Internal Medicine - Critical Care Physician

MultiCare Health System is seeking a Critical Care / Nocturnist physician to provide 12-hour overnight coverage at Deaconess Medical Center. This assignment runs from November 2025 through February 2026, offering two weeks per month of inpatient coverage with Epic EMR. Join a supportive, RN-staffed environment at a Level III Trauma and Stroke-Certified facility while covering a high-acuity patient mix.

Assignment Overview

• Specialty: Internal Medicine Critical Care Medicine

• Location: Deaconess Medical Center, Spokane, WA (with virtual availability at Valley Hospital)

• Coverage Type: Scheduled Clinical Hours Only

• Shift Structure: 12-hour Nocturnist shifts (6:00 PM 6:00 AM)

• Schedule: Two weeks per month

• Dates: November 1, 2025 February 28, 2026

• Reason for Coverage: Maternity/Paternity leave

• Practice Setting: Inpatient only

• Patient Volume: 12+ patients per shift

• Rounding: Assigned patients

• Beds in Department:

• EMR: Epic

Facility & Support

• Trauma Level: III

• Stroke Certified: Yes

• Pediatric Level: 0

• Support Staff: RN support; no APPs, residents, or teaching supervision required

• Insurance: Provided by IPL

• Travel: Covered (nearest airport Spokane International GEG)

• Allowed Holidays: New Year s Day, Memorial Day, 4th of July, Labor Day, Thanksgiving, Christmas

Provider Requirements

• Board Certification: Required (Critical Care)

• Licensure: Active WA license or IMLC eligibility

• Certifications: ACLS & BLS required (ABLS, ATLS, PALS not required)

• Credentialing Timeline: days (expedited possible with clean history)

Skills & Procedures

Required:

• Ventilation management

• Invasive ventilation (ETT/NT/Tracheostomy)

• Non-invasive ventilation (BiPAP/CPAP)

• Evaluation & management of acute volume/BP issues

• Insertion of central line

• Insertion of arterial line

• Insertion of PA catheter

• Intra-Aortic Balloon Pump (IABP) insertion

• Temporary pacemaker placement

• ICP evaluation & management

Preferred:

• Chest tube insertion

• Dialysis catheter placement

• Diagnostic/therapeutic taps

• Lumbar puncture

• Paracentesis

• Thoracentesis

Not Required:

• Bronchoscopy

• Bronchoscopy with BAL