Physician (Nocturnist)

Job Title

Physician

Duties

This is an OPEN CONTINOUS ANNOUNCEMENT and will remain open until December 31, 2026. The initial cut-off date for referral of eligible applications will be August 1st, 2026, with subsequent cut-off dates on the 1st of each month. Eligible applications received after that date will be referred at regular intervals or as additional vacancies occur on an as-needed basis until positions are filled. All physicians will be board eligible/board certified in Internal Medicine. Each physician will establish and maintain professional relationships within Medical Service, and with other services and facility management, which result in improved patient care.

Nocturnist duties and responsibilities include, but are not limited to:

• Function as part of a Hospitalist Medicine team and provide quality inpatient care services in keeping with good clinical practice and standards of the Hospitalist Section and Medicine Service at the Cincinnati Department of Veterans Affairs Medical.
• Provides supervision, admission staffing and education of internal medicine residents and medical students in all their clinical activities.
• Provides inpatient co-care services and internal medicine consultations to other services, including but not limited to, Mental Health and Surgery.
• Completes independent patient admissions during swing and night shifts based on current admission algorithms.
• Address cross-coverage calls from established medicine consults, CLC patients and supervise medicine residents in coverage of admitted medicine and ICU patients.
• Supervise and assist residents during codes and rapid responses.
• Assist residents in emergent patient care management in ICU with tele-critical care support.
• Participation in educational activities related to the internal medicine residency program.
• Communicates with incoming and off going Hospitalists to ensure continuity of care.
• Procedural skills may include but are not limited to endotracheal intubation, arterial puncture, arthrocentesis, abdominal paracentesis, central lines, nasogastric tube insertion, and thoracentesis based on credentialing.
• Maintain internal medicine board certification and training.
• Attend regular Hospitalist team meetings as scheduling allows.
• Demonstrate ethical conduct and serve as a positive role model to others at all levels of the organization.
• Follow the Medical Staff bylaws and complete all medical records timely in accordance with VA Policies and Regulations.
• Ensure timely record completion for all patients as outlined in the Department of Medicine.
• Participate in inter-hospital transfers of patients.
• Participates in various facility programs designed to enhance and improve the delivery of patient care services, such as Quality Improvement projects, as assigned by Section Chief and/or Chief of Medical Service.
• Maintains clinical privileges in the areas of his/her expertise and in all areas required to carry out the duties of his/her assignments/responsibilities within Medicine Services.
• All attending physicians are expected to participate in ongoing process improvements within their specific areas of expertise thereby promoting quality, efficiency, patient safety, and timely access to care for our veteran patients.

Work Schedule

Variable, includes nights, swing admitting shifts, some weekends and holidays

Pay

Competitive salary, annual performance bonus, regular salary increases

Paid Time Off

50-55 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year and possible 5 day paid absence for CME)

Retirement

Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA

Insurance

Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)

Licensure

1 full and unrestricted license from any US State or territory

CME

Possible $1,000 per year reimbursement (must be full-time with board certification)

Malpractice

Free liability protection with tail coverage provided

Contract

No Physician Employment Contract and no significant restriction on moonlighting

US Department of Veterans Affairs