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: + patients
- Admissions: 40 per 24 hours
- Swing admits: 7 9
- Night cross-cover census: 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 ( 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 ( 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: 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: 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.