LOCUM HOSPITALIST PHYSICIAN — HIGH-VOLUME PROGRAM - Fresno, CA area
Updated 9/22/26
California, California, United States
Physician
Hospitalist
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Job at a glance
Degree Required
MD/DO
Position Type
Moonlighting
Locums/Travel
Part-Time/Contract
Work Environment
Hospital
Visa Sponsorship
No
Job description
Job description
IM or FM | Days, Swings & Nights | No Procedures | Epic | Travel Provided
Overall Job Description
We are seeking experienced Internal Medicine or Family Medicine Hospitalist Physicians for locum tenens coverage within a large, established, high-volume hospitalist program.
This is an opportunity for physicians who are comfortable managing a complex inpatient population and enjoy working within a highly collaborative environment with strong specialty support.
The hospitalist service manages an average daily census of approximately 285 patients, including approximately 243 patients on the 7:00 AM census and 40 admissions per day.
The ICU operates under a closed model and primarily accepts patients requiring intubation and, in some circumstances, patients requiring vasopressor support. As a result, hospitalists manage a significant number of higher-acuity step-down patients who might be cared for in an ICU at other facilities.
No procedures are required.
This patient population and their families are highly engaged in medical decision-making. Physicians should be comfortable providing frequent updates, participating in family meetings, and clearly communicating treatment plans, progress, and goals of care.
The hospital offers strong specialty support, allowing hospitalists to work closely with consulting services to coordinate comprehensive inpatient care.
Epic EMR is utilized throughout the facility, and travel is provided for locum physicians.
Locums Benefits
- Travel provided
- Multiple shift options
- Day, swing, and nocturnist opportunities
- No procedures
- Epic EMR
- Closed ICU model
- Strong specialty support
- Large collaborative hospitalist team
Job Responsibilities
Evaluate, diagnose, and manage acute and chronic medical conditions.
Manage a broad range of moderate- to high-acuity hospitalized patients, including complex step-down cases.
Manage appropriate patients requiring ventilator care for less than 24 hours as well as stable chronic/long-term ventilator patients within the scope of hospital privileges.
Complete admissions efficiently and within the required one-hour timeframe after notification when assigned to the admitting team.
Develop, implement, and continually reassess individualized treatment plans.
Perform daily rounds and coordinate ongoing inpatient care.
Collaborate closely with specialty consultants to establish and execute the daily plan of care.
Coordinate transitions of patients from the ICU to the medical floor.
Complete medical consultation requests for patients admitted primarily under specialty services.
Participate in discharge planning and facilitate safe transitions of care.
Communicate frequently with patients and families regarding diagnoses, treatment plans, progress, prognosis, and goals of care.
Participate in family meetings when appropriate.
Respond to Rapid Response events as assigned.
Nocturnists will provide admissions, cross-coverage, and Rapid Response support.
Provide appropriate supervision of APPs.
Maintain accurate, complete, and timely documentation using Epic EMR.
Collaborate with physicians, APPs, nursing, case management, specialty consultants, and other members of the multidisciplinary team.
Provide safe and effective cross-coverage for a large inpatient census when assigned to overnight coverage.
No Procedures Required
Hospitalists are not required to perform procedures as part of this assignment.
CU & Acuity
Closed ICU
ICU primarily accepts patients requiring intubation and selected patients requiring vasopressors.
Hospitalists therefore manage many higher-acuity step-down patients.
Hospitalists are expected to be comfortable managing complex medical patients who may require significant physician time and attention.
Critical Care manages codes outside of the Emergency Department.
Emergency Medicine manages codes occurring within the ED.
Hospitalists are not the primary code team.
Daytime admitting physicians are responsible for Rapid Response coverage as assigned.
Qualifications
Physician Qualifications
MD or DO
Residency training in:
Internal Medicine, or
Family Medicine
Board Certified preferred/required for established physicians
Board Eligible physicians may be considered within applicable specialty board eligibility timelines.
Board-eligible physicians generally must obtain active Board Certification within 5 years of completion of residency, subject to specialty board requirements and facility bylaws.
Current unrestricted state medical license required to begin the credentialing process.
The initial license does not have to be a California license for the MSO to begin processing the credentialing file.
Current DEA certificate
ACLS required
Other current certifications must be provided as applicable to requested privileges.
Important Experience Requirement
Physicians must provide recent case/procedure logs demonstrating experience within the previous 24 months managing:
Patients on a ventilator for less than 24 hours
Stable patients requiring long-term/chronic ventilator management
This documentation will be required as part of the credentialing/privileging process.
Working Hours
Day Coverage
Hospitalist Rounders
7:00 AM – 7:00 PM
Approximately 13–14 physician rounders daily
Staffing may vary seasonally, with approximately 13 physicians during spring/summer and 14 during winter
Day Admitting Physician
7:00 AM – 7:00 PM
1 dedicated physician
Swing Coverage
Swing Physician #1
Approximately 1:00 PM – 1:00 AM
Swing Physician #2
Approximately 3:00 PM – 3:00 AM
Swing shift hours may be adjusted slightly based on admission-volume trends.
Night Coverage
Nocturnists
7:00 PM – 7:00 AM
2 physicians
Approximately 6–7 admissions per nocturnist
Cross-coverage responsibilities
Response to Rapid Response events
Current overnight cross-coverage census approximately 280–300 patients
Patient Volume
Average Daily Census: Approximately 285
7:00 AM Census: Approximately 243
Average Admissions: Approximately 40 per 24 hours
Swing Admissions: Approximately 7–9
Night Admissions: Approximately 6–7 per nocturnist
Night Cross-Coverage Census: Approximately 280–300 patients
The hospitalist service is supported by a substantial physician team and strong specialty consultation services.
ICU & Acuity
Closed ICU
ICU primarily accepts patients requiring intubation and selected patients requiring vasopressors.
Hospitalists therefore manage many higher-acuity step-down patients.
Hospitalists are expected to be comfortable managing complex medical patients who may require significant physician time and attention.
Critical Care manages codes outside of the Emergency Department.
Emergency Medicine manages codes occurring within the ED.
Hospitalists are not the primary code team.
Daytime admitting physicians are responsible for Rapid Response coverage as assigned.
Skills
Ability to efficiently manage a large and clinically complex inpatient population.
Strong experience managing high-acuity and step-down patients.
Recent experience managing patients requiring ventilator support.
Ability to recognize clinical deterioration and escalate care appropriately.
Strong admission, rounding, discharge, and cross-coverage skills.
Ability to complete admissions within required turnaround times.
Strong clinical judgment and independent decision-making abilities.
Experience responding to Rapid Response events.
Ability to effectively supervise and collaborate with Advanced Practice Providers.
Excellent interdisciplinary collaboration skills.
Comfortable coordinating patient care with multiple specialty consultants.
Strong time-management and organizational skills in a high-volume environment.
Excellent patient and family communication skills.
Comfortable conducting family meetings and goals-of-care discussions.
Ability to clearly communicate complex medical information to patients and families.
Strong handoff and care-transition skills.
Proficiency with Epic EMR.
Ability to prioritize competing clinical needs in a fast-paced inpatient environment.
Nocturnists must be comfortable with significant cross-coverage responsibilities in addition to new admissions.
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