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