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Rhino Medical Services

Nurse Practitioner (NP) - Hospitalist

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What they do

A Nurse Practitioner provides primary care and nursing care to patients. Performs physical exams, orders diagnostic tests, and provides medications. Works in a physician's office or other healthcare facility, under the direction of a physician. Performs work similar to that of a physician assistant but has different medical training and degree.

$138,137 / year median in Washington

+16% projected growth

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Job Description

Federal Way, Washington Hospital Medicine NP/PA Locum Tenens Opportunity Observation Medicine

  • Day Shift
  • 10 Shifts/Month
  • Epic Rhino Medical is leading the charge seeking an experienced Nurse Practitioner or Physician Assistant for an Observation Medicine locum tenens opportunity in Federal Way, Washington .

This is a focused inpatient opportunity for an APP with a Hospital Medicine background who enjoys managing patients through the critical period between Emergency Department evaluation and final disposition. You'll work a consistent 8:30 AM-8:30 PM day shift , approximately 10 shifts per month , with a daytime census capped at 12 patients . There are no night shifts and no night call . The assignment begins around November 1, 2026 and is expected to provide approximately 2-6 months of coverage . Opportunity Highlights Federal Way, Washington Nurse Practitioner or Physician Assistant Observation Medicine Hospital Medicine experience sought Locum Tenens 8:30 AM-8:30 PM Approximately 10 shifts/month Day shifts only No night shifts No night call Daytime census capped at 12 patients Approximately 5-6 admissions per day Physician

+ APP staffing model Epic EMR Prior Epic experience not required November start The Clinical Role This isn't traditional ED fast-track coverage, nor is it a conventional inpatient rounding assignment. You'll care for patients placed into hospital observation status following Emergency Department evaluation , providing continued assessment, diagnostic evaluation, treatment, monitoring, and disposition planning. The current observation model is designed around patients who require additional care and clinical decision-making but may not require full inpatient admission. Public recruiting for the service describes presentations spanning medical, cardiac, neurologic, surgical and lower-risk acute conditions. For a Hospital Medicine APP, that creates a familiar clinical proposition: Continued evaluation of acute adult patients Observation management Diagnostic review and clinical decision-making Treatment and reassessment Approximately 5-6 admissions per day Disposition planning Coordination with physicians, specialists, nursing and support teams Epic documentation The service operates within a physician

+ APP model, and current public recruiting confirms collaboration with emergency physicians, consulting specialists, nursing and case management, with emergency-physician support available onsite around the clock. Schedule 8:30 AM-8:30 PM Approximately 10 shifts per month Days only

  • No nights
  • No night call The expected assignment begins around November 1, 2026 , with an anticipated initial duration of approximately 2-6 months .

Practice Environment The strongest feature of this assignment is its defined scope. The daytime patient census is capped at 12 , allowing the APP to focus on active observation management and disposition rather than carrying an unrestricted inpatient census.

Client-provided operational details include:

Observation-unit annual volume of approximately 1,900 Daytime census capped at 12 Approximately 5-6 admissions per day Physician + APP staffing Intensivist support Epic EMR No overnight APP coverage The hospital itself is a substantial acute-care environment; Washington State documentation supports its expansion to 158 approved beds , consistent with the client's current facility information. Candidate Requirements Nurse Practitioner or Physician Assistant Hospital Medicine experience strongly relevant to this assignment NCCPA or applicable NP board certification Active Washington license required before credentialing can begin

ACLS, BLS

Ability to obtain hospital privileges Comfortable managing adult acute-care and observation patients Prior Epic experience is not required . Licensure & Credentialing This is an important consideration for November availability. Washington license must be in hand Credentialing will not begin with a pending license Temporary or emergency privileges are not available Full credentialing is estimated at approximately 60-90 days Washington-licensed APPs who can move directly into credentialing will therefore have the clearest path to this assignment. Why Providers Choose Rhino Medical Weekly direct deposit AAA-rated professional liability coverage Concierge credentialing support Dedicated recruiter communication Transparent scheduling and onboarding Long-term relationship focus Make Observation Medicine Your Day Job For a Hospital Medicine NP or PA, this offers an unusually defined locums structure: 12-hour days, approximately 10 shifts per month, census capped at 12, no nights, no night call, and no requirement for previous Epic experience. If that fits the way you want to practice this winter, send your CV and November availability today. Rhino Medical is leading the charge. Always Forward. Always Focused. Always for You.