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Hospitalist Physician (Nocturnist) | Supportive Team Environment!

Sound Physicians H-1B Health and Care Full-timeFresno, California $385,000 - $420,000 per year
Posted Oct 5, 2026 · Expires Oct 26, 2026

Quick facts

Pay
$385,000 - $420,000 per year
Type
Full-time
Location
Fresno, California
Background
MD / physician
Industry
Health and Care — 3378 open jobs
Visa in listing
H-1B
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Free to apply — never pay anyone for a job offer or visa sponsorship

Job description

Make an Impact Where it Matters Most as a Hospitalist in Fresno, California. Deliver patient-centered care that makes a difference. In this role, you’ll collaborate with a skilled team, contribute to clinical excellence, and enjoy opportunities for professional growth – all while serving the Fresno community. We are hiring for a nocturnist position. A nocturnist role requires working exclusively overnight shifts. Candidates must be comfortable with a nocturnal schedule and possess the ability to deliver exceptional patient care during nighttime hours.

Local Team Collaboration: Join a team of 50 physicians and 10 Advanced Practice Providers at Community Regional Medical Center. Work alongside a diverse group of professionals with backgrounds from all over the world. Become an integral member of the hospitalist team and community. Our team members actively participate in committees and leadership roles to support quality and process improvement. Community Medical Centers is affiliated with UCSF Fresno, which offers training to residents and fellows. Community Regional Medical Center is a Level 1 Trauma Center.

Qualifications: Ability to work well in a team-based environment, focusing on collaboration and patient-centered care. Board Certified/board eligible in internal medicine or family medicine. We proudly sponsor H1B visa candidates and provide in-house visa specialists, licensing, and credentialing support. All required filing fees for the visa are covered by Sound. New grads, residents, and fellows are welcome to apply.

Flexible Scheduling: Nocturnist hours are 5 pm - 5 am and 7 pm - 7 am. Full-time positions follow a 7-days-on, 7-days-off rotation. This is a full or part-time nocturnist position.

Key Responsibilities: Provide inpatient care in a closed ICU environment. Focus on cross-covering and admissions, alongside several other nocturnists and a night Advanced Practice Provider. Procedures are not required. Be part of the Rapid Response team for your patients. Advanced Cardiovascular Life Support (ACLS) required. Focus on delivering high-quality care while benefiting from a flexible schedule, allowing for time with family, friends, and personal interests. Work closely with hospital colleagues across departments, serving on committees and contributing to hospital-wide initiatives like reducing hospital-acquired infections (HAIs). Utilize Epic EMR system.

Living and Working in Fresno, California: As the fifth-largest city in California and centrally located in the state, Fresno offers an abundance of outdoor adventures, a diverse and vibrant creative community, a thriving arts scene, farm-to-table dining, and a variety of community events year-round. Fresno’s central location allows you to enjoy the best of both worlds - natural wonders inland and coastal beauty just a short drive away. National Park access to three of the world’s most scenic and treasured parks is within 90-minutes of Fresno and Clovis: Yosemite National Park, Kings Canyon National Park, and Sequoia National Park. Fresno is a few hours’ drive from California’s picturesque coastline. Explore the beautiful beaches and charming towns along the Central Coast, such as Monterey, Carmel-by-the-Sea, or Pismo Beach. Enjoy a mild year-round climate with more than 300 days of sunshine annually. Fresno’s location in the agricultural heart of California means it is surrounded by fresh, locally grown produce. From farm-to-table restaurants to lively farmers' markets, food lovers will find plenty to enjoy. The city boasts a rich array of dining options.

Rewards and Compensation: Annual compensation up to $385,000 - $420,000, based on the number of shifts worked. Eligible for additional productivity and quality bonuses. Moonlighting premium for additional shifts.

Bridgett Hart, Clinical Recruiter | bhart@soundphysicians.com | (651) 245-9785

Visa sponsorship record: Sound Physicians of Illinois, LLC

Sponsors actively
33H-1B labor applications (LCA)97% certified
33H-1B petitions approved by USCISapproval rate 97% · 16 new
3Green card filings (PERM)3 certified
$280kMedian H-1B salaryfrom LCA filings
Fiscal yearH-1B LCAsUSCIS approvalsUSCIS denialsPERM
FY2026541—
FY2025181403
FY202410150—

✔ Sound Physicians of Illinois, LLC filed 33 H-1B applications for this kind of role (Physicians, All Other) in the period above.

Roles they sponsor most

  • hospitalist physician31 LCAs · median $280k
  • nocturnist physician2 LCAs · median $287k

Full sponsorship history of Sound Physicians of Illinois, LLC →

Which visas can work for this job

Occupation: Physicians, All Other (SOC 29-1229) — estimated from the job title.

  • 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 3 PERM labor certifications: they have a track record of sponsoring permanent residence.

Salary vs prevailing wage

Level IV (fully competent)

Physicians, All Other · California (state median of areas). Annual prevailing wages set by the Department of Labor (OFLC).

L1L2L3L4
LevelPrevailing wageH-1B lottery odds*
Level I$82,888~15%
Level II$163,654~31%
Level III$229,923~46%
Level IV$306,426~61%

This job pays $385,000–$420,000 a year — that's Level IV (fully competent). In the wage-weighted H-1B lottery a Level IV registration gets 4 entries; estimated selection chance about 61% — better than average.

* 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.