Hospitalist Physician & Hospital Medicine APP
Job at a glance
Job description
This is a significant Hospital Medicine opportunity across day, swing, and night coverage.
The program accepts both Internal Medicine and Family Medicine physicians with strong inpatient/Hospital Medicine experience. Candidates should be comfortable managing medically complex patients, step-down patients, admissions, cross-cover responsibilities, and Rapid Response events.
No procedures are required.
Job Responsibilities
Provide comprehensive inpatient Hospital Medicine care.
Perform daily patient rounds.
Manage new admissions and inpatient consultations as assigned.
Respond to Rapid Response events.
Facilitate ICU-to-floor transitions.
Provide medical consultations for patients admitted under specialty services.
Provide day, swing, and nocturnal cross-cover.
Manage medically complex and step-down patients.
Conduct family meetings and communicate treatment plans effectively.
Complete admissions within approximately 1 hour of notification when assigned to the Admitter role.
Nocturnists manage approximately 6–7 admissions per shift.
Nocturnists provide cross-cover for approximately 280–300 patients.
Use Epic EMR for patient documentation and clinical management.
Collaborate with specialists, nursing, case management, and other members of the care team.
Job Responsibilities – APPs
Day APP – 7:00 AM–7:00 PM
Manage observation patients.
Manage long-length-of-stay patients.
Provide ongoing inpatient medical management.
Swing APP – 12:00 PM–12:00 AM
Serve primarily as an admitting APP.
Evaluate and manage new admissions.
Collaborate with Hospitalist physicians and the care team.
Night APP – 7:00 PM–7:00 AM
Provide 100% cross-cover and Rapid Response coverage.
Respond to acute patient-care needs.
Collaborate with the nocturnist team.
No admissions required.
Qualifications
MD or DO.
Board Certified or Board Eligible in:
Internal Medicine, or
Family Medicine
Board Eligible candidates accepted within 5 years 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/Hospital Medicine experience.
Comfortable working in a high-volume inpatient environment.
Comfortable managing medically complex and step-down patients.
Strong communication and interpersonal skills.
Comfortable conducting family meetings and discussing treatment plans.
Recent ventilator-management experience.
Must be able to provide ventilator-management logs from the previous 24 months.
Epic EMR experience preferred.
Qualifications – APPs
NP or PA.
Hospital Medicine, Acute Care, Inpatient Medicine, or Hospitalist experience preferred.
Strong inpatient/observation experience.
Comfortable with admissions, cross-cover, and Rapid Response responsibilities according to assigned role.
Strong clinical judgment and communication skills.
Epic EMR experience preferred.
Ventilator-management documentation from the previous 24 months required as part of credentialing.
Working Hours
Shift Hours Positions Primary Role
MD/DO Day Rounder 7:00 AM – 7:00 PM 13–14 Daily rounding
MD/DO Admitter 7:00 AM – 7:00 PM 1 Admissions, consults, ICU-to-floor, Rapid Response
MD/DO Swing 1 1:00 PM – 1:00 AM 1 Admissions / cross-cover
MD/DO Swing 2 3:00 PM – 3:00 AM 1 Admissions / cross-cover
MD/DO Nocturnist 7:00 PM – 7:00 AM 2 Admissions / cross-cover / Rapid Response
APP Coverage
Shift Hours Positions Primary Role
APP Day Rounder 7:00 AM – 7:00 PM 1 Observation / long-length-of-stay patients
APP Swing Admitter 12:00 PM – 12:00 AM 1 Admissions
APP Night Cross-Cover 7:00 PM – 7:00 AM 1 Cross-cover / Rapid Response; no admissions
Skills
Internal Medicine
Family Medicine – inpatient experience
Inpatient acute-care medicine
Observation medicine
Hospital admissions
Cross-cover
Rapid Response
ICU-to-floor transitions
Step-down patient management
Medical consultations
Ventilator management
Family meetings and treatment-plan discussions
Epic EMR
High-volume inpatient care
Multidisciplinary collaboration