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$36.5K

$164.7K

$337K

How much do medical moonlighting jobs pay per year?

As of Jun 10, 2026, the average yearly pay for medical moonlighting in the United States is $164,731.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,000.00 and $268,500.00 per year, depending on experience, location, and employer.

What is the difference between Medical Moonlighting vs Medical Locum Tenens?

AspectMedical MoonlightingMedical Locum Tenens
CredentialsLicensed physicians, often with hospital privilegesLicensed physicians, often with specific locum certifications
Work EnvironmentPart-time shifts, often within the same facility or hospitalTemporary assignments at various facilities or locations
Employer & Industry UsageHospitals, clinics, private practicesStaffing agencies, hospitals, clinics
Search & Comparison IntentUnderstanding side jobs or extra shifts for physiciansFinding temporary, flexible physician assignments

Medical Moonlighting involves physicians taking on additional shifts outside their primary employment, often within the same facility. Medical Locum Tenens refers to temporary, short-term assignments at different facilities, usually arranged through staffing agencies. Both roles require similar credentials but differ mainly in work setting and purpose.

What is medical moonlighting?

Medical moonlighting refers to physicians, typically residents or fellows, taking on additional paid clinical work outside of their primary training program or employment. This work can occur within the same institution or at a different healthcare facility, often during off-duty hours. Moonlighting is used by many doctors to gain extra income, diversify clinical experience, or expand their professional network. However, it is essential to ensure that moonlighting does not interfere with primary job responsibilities and complies with institutional policies and accreditation guidelines.

What are some common challenges physicians face when taking on medical moonlighting shifts in addition to their primary roles?

Physicians who take on medical moonlighting often encounter challenges related to work-life balance and managing fatigue, as they juggle additional shifts outside their main responsibilities. Adjusting to different clinical environments and electronic medical record (EMR) systems can also be demanding, especially when moonlighting at multiple facilities. Effective communication with both primary and moonlighting teams is crucial to ensure continuity of care and avoid misunderstandings. Despite these challenges, many physicians find moonlighting to be a valuable way to gain diverse clinical experience and supplement their income.

What are the key skills and qualifications needed to thrive as a Medical Moonlighter, and why are they important?

To thrive as a Medical Moonlighter, you need a valid medical degree, active state licensure, and clinical competence in your specialty or area of practice. Familiarity with electronic health record (EHR) systems, hospital protocols, and sometimes board certification are typically required. Strong time management, adaptability, and effective communication skills help moonlighters integrate quickly with new teams and deliver quality care. These skills ensure patient safety, continuity of care, and smooth workflow during off-hours or in temporary assignments.
More about Medical Moonlighting jobs
What cities are hiring for Medical Moonlighting jobs? Cities with the most Medical Moonlighting job openings:
What states have the most Medical Moonlighting jobs? States with the most job openings for Medical Moonlighting jobs include:
What job categories do people searching Medical Moonlighting jobs look for? The top searched job categories for Medical Moonlighting jobs are:
Medical Moonlighting jobs near you
Infographic showing various Medical Moonlighting job openings in the United States as of June 2026, with employment types broken down into 100% Full Time. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $164,731 per year, or $79.2 per hour.
MOONLIGHTING PSYCHIATRIST (ON-SITE)

MOONLIGHTING PSYCHIATRIST (ON-SITE)

Virginia Department of Human Resource Management

Williamsburg, VA • On-site

$140/hr

Full-time

Posted 26 days ago

Virginia Alcoholic Beverage Control Authority rating

4.9

Company rating: 4.9 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

637th of 646 rated public administrative organizations

Job description

MOONLIGHTING PSYCHIATRIST (ON-SITE)
Job no: 5096780
Work type: Wage (Hourly)
Location: Williamsburg, Virginia
Categories: Health and Human Services
Title: MOONLIGHTING PSYCHIATRIST (ON-SITE)
State Role Title: Psychiatrists
Hiring Range: $140.00 / hr
Pay Band: 8
Agency: Dept Behavioral Health/Develop
Location: Eastern State Hospital
Agency Website: https://dbhds.virginia.gov/facilities/esh/
Recruitment Type: General Public - G
Job Duties
Eastern State Hospital, located in Williamsburg, Virginia, was founded in 1773, with a well-intentional emphasis on community focused mental health care. This state of the art campus, situated on 500 acres, consists of two patient care buildings with 300 patients, and a highly skilled staff of over 900. Eastern State Hospital is part of the Department of Behavioral Health and Developmental Services (DBHDS) system, and is accredited by the Joint Commission.
ESH is seeking BC/BE Psychiatrists with fully, unrestricted Virginia medical licenses to serve as Medical Officer on Duty (MOD) and provide onsite psychiatric/medical coverage. This position offers the flexibility to work weeknights, weekends and holidays and is a great opportunity for physicians looking to augment their income and gain experience in the assessment and triage of psychiatric and general medical conditions for a for an acute, adult inpatient population.
Highlights:
Moonlighting shifts are 12-hours (weeknights and holidays) and 15-hours (weekends) and can be worked consecutively but cannot exceed 48 consecutive hours or 1,560 hours worked per calendar year.
MOD must stay onsite for the entire shift and has access to a fully, furnished bedroom located in our MOD lounge.
Must be available to work at least 2 shifts per month. Shifts are scheduled based on availability/preference.
Malpractice insurance is covered by the Commonwealth of Virginia.
Schedule:
Monday-Friday: 5:00 PM―8:00 AM (12-hour shift)
Weekends: 8:00 AM―8:00 PM and 8:00 PM―8:00 AM (15-hour shifts)
Holidays: 8:00 AM―5:00 PM and 5:00 PM―8:00 AM (12-hour shifts)
Minimum Qualifications
Doctor of Medicine or Doctor of Osteopathy degree.
Completion or enrollment in an accredited/approved psychiatry residency training program.
Licensed to practice Medicine in the Commonwealth of Virginia.
Valid DEA Registration.
Must live within driving distance to campus.
Additional Considerations
None.
Special Instructions
You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to "Your Application" in your account to check the status of your application for this position.
Contact Information
Name: EASTERN STATE HOSPITAL
Phone: 757-208-7717 / REFER TO PAGEUP FOR APPLICATION STATUS
Email: EMAIL APPLICATION MATERIAL NOT ACCEPTED
In support of the Commonwealth's commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.
Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.
Advertised: 23 Dec 2025 Eastern Standard Time
Applications close:
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