Locum Hospitalist

77 consultants; Titusville (Crawford County); On-site; USD 230,000 - 350,000; Full time

Job summary

77 consultants seeks a hospitalist to provide 24-hour on-site coverage at a rural Critical Access Hospital. Work involves 12–15 hour day shifts with night on-call, admissions and rounds, and ICU/swing bed management using Meditech Expanse and Dragon/Nuance for dictation.

Board certification or eligibility and ACLS certification are required. Collaboration with ED staff and nursing is essential for throughput and patient flow.

Qualifications

• Board certification or board eligibility required.
• ACLS certification required.
• Rural hospital or Critical Access Hospital experience preferred.

Responsibilities

• Patient admissions and rounding.
• Morning rounds typically 7:00–8:00 AM; plan for discharge and bed turnover.
• Evening rounds to coordinate with ED and nursing staff.

Skills

ICU experience

Central line placement

Endotracheal intubation

RSI

Ventilator management

Education

Board-certified or board-eligible physician

Tools

Meditech Expanse

Dragon/Nuance dictation

Job description

Overview of Coverage Details:

This position entails 24-hour single coverage for a rural hospital, with an expected working duration of 12-15 hours on-site, followed by remaining hours on call. The physician will have access to sleeping accommodations either nearby or directly on-site.

Dates of Coverage:

• July 31, 2026, to August 7, 2026

Schedule:

Start Time:

12:00 PM

Typical End Time: 12:00 PM the following day

Average Nightly Callbacks:

Variable based on needs

Clinical Parameters:

• Total Beds: 25 (Critical Access Hospital)
• ICU Beds: 4

ICU Model:

Open

Average Daily Encounters:

18

Average Daily Census:

16

Procedural Requirements:

• Central line placement
• Endotracheal intubation
• Rapid Sequence Intubation (RSI)
• Ventilator management
• Management of swing beds

Electronic Medical Records (EMR):

Meditech Expanse, integrated with Dragon/Nuance for dictation.

Hospitalist Workflow:

Shift Pattern: 24-hour on-site coverage (typical shift 12-15 hours plus night call)

Responsibilities:

Patient admissions and rounding

Shift Times:

12 PM to 12 PM (handoff on the last day may occur between 12 PM and 3 PM)

Orientation: Conducted on weekdays, typically lasting 4 hours.

Morning and Evening Rounds:

Morning rounds are usually initiated between 7:00 AM and 8:00 AM, contingent upon facility-specific protocols.

Informal evening rounds, occurring between 9:00 PM and 10:00 PM, are encouraged to enhance communication with ED and nursing staff, potentially reducing nighttime callbacks and allowing for rest.

Admission Protocols:

Given the variable skillsets in rural EDs, it’s crucial to minimize unnecessary admissions that lead to immediate transfers post-evaluation.

Transition orders during peak hours will help facilitate admissions, allowing the physician to prioritize patient evaluation in the ED.

Overnight Admissions Policy:

Transition orders will be utilized for patient admissions from 11:00 PM to 6:00 AM, authored by ED physicians to streamline the process.

ICU admissions necessitate immediate bedside evaluation without delay.

Rounding on Overnight Admissions:

This process aids in ensuring continuity of care; it's vital to be aware of discharge plans prior to morning rounds.

Patients slated for discharge will be prepared the day before, allowing for early discharges by noon, which in turn facilitates room turnover for new admissions in the afternoon.

Discharge Prioritization:

Emphasizing discharge planning allows nursing staff to complete necessary documentation, enabling timely patient transfers and preparation for thorough room cleaning (EVS) ahead of new admissions.

Certification Requirements:

Candidates must be board certified or board eligible and hold current ACLS certification.