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