership, collaboration, education and service excellence and gives staff the opportunity to continue doing what they do best - caring for patients - while having the opportunity to advance to the next step in their career.

Moves to higher ladder levels will result in a percentage increase of current pay that aligns with the new job description.

  • Additional Preferred Requirements
  • BSN
  • Computer/typing skills

Overview

St. Louis Children’s Hospital is dedicated to improving the health and lives of children. As one of the top-ranked children’s hospitals in the country, St. Louis Children’s provides care in more than 50 specialty areas through a dedicated team of physicians, nurses, staff and volunteers. Along with inpatient and outpatient medical care, the hospital offers education, wellness and injury-prevention programs to fulfill its mission to “do what’s right for kids.”

Providing comprehensive, high-quality care and serving as an advocate for children has been St. Louis Children’s commitment since its inception in 1879. Today, the hospital serves patients and families across a 300-mile service area, and has seen patients from all 50 states and more than 80 countries.

St. Louis Children’s consistently ranks among America’s Best Children’s Hospitals by U.S.News & World Report in all surveyed categories. In 2021, St. Louis Children’s was one of eight children’s hospitals to rank in the top 25 of all 10 specialties.

The hospital’s academic and physician partner, Washington University School of Medicine, is one of the top-ranked medical schools in the United States. Since 2005, St. Louis Children’s has been designated as a Magnet® hospital for nursing excellence from the American Nurses Credentialing Center® (ANCC).

Preferred Qualifications

Role Purpose

Provides direct patient care activities including assessment, diagnosis, planning implementation, and evaluation within the guidelines of the standards of nursing care.

Responsibilities

Promotes patient and family centered care in a healing environment. Educates patients and their families on how to manage their illness or injury, including post treatment home care needs and medication administration.

Participates in activities that promote patient safety, quality and regulatory compliance. Participates in professional development.

Develops, implements, and documents individual plans of care with defined goals in collaboration with other members of the interprofessional team and patient, family or caregiver in accordance with the established guidelines and standards of nursing care. Proactively plans and ensures communication of the plan of care across the continuum of care.

Uses critical nursing skills to assess and evaluate physical, psychosocial, and emotional needs according to standards of care. Assess patient preferences and barriers to involvement in care, including their values, emotional, spiritual, cultural, and population-specific needs.

BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.

Minimum Requirements

  • Education
  • Nursing Diploma/Associate's
  • Nursing

Experience

  • No Experience
  • Supervisor Experience
  • No Experience
  • Licenses & Certifications
  • RN

Preferred Requirements

  • Education
  • Bachelor's Degree
  • Nursing

Experience

<2 years

Benefits and Legal Statement

BJC Total Rewards

At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.

Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date

  • Disability insurance* paid for by BJC
  • Annual 4% BJC Automatic Retirement Contribution
  • 401(k) plan with BJC match
  • Tuition Assistance available on first day
  • BJC Institute for Learning and Development
  • Health Care and Dependent Care Flexible Spending Accounts
  • Paid Time Off benefit combines vacation, sick days, holidays and personal time
  • Adoption assistance
  • To learn more, go to our Benefits Summary.

*Not all benefits apply to all jobs

The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer

Requirements

Candidates must hold a nursing diploma or associate degree and possess a valid RN license. At least 2 years of pediatric ICU or ED nursing experience is required, with a BSN preferred.

Qualifications

Education
Bachelor degree
Experience
2+ years of experience

Key Skills

Pediatric nursingICU nursingEmergency department nursingPatient assessmentPatient educationCare planningCritical thinkingComputer skills

Ambulatory Care Nursing — Physician Career Context

Of the 40 active Physician listings this role was benchmarked against, 15% are remote, 53% have no call, 50% require no weekends — this position is remote.

The cost-of-living index for Missouri is 90.8 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$83k midpoint carries the purchasing power of roughly $92k in an average-cost state. 60.1% of Missouri clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

How many Physician jobs are remote?
MeasureThis jobMarket
Work-life score6.7 / 10 · above average in physician rolesranked against 22,497 Physician roles listingslisting-based score, 0–10
Listed pay$67k–$100kPhysician median $275k (middle half $269k–$311k)94 comparable listings, Oct 2026
Cost-of-living adjusted pay~$92k in purchasing powerMissouri index 90.8 (US = 100)BEA Regional Price Parities (2024)
Physician listings in Missouri373 active22,517 nationallylive on WeekdayDoc, Oct 2026
Work settingremotepeers: 15% remote · 53% no call · 50% no weekends40 benchmarked listings
Sign-on & loan repaymentnot statedMissouri Physician listings: 30% state a sign-on bonus (median $40k) · 18% offer loan repayment373 active listings, Oct 2026
Physician pay trend+1.3% vs prior quarter—through Sep 2026
Sources: WeekdayDoc live listing index (22,497 Physician roles listings), BEA Regional Price Parities (2024); 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 Clinical Nurse - Physician Access Line at BJC HealthCare a 6.7 out of 10 for work-life balance — classified as good. This places the position in the Above average in Physician roles — ranked against 22,497 active Physician roles listings on WeekdayDoc. Contributing factors include no on-call duties, remote work flexibility.

Top Ambulatory Care Nursing Jobs

40 matches · ranked by pay

Salary Distribution

35 jobs · 24 employers
4
<$295k
2
$295k-330k
16
$330k-365k
10
$365k-400k
3
$400k+

Annual compensation range

Benefits & Perks

28 jobs · 24 employers
401k / retirement match
96% this job
CME allowance
61%
Sign-on bonus
46%
Relocation assistance
46%
Loan repayment
32%

Share of similar jobs offering each benefit

#1

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Sutter Health - Bay Area · San Francisco, California

$195 per hour
#2

Physician (Part-time): Lawrenceville Correctional Center

Virginia Information Technologies Agency · Brunswick, Virginia

$115.32-$167.26/hr
#3

Family Physician (MD/DO) - On Call

$155-$165/hr
#4

In-Home Physician (Part Time) - Denver, CO

$105/hr
+ 38 more · ranked by pay

Work-life snapshot

median 5.1this job 6.7
Better work-life than 70% of Physician roles listings

Listing-based score, 0–10, across 22,497 comparable listings. Shaded area = the share scoring below this one.

  • No call
  • Hybrid
  • Includes weekends
  • Remote
BJC HealthCare logo

About BJC HealthCare

Hospitals and Health Care
St Louis, Missouri
501-1,000 employees

Benefits & Perks

Medical
Dental
Vision
Life Insurance
Legal Services
Disability Insurance (BJC paid)
4% BJC Automatic Retirement Contribution
401(k) with match