Cross-Credentialed Hospitalist & Internal Medicine Locum Opportunities (CA – Multiple Sites)

OnCall Solutions is currently seeking Board Certified / Board Eligible Hospitalists and Internal Medicine physicians for a cross-credentialed locum tenens program across three inpatient facilities in Central California.

A key feature of this opportunity is that providers will be cross-credentialed across all three sites, allowing flexibility to rotate between high-acuity medical centers and a lower-volume surgical hospital while maintaining consistent employment within one coordinated system.

Below is a detailed overview of each opportunity:

Position 1 – High-Acuity Acute Care Medical Center

This is a fast-paced, high-volume hospitalist service managing medically complex patients with significant operational demands.

Volume / Acuity

• Average daily census: ~280–300+ patients
• Admissions: ~40 per 24 hours
• Swing admits: ~7–9
• Night cross-cover census: ~280–300 patients
• Night admissions: ~6–7 per nocturnist

ICU / Clinical Structure

• Closed ICU (ICU limited to intubated and select pressor-level patients)
• Hospitalists manage step-down and high-acuity non-ICU patients
• Rapid response responsibilities primarily handled by admitting team
• Nocturnists also respond to rapid response events

Staffing Model & Shifts

• Day Rounders: 7a–7p (13–14 physicians depending on seasonality)
• Day Admitter: 7a–7p (1)
• Swing MD 1: 1p–1a (1)
• Swing MD 2: 3p–3a (1)
• Night MDs: 7p–7a (2)
• APP Day Support: limited / evolving model
• APP Night Cross-Cover: 7p–7a (cross-cover only; no admissions)

Key Practice Environment Notes

• Epic EMR
• High-expectation, affluent patient population
• Significant family communication requirements
• Limited specialty responsiveness requiring strong autonomy
• Hospitalists supervise APPs and manage transitions of care, admissions, and consult coordination

Position 2 – Level I Trauma & Tertiary Referral Center

A large academic-style hospital with high acuity, trauma services, and broad specialty coverage.

Volume / Acuity

• Average daily census: ~330+
• Admissions: ~53 per 24 hours
• Swing admits: ~7–9
• Night admissions: ~7–9
• Night cross-cover census: ~330+

ICU / Clinical Structure

• Multiple ICUs (Adult, Neuro, Surgical)
• Closed ICU model with critical care oversight
• Hospitalists respond to rapid responses
• Code airway management and procedures handled by critical care teams

Staffing Model & Shifts

• Day Rounders: 7a–7p (18–19 physicians depending on seasonality)
• Day Admitter: 7a–7p (1)
• Swing MD 1: 11a–11p (1)
• Swing MD 2: 2p–2a (1)
• Night MDs: 5p–5a (1), 7p–7a (1), 8p–8a (1)
• APP Day Rounders: 7a–7p (2)
• APP Swing: 12p–12a (1), 1p–1a (1)
• APP Night Cross-Cover: 7p–7a (1; no admissions)

Key Practice Environment Notes

• Epic EMR
• Level I Trauma Center with burn services
• Extensive specialty coverage across nearly all disciplines
• Hospitalists respond to all rapid responses in house
• High operational complexity with multiple overlapping shifts

Position 3 – Surgical Specialty Hospital (Low Volume / Elective Care)

A structured inpatient surgical hospital focused on scheduled procedures with no emergency department.

Volume / Acuity

• Average census: ~25–30 patients
• Night admissions: ~7
• Primarily elective/scheduled surgical cases
• Lower weekend volume

ICU / Clinical Structure

• Small ICU (9 beds), open structure
• Surgeon-led care with hospitalist consultation
• Anesthesia manages airway and procedural support
• Hospitalists respond to codes and rapid response events

Staffing Model & Shifts

• Day MD: 7a–7p (2 physicians)
• Night MD: 7p–7a (1 physician; cross-cover responsibilities included)
• No dedicated APP coverage

Key Practice Environment Notes

• Epic EMR
• Predictable surgical inpatient workflow
• No ED or unscheduled admissions
• Hospitalist role includes cross-cover of medical issues for surgical patients
• Strong coordination with surgical and anesthesia teams

General Program Details (All Positions)

• Internal Medicine and Family Medicine Hospitalists eligible
• Board Certified or Board Eligible (within standard eligibility timeframe)
• ACLS required
• Must have recent inpatient and ventilator management experience (within 24 months)
• Credentialing timeline: 60–90 days (can extend up to 120 days during peak periods)
• Temporary privileges available once file is fully complete and cleared
• Physicians will be cross-credentialed across all three facilities for rotational flexibility

If you are interested in being considered for this cross-credentialed locum program, please reply with your updated CV and availability. We would be happy to review fit and next steps.