Hospitalist Physician (Nocturnist) | Supportive Team Environment!
Quick facts
- Pay
- $385,000 - $420,000 a year
- Type
- Full-time
- Location
- Fresno, CA
- Background
- MD / physician
- Industry
- Health and Care — 3355 open jobs
- Visa in listing
- H-1B
- Apply
- 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| Fiscal year | H-1B LCAs | USCIS approvals | USCIS denials | PERM |
|---|---|---|---|---|
| FY2026 | 5 | 4 | 1 | — |
| FY2025 | 18 | 14 | 0 | 3 |
| FY2024 | 10 | 15 | 0 | — |
✔ 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).
| Level | Prevailing wage | H-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.