Client is seeking Internal Medicine or Family Medicine Hospitalists to join a large, collaborative Hospital Medicine program in Clovis, California. This is a high-volume practice with an average daily census of approximately 284 patients and 40 admissions per day. The Hospital Medicine team includes dedicated rounders, admitting physicians, swing physicians, nocturnists, and APP support. The practice emphasizes strong communication with patients and families, close collaboration with specialty services, and comprehensive management of medically complex patients. Hospitalists should be comfortable managing patients who may require a higher level of care than is typical in many community hospitals. Hospital & Practice Overview: Client 2755 Herndon Ave., Clovis, CA 93611 Acute-care hospital Epic EMR Approximately 284 average daily census Approximately 243 patients at 7:00 AM Approximately 40 admissions per day Approximately 6 7 night admissions per nocturnist Night cross-cover census of approximately patients 24 ICU beds, with possible future expansion Closed ICU ICU primarily accepts patients requiring intubation and, in some cases, vasopressor support Hospitalists manage step-down patients and medically complex patients who, in other hospitals, might otherwise be managed in an ICU. Hospital Medicine Staffing Model: Day Hospitalists: 7:00 AM 7:00 PM 16 Hospitalist rounders Daily census and responsibilities may vary based on seasonality Day Admitter: 7:00 AM 7:00 PM 1 admitting physician Responsible for admissions and related medical responsibilities Swing Hospitalists: Swing 1: 1:00 PM 1:00 AM Swing 2: 3:00 PM 3:00 AM Swing 3: 3:00 PM 3:00 AM Swing shift times may be adjusted based on admission-pattern data. Nocturnists: 7:00 PM 7:00 AM 2 nocturnists Approximately 6 7 admissions per nocturnist Cross-cover approximately patients Respond to rapid responses Nocturnist APP support may be incorporated into the evolving staffing model
Clinical Responsibilities:
Hospitalists will be responsible for: Comprehensive inpatient medical management. Daily rounding and treatment planning. Admission evaluation and management. Cross-coverage of hospitalized patients. Management of medically complex and step-down patients. Supervision of APPs. Responding to rapid response events involving their patients. Close collaboration with consulting specialists. Frequent communication with patients and families regarding treatment plans and progress. The admitting team is responsible for: Completing admissions within one hour of being notified. Responding to rapid responses. Transitioning patients from the ICU to the medical floor. Completing medical consultations for patients admitted under specialty services. Codes & Rapid Responses: The ED team manages codes occurring in the Emergency Department. Critical care/code teams manage codes outside the ED. Hospitalists respond to rapid responses involving their patients. The daytime admitting team has primary responsibility for rapid responses. Procedures: No specific invasive procedures are required for the Hospital Medicine position. Hospitalists should, however, be comfortable caring for medically complex patients, including those requiring significant respiratory support. Patient & Family Engagement: Patient and family involvement is a major component of the practice. Hospitalists should expect: Frequent family meetings. Regular discussions regarding treatment plans and clinical progress. Strong emphasis on clear, compassionate communication. Active participation from patients and families in care decisions. Excellent communication skills and a patient-centered approach are essential. Specialty Support: The hospital offers strong multidisciplinary specialty support, including: Anesthesiology Cardiology Gastroenterology General Surgery Gynecology Hematology/Oncology Internal Medicine Neurology OB/GYN Obstetrics Orthopedics Otolaryngology Pediatrics Psychiatry Pulmonology Radiology ENT MRI CT Ultrasound Speech Therapy Hospitalists work closely with consulting services to coordinate daily care plans and facilitate efficient patient management.
Physician Requirements:
Accepted Specialties: Internal Medicine Family Medicine Board Status: Board Certified physicians preferred/required for established clinicians. Board Eligible physicians may be considered according to applicable specialty-board and hospital bylaws. Board Eligibility is generally accepted for up to 5 years following completion of residency, subject to applicable requirements. Required Certification: ACLS Current DEA certificate Current state medical license required on file before the MSO can begin the provider's work process. The license does not necessarily need to be a California license at the initial stage. Credentialing: Typical credentialing timeframe: days During busy periods or system go-live periods, credentialing may take up to 120 days Temporary privileges may be available when patient-care needs require them Temporary privileges are available only after the credentialing file is complete and ready for review No red flags are permitted for temporary privileges No fees are required for temporary privileges Clinical Documentation Requirement: Credentialing requires recent documentation demonstrating experience managing: Patients on mechanical ventilation for less than 24 hours, and Stable patients requiring long-term/chronic ventilation Relevant logs must cover the previous 24 months. Credentialing Documentation: Applicants should be prepared to provide: Current CV in MM/YY format with no unexplained gaps Current DEA certificate ACLS and other applicable certifications Passport-style color photograph Driver's license Social Security card or valid U.S. passport Documentation supporting requested privileges Procedure and clinical activity logs covering the previous 24 months TB screening completed within the previous 12 months COVID-19 vaccination/booster documentation, if applicable Current influenza vaccination documentation Travel & Location: Clovis, California Closest Airport: Fresno Yosemite International Airport (FAT) Recommended hotel options include: Fairfield Inn Clovis Courtyard by Marriott on Shaw For lodging, accommodations are recommended north of Shaw Boulevard. Why Consider This Opportunity? Client offers Hospitalists the opportunity to join a large, highly structured Hospital Medicine program with dedicated admitting, rounding, swing, and nocturnist coverage. The high-volume environment provides significant clinical variety, while strong specialty support and a multidisciplinary approach help Hospitalists manage complex patients effectively. This position is particularly well suited for a physician who enjoys high-acuity community Hospital Medicine, collaborative specialty care, meaningful patient and family communication, and a well-developed team-based staffing model.
