Hospitalist & Nocturnist
IHS Bid Due Date: June 04, 2026
Pay Rate:
$220/hr. All-Inclusive + T/L
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Four Winds pays and books: Rental Car, Flight, Lodging
$250.00/hr. All-Inclusive
Bill Rate: $299.00/Hr. All-Inclusive
Client: Indian Health Service (IHS) — Navajo Area
Facility: Chinle Comprehensive Health Care Facility (CCHCF), Chinle, AZ
Openings: 4
Start: Late July — rolling/monthly placements needed throughout the fiscal year
Setting: 60-bed inpatient hospital + ambulatory care center (rural, ~35,000 patient population)
Reminder for recruiters: This is a non-personal services federal contract (NAICS 561320, ISBEE set-aside). Government will not interview candidates — submissions must be complete on the first pass. Submit each candidate only once (duplicate submissions across agencies will disqualify our entire quote). **If a provider is submitted by two companies the provider is disqualified**

Position Description:
Hospitalist
Nocturnist
Specialty
FP, IM, or Med/Peds
FP, IM, or Med/Peds
Shift
8:00 AM – 8:00 PM
8:00 PM – 8:00 AM
Schedule
12 hrs/shift, 84 hrs/week, 7 days on / 7 days off
12 hrs/shift, 84 hrs/week, 7 days on / 7 days off
Minimum Commitment
At least 4 weeks (one full 7-on/7-off cycle minimum)
At least 4 weeks
Contract Length
3-month base + up to 7 × 3-month options (up to 24 months)
Same
Units Covered
ER, Adult Care Unit (ACU), Special Care Unit (SCU); IM/Peds also covers Pediatric Care Unit (PCU) & Nursery
Same — overnight coverage
Requirements:
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Board certified in Internal Medicine, Family Practice, or Med/Peds (ABIM, ABFM, or ABP). New grads may be board-eligible only.
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Completed US residency — 36 months FP or IM, or 48 months IM/Peds.
- Minimum 6 months of Hospitalist experience.
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No lapse in clinical practice greater than 6 months leading up to start date.
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No prior loss or suspension of licensure in any medical profession — ever.
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Active, unrestricted state medical license (any US state, DC, or Puerto Rico).
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Active, unrestricted DEA with Schedules II–V.
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Current BLS + ACLS. Med/Peds candidates also need PALS + NRP.
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Clean NPDB report — must be pullable for submission.
- Willing and able to commit to 7 on / 7 off for at least 4 consecutive weeks.
- All malpractice suits and board actions disclosed up front (we will list them in the submission).
- Submission Package:
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Resume / CV (federal-style preferred — gaps explained)
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Medical degree (copy of diploma)
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Proof of residency completion (certificate) + documented 6+ months hospitalist experience
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State medical license(s) — copy, with expiration date
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DEA license — Schedules II–V, current
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Board certification (ABIM / ABFM / ABP)
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BLS, ACLS cards (+ PALS, NRP for Med/Peds)
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NPDB self-query report (recent)
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Three (3) current letters of reference from other healthcare providers familiar with clinical practice. One letter must be from the Chief of Staff / Medical Director / Immediate Supervisor at the hospital where the candidate currently or most recently held privileges. New grads — one letter must be from the program director or service chief.
Role Overview — What the Provider Will Actually Do
The provider delivers full inpatient and outpatient hospitalist coverage at CCHCF, including:
- ER and Urgent Care coverage
- Rounding on ACU and SCU (and PCU/Nursery for Med/Peds)
- Care of critically ill patients; coordinate with IHS and outside specialists
- H&Ps, daily progress notes, discharge summaries, admission orders
- Order and interpret diagnostic studies; prescribe and adjust treatment
- Make appropriate referrals to contracted facilities for care not available locally
- Document 100% of encounters in CCHCF's EHR within 4 days of the encounter
- Participate in department and medical staff meetings, peer review, OPPE/FPPE
- Comply with Joint Commission, CMS, HIPAA, and Privacy Act standards
- Complete CCHCF-provided cultural awareness and child-protection trainings within 30 days of onboarding
- Location & Lifestyle Talking Points
- Located on the Navajo Reservation in northern Arizona
- 3 hotels (Best Western, Holiday Inn, Thunderbird Lodge); lodging is the contractor's responsibility.
- Limited dining (Denny's, Burger King, Church's Chicken) and one grocery store (Bashas); next grocery store ~32 miles away
- Nearest larger towns: Gallup, NM (~90 mi) and Farmington, NM (~115 mi) for Walmart, Safeway, Albertsons, etc.
- Patient population: ~35,000 Navajo patients; many travel 100 miles round-trip for care; many elderly patients speak only Navajo. Cultural sensitivity is a real expectation, not a checkbox.
- Candidates who have done IHS, VA, rural, or reservation work before are the strongest fit.
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Airport
Distance to Chinle
Drive Time
Route
Albuquerque International Sunport (ABQ)
~227 milesone-way
~3h 45m
I-40 W → NM-491 N → US-191 N (Rome2Rio)
Flagstaff Pulliam (FLG)
~225 milesone-way
~4h 26m
I-40 E → US-191 N (slower, more mountain/canyon driving) (Rome2Rio)