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Join the Only CMS Five Star Acute Care Hospital in California's Central Valley Fresno, California

The Veterans Affairs Central California Health Care System (VACCHCS)—a CMS 5 Star–rated medical center and the only acute care hospital in the entire Central Valley to achieve this highest distinction—is seeking a full time (1.0 FTE) Hospitalist Nocturnist physician to join our growing academic inpatient team. This role is offered in partnership with the University of California, San Francisco (UCSF) Fresno Medical Education Program, a nationally recognized leader in medical education, quality improvement, and training excellence.

At VACCHCS, nocturnists play a pivotal role in delivering safe, timely, Veteran centered care while contributing to the education of future physicians—supported by a 5 Star culture of safety, high reliability, and continuous clinical excellence.

Why VACCHCS?

• CMS 5 Star Hospital (2026): VACCHCS earned the top rating from CMS for overall hospital quality—including mortality, safety, readmissions, patient experience, and timely/effective care—reflecting best in nation performance and a strong culture of continuous improvement.
• The Only Acute Care 5 Star Facility in the Central Valley: Candidates join a high performing institution recognized as the region's leader in clinical quality.
• Academic Affiliation with UCSF Fresno: Faculty appointment available commensurate with training, experience, and scholarly accomplishments.
• Regional VA Center of Excellence:
• 114 bed acute care hospital with full medical and surgical capabilities
• 40,000 enrolled Veterans; >28,000 actively served across six counties
• On campus 60 bed Community Living Center (CLC)
• High impact clinical environment: Work alongside deeply experienced faculty, residents, fellows, and multidisciplinary teams.

Position Highlights – Hospitalist Nocturnist: As a Nocturnist under the VACCHCS Hospitalist Section (Specialty Care Medicine Service), you will ensure high quality, patient centric overnight care for hospitalized Veterans.

Key Responsibilities:

• Provide all overnight admissions, cross cover duties, and urgent/emergent evaluations
• Manage acute medical and surgical issues, pre and post operative care
• Supervise and teach UCSF Fresno residents, fellows, and medical students
• Lead and collaborate with multidisciplinary teams (nursing, social work, chaplains, ancillary staff)
• Deliver accurate, timely overnight documentation and ensure comprehensive morning hand offs
• Support quality improvement, patient safety initiatives, and academic teaching missions

Required Qualifications:

• Current, full, unrestricted U.S. license (any state)
• Completion of ACGME Internal Medicine residency
• Board certified or board eligible in Internal Medicine
• MD or DO (or equivalent degree)
• Eligible for VA appointment VA basic qualification standards can be found here
• Flexibility, professionalism, teamwork, and strong clinical judgment
• Strong skills in managing inpatient medical emergencies, complex medical patients, and perioperative care
• Eligible for UCSF Fresno Faculty appointment; faculty rank commensurate with experience

Life in Fresno, CA — Your New Community: Fresno is the heart of the San Joaquin Valley and the largest inland city in California. With a population of ~520,000, residents enjoy:

• Year round outdoor recreation: Hiking, kayaking, snowboarding, skiing, rafting, rock climbing
• Access to three world renowned National Parks: Yosemite, Sequoia, Kings Canyon
• Farm to table food scene & award winning local wineries
• Affordable cost of living compared to major California metro areas
• Easy access to major California destinations: A few hours' drive to Monterey, Carmel, San Francisco, Los Angeles, or the Central Coast
• A perfect place for families, professionals, and outdoor enthusiasts alike.

How to Apply To explore this outstanding faculty nocturnist opportunity in an elite 5 Star VA facility, please apply through USAJobs and please forward a copy of your Cover Letter and Curriculum Vitae to Mr. Porfirio Dominguez at Porfirio.Dominguez@VA.gov .

For the required UCSF faculty appointment consideration, please click here to apply with a CV. Applicant materials must list current and or pending qualifications upon submission. The selected candidate must meet all the qualifications at the time of appointment.

For positions exclusively funded by the affiliate organization: Fresno VACCHCS provided a reasonable salary estimate for this position $240,000-$315,000.