Hospitalist
Quick facts
- Pay
- $352,714 - $370,350 /year
- Type
- Full-time
- Location
- Bismarck, ND
- Background
- MD / physician
- Industry
- Health and Care — 3087 open jobs
- Visa in listing
- H-1B
- Apply
- Free to apply — never pay anyone for a job offer or visa sponsorship
Job description
Job Summary And Responsibilities
As our Family or Internal Medicine Hospitalist, you will join a well-established hospital-employed group at CHI St. Alexius Health in Bismarck, ND. This exceptional opportunity allows you to provide comprehensive patient care as a regional healthcare leader, specializing in diagnosing and treating patients making a significant impact on their lives and families. Every day you will provide compassionate and expert care, conducting thorough assessments, developing individualized treatment plans, and collaborating with a multidisciplinary team to support the holistic well-being of patients and their families.
As our Hospitalists, you will focus on high-quality inpatient care for adults, taking advantage of a supportive environment that includes NO Peds or Trauma cases, and dedicated Rapid Response Team for codes. You will benefit from a reasonable census and closed ICUs staffed by Intensivists, allowing you to concentrate on patient management without after-hours call. This role offers an attractive 7 on / 7 off shifts (Tuesday to Monday, 7am - 7pm), promoting a healthy work-life balance while ensuring consistent, dedicated care for our patients.
- Day shift - 161 Shifts Annually
- Dedicated admitting shift coverage
- No night shifts: supported by Nocturnists
- Team: 14 Physicians and 5 APPs
- Average daily census for attending physician/APP team: 15-17 patients
- Ability to mentor medical students, FM residents, and Hospital Medicine Fellows
- We qualify for Public Service Loan Forgiveness
- Can support H1B sponsorship only
- Diagnosing, treating, and prescribing for a diverse adult inpatient population.
- Ordering and interpreting necessary diagnostic tests to accurately assess patient conditions.
- Developing and managing comprehensive discharge planning to ensure continuity of care.
- Collaborating effectively with specialists, nurses, and other healthcare professionals to optimize patient outcomes.
- Maintaining accurate and thorough medical records using the hospital's EMR system, Epic.
- Adhering to all hospital policies, procedures, and patient safety protocols.
- Providing compassionate care and clear communication to patients and their families regarding their health status and treatment plans.
- Continuously staying abreast of the latest developments in family or internal medicine and hospitalist care.
We are offering a competitive base salary that includes a guaranteed base salary for three years, quality incentives, along with a comprehensive benefits package including health and wellness benefits, 401k with match, malpractice insurance with tail coverage, CME & allowance, and relocation assistance.
Job Requirements
- American Board Certified or Board Eligible in Family or Internal Medicine
- Completion of an accredited Residency Program
- Board certified/board eligible in Family or Internal Medicine
- Valid North Dakota medical license or eligibility for medical licensure in the State of North Dakota
- North Dakota DEA registration or eligibility to obtain
- ALS, BLS certification
Where You'll Work
About CHI St. Alexius Health
CHI St. Alexius Health is a Level II Trauma Center and is the largest health care delivery system in central and western North Dakota that is comprised of a tertiary hospital in Bismarck and critical access hospitals (CAHs) in Carrington, Dickinson, Devils Lake, Garrison, Turtle Lake, Washburn and Williston and numerous clinics and outpatient services. In addition, CHI St. Alexius Health manages five CAHs in North Dakota- Ashley, Elgin, Linton, and Wishek, as well as Mobridge Regional Medical Center in Mobridge, SD. CHI St. Alexius Health – Bismarck, is a 185-bed, full-service, acute care medical center offering a full line of inpatient and outpatient medical services, including primary and specialty physician clinics; home health and hospice services; durable medical equipment services and a fitness and human performance center. Since our founding in 1885, CHI St. Alexius Health has been dedicated to serving the residents of central and western North Dakota, northern South Dakota and eastern Montana.
CHI St. Alexius Health is a Roman Catholic organization whose sponsors are the Sisters of St. Benedict of the Annunciation Monastery, in Bismarck, ND and as an organization, we follow the Ethical and Religious Directives for Catholic Health Care Services as promulgated by the United States Conference of Catholic Bishops. CHI St. Alexius Health is proud of its stellar reputation as a caring, high quality medical center and of its many awards for clinical excellence, customer satisfaction and community service, but we are even more proud of our dedication to our mission. Throughout its history, CHI St. Alexius Health has proudly served central and western North Dakota. Our ever-expanding lists of medical program, services and providers play an important role in the overall health and well-being of the 355,000 residents in our central and western North Dakota service area.
About Bismarck & Surrounding Area
Bismarck, the capital of North Dakota and is located along the majestic Missouri River, is an outdoor enthusiast’s dream and is renowned for year-round outdoor recreation – hunting, fishing, golfing, hiking, skiing, and an assortment of winter sports. Coupled with a major river system and dozens of lakes, water sports and recreation opportunities are endless. For those that love the city, residents enjoy a wide range of museums, performing arts, great dining, shopping and entertainment theaters and restaurants.
Widely known as a region that is business friendly, a growing oil and energy sector, manufacturing and agriculture – the region enjoys an extraordinary low unemployment. Coupled with a regional airport, a vast assortment of affordable homes in terrific neighborhoods, the lowest crime rates in the country, exceptional public and private schools, colleges, universities – and the small-town charm that is a hallmark of this area – you and your family will find this a wonderful place to call home.
Catholic Health Initiatives is a part of CommonSpirit®, one of the nation's largest health systems dedicated to advancing health for all people. #HEC
Pay Range
$352,714 - $370,350 /year
Visa sponsorship record: CHI St. Alexius Health
Sponsors actively| Fiscal year | H-1B LCAs | USCIS approvals | USCIS denials | PERM |
|---|---|---|---|---|
| FY2026 | 5 | 4 | 0 | — |
| FY2025 | 4 | 5 | 0 | 2 |
| FY2024 | 2 | — | — | — |
✔ CHI St. Alexius Health filed 1 H-1B application for this kind of role (Physicians, All Other) in the period above.
Roles they sponsor most
- neonatal physician2 LCAs · median $250k
- nephrologist2 LCAs · median $275k
- pediatrician2 LCAs · median $312k
- pulmonary critical care physician2 LCAs · median $442k
- anesthesiologist1 LCA · median $624k
Which visas can work for this job
Occupation: Physicians, All Other (SOC 29-1229).
- Mentioned in the listing
H-1B
- H-1B cap-exempt employer
Regular cap-subject employer — a new H-1B needs to win the lottery in March (unless you already hold cap-counted H-1B status).
- TN (citizens of Canada and Mexico)
This kind of role may fit the USMCA profession “Physician (teaching or research only)” — it depends on the actual duties. No lottery, no cap; you need the matching degree or license.
- E-3 (Australia) and H-1B1 (Chile, Singapore)
Same degree requirement as H-1B, but no lottery and a separate quota that is rarely filled.
- O-1 (extraordinary ability)
For candidates with awards, publications, press, a high salary or critical roles at distinguished organizations. No cap, no lottery; the employer files a petition.
- Green card (EB-2 / EB-3 via PERM)
Filed 2 PERM labor certifications: they have a track record of sponsoring permanent residence.
Salary vs prevailing wage
Level II (qualified)Physicians, All Other · North Dakota (state median of areas). Annual prevailing wages set by the Department of Labor (OFLC).
| Level | Prevailing wage | H-1B lottery odds* |
|---|---|---|
| Level I | $132,288 | ~15% |
| Level II | $247,250 | ~31% |
| Level III | $362,211 | ~46% |
| Level IV | $477,173 | ~61% |
This job pays $352,714–$370,350 a year — that's Level II (qualified). In the wage-weighted H-1B lottery a Level II registration gets 2 entries; estimated selection chance about 31%.
* Odds are DHS projections for the FY2027 wage-weighted lottery (actual results vary by year and employer). Since the FY2027 cap season the H-1B lottery is weighted by wage level: Level I = 1 entry, II = 2, III = 3, IV = 4. The level is set by the offered wage against the prevailing wage for the occupation and worksite. Separately, a $100,000 fee for new H-1B petitions for workers outside the US was announced in 2025; as of September 2026 a federal court ruling keeps it unenforceable while appeals continue — check the current status.
Sources: U.S. Department of Labor OFLC disclosure data (H-1B/H-1B1/E-3 LCA, PERM), OFLC prevailing wage data, USCIS H-1B Employer Data Hub, E-Verify participating employers. Data loaded: LCA FY2024–FY2026, PERM, USCIS Data Hub, OFLC wages; updated 2026-10-03. Employers are matched by name, so records of companies with similar names can occasionally be mixed up. This is general information, not legal advice — talk to an immigration attorney about your case.