Hospitalist Physician & Hospital Medicine APP
Job at a glance
Job description
We are seeking experienced Hospitalist Physicians and Hospital Medicine APPs to join a large, high-volume hospital medicine program in Fresno, California.
This is a Level I Trauma Center and Comprehensive Burn Center
The program requires experienced clinicians who are comfortable working in a fast-paced, high-acuity inpatient environment. Physicians and APPs will provide hospital medicine coverage across day, swing, and night shifts.
Physicians supervise APPs, and the program requires clinicians who are comfortable responding to Rapid Response Teams and managing complex inpatient patients.
Job Responsibilities
Provide comprehensive inpatient Hospital Medicine services.
Perform daily patient rounds and manage assigned inpatient census.
Admit and manage new hospital medicine patients as assigned.
Provide swing and overnight hospitalist coverage.
Respond to Rapid Response Teams.
Respond to Code Blue events involving the physician's patients; Critical Care runs the code.
Provide clinical supervision of Hospital Medicine APPs.
Manage high-acuity patients in a Level I Trauma/Comprehensive Burn Center environment.
Provide appropriate cross-cover and overnight patient management.
Manage patients requiring ventilator support.
Maintain appropriate documentation and patient records.
Work within a multidisciplinary hospital medicine team.
Use Epic EMR for clinical documentation and patient management.
No procedures are required.
Job Responsibilities – APPs
Provide inpatient Hospital Medicine services under physician supervision.
Perform patient rounds and manage assigned inpatient patients.
Provide day, swing, and night coverage according to the assigned schedule.
Participate in Rapid Response Team coverage.
Provide overnight cross-cover responsibilities.
Night APPs do not perform admissions.
Collaborate closely with Hospitalist physicians and the multidisciplinary care team.
Document patient care using Epic EMR.
Qualifications
MD or DO.
Board Certified or Board Eligible in Internal Medicine.
Board Eligible candidates accepted up to 5 years after completion of residency.
Active ACLS certification required.
Active state medical license required to begin the MSO file; California licensure is not required at the initial file-opening stage.
Recent inpatient/acute-care Hospital Medicine experience.
Experience managing patients in a high-volume, high-acuity hospital environment preferred.
Comfortable responding to Rapid Response Teams.
Able to manage complex inpatient medicine patients.
Recent ventilator-management experience.
Must be able to provide ventilator-management logs documenting management of:
Short-term ventilator patients (<24 hours).
Stable chronic/long-term ventilator patients.
Experience within the previous 24 months.
Epic EMR experience preferred.
Qualifications – APPs
NP or PA with appropriate Hospital Medicine/inpatient experience.
Hospital Medicine, Hospitalist, Acute Care, or inpatient experience strongly preferred.
Comfortable working in a high-volume, high-acuity hospital environment.
Able to participate in Rapid Response Team coverage.
Night APPs must be comfortable with cross-cover responsibilities.
No admissions required for the Night APP position.
Able to work collaboratively under Hospitalist physician supervision.
Epic EMR experience preferred.
Working Hours
Shift Hours Positions
MD Day Rounder 7:00 AM – 7:00 PM
MD Admitter 7:00 AM – 7:00 PM
MD Swing 1 11:00 AM – 11:00 PM
MD Swing 2 2:00 PM – 2:00 AM
MD Night 1 5:00 PM – 5:00 AM
MD Night 2 7:00 PM – 7:00 AM
MD Night 3 8:00 PM – 8:00 AM
APP Coverage
Shift Hours Positions
APP Day Rounder 7:00 AM – 7:00 PM
APP Swing 1 12:00 PM – 12:00 AM
APP Swing 2 1:00 PM – 1:00 AM
APP Night 7:00 PM – 7:00 AM
Skills
Inpatient acute-care medicine
High-volume hospital medicine
Level I Trauma Center experience preferred
Rapid Response Team participation
Code Blue response
Ventilator management
Acute and chronic ventilator patient management
Cross-cover medicine
Patient admissions
APP supervision – physicians
Epic EMR
Multidisciplinary team collaboration
Strong clinical judgment in high-acuity environments