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Location:
Fortuna, CA

Fortuna is a welcoming Northern California community nestled in the heart of Humboldt County, surrounded by stunning redwood forests and scenic coastal landscapes. The area offers a peaceful small-town lifestyle with easy access to outdoor recreation, making it an ideal destination for providers seeking a refreshing change of pace.

Facility:
This Northern California facility is a well-established community hospital offering comprehensive emergency medicine services within a 32-bed department. The facility holds a Level 3 trauma designation and benefits from 24-hour availability of key support services including anesthesia, general surgery, cardiothoracic surgery, catheterization lab, neurosurgery, orthopedic surgery, vascular surgery, radiology, and laboratory services.

Opportunity:
Physician - Emergency Medicine

Job Details:

• Locum Tenens Emergency Medicine coverage beginning January 1, 2027, with ongoing need
• Inpatient, hospital-only coverage with no call requirements
• Available shift times: 3p-12a, 8a-4p, 1p-11p, 9p-6a, and 11p-8a
• 8 guaranteed hours per day; overtime applies after 12 hours per day and must be pre-approved by the medical director
• Average patient volume is 110 patients per 24-hour period across the department
• Active California license required; licensed in CA only - no IMLC accepted
• DEA required
• Board Certified or Board Eligible within 3-5 years of residency; ABEM or ABEOM certification required (ABIM and ABFM not accepted)
• ACLS and BLS certifications required
• Level 3 trauma facility; no newborn deliveries received in the ED; L&D department on site
• Estimated credentialing timeframe is 90 days
• Providers must present 2-3 references including MD name, email, and phone number for a reference check by the medical director at time of bid submission
• Providers with a clean file may be considered for December coverage; providers with large settlements, DUIs, drug issues, restrictions, terminations, or Medical Board actions are not eligible for temporary privileges
• Airport parking reimbursed if provider drives themselves to the airport; ride share and taxi from destination airport to lodging and to/from hospital will be reimbursed; mileage and ride share from provider's home to departing airport are not reimbursed; rental car insurance must be pre-approved prior to booking

Compensation:

• Competitive hourly rates with weekly pay and malpractice included

Seeking a Locum Psychiatrist (MD/DO) to provide psychiatric care in an adult residential treatment setting in Tucson, AZ.
Immediate start as soon as credentialed
Local provider preferred
Adult patients age 18+
Average patient age in the 30s and 40s
Both new & established patients
Approximately patients for a full time provider
Multidisciplinary clinical environment

JOB OVERVIEW

• Job Id: L-MD-73166
  
• Profession: Physician
  
• Specialty: Emergency Medicine
  
• Job Type: Locum Tenens
  
• Location: Eureka, CA
  
• Service Setting: Inpatient
  
• Coverage Type: Clinical Only
  
• Coverage Period: Jan 01, 2027 - Ongoing
  
• Shift Schedule: 8a-4p, 3p-12a, 1p-11p, 9p-6a, 11p-8a
  
• 5-7 shifts/month
  
• Reason for Coverage: Vacancy - Long-Term Permanent Search
  
• Travel, Lodging, and Malpractice Insurance: Covered
  

COVERAGE DATES

• Eureka:
  
• 8a-4p
  
• Dec 20-21, 26
  
• 3p-12a
  
• Oct 12
  
• Dec 10, 20
  
• 1p-11p
  
• Dec 29
  
• 9p-6a
  
• Oct 22-26
  
• Dec 23-26, 29-30
  
• 11p-8a
  
• Oct 9-11
  
• Dec 21-23, 27-28
  
• Fortuna:
  
• AM Shift
  
• Dec 9-10
  
• PM Shift
  
• Dec 25
  

PATIENT INFORMATION

• Patient Population: 88% Adult, 12% Pediatric
  
• Average Daily Volume: 110
  

FACILITY INFORMATION

• Trauma Level: III
  
• No. of Beds: 144; 12 ICU Beds
  
• Beds in the Dept: 20
  
• EMR System: Epic
  
• Support Staff: APP
  
• 24-hr Services: Anesthesia, CT Surgery, Cath Lab, Gen Surgery, Lab, Neuro-Surgery, OR Response Time, Ortho Surgery, Radiology, Vascular Surgery
  
• Other Info:
  
• Fast track ED
  
• Will supervise APPs in Fast Track
  
• ED Staff responds to House Codes
  
• Hospitalist writes admission orders
  
• L&D Department is available
  

JOB REQUIREMENTS

• Board: BC or BE within 3-5 years of residency
  
• Licenses: Licensed in CA
  
• DEA: Yes
  
• Certifications: BLS, ACLS
  
• 2-3 References
  

Duties & Responsibilities

• Provide comprehensive emergency medical care to patients presenting to the ED.
  
• Work a rotating schedule including day, afternoon, evening, and night shifts.
  
• Manage high patient volumes, averaging 110 patients per 24-hour period.
  
• Collaborate with nursing and support staff to ensure efficient patient flow.
  
• Adhere to hospital privileging standards and maintain required certifications.
  

JOB OVERVIEW

• Job Id: Y-MD-
  
• Profession: Physician
  
• Specialty: Radiology
  
• Job Type: Locum Tenens
  
• Location: Wellington, FL
  
• Service Setting: Hospital
  
• Coverage Type: Clinical Only
  
• Coverage Period: Dec 14, 2026 - Mar 15, 2027
  
• Clinical Shift Schedule: Overnight, midnight - 8:00 AM, 30 shifts per month
  

PATIENT INFORMATION

• Case Mix: General radiology, CT, MRI, X-Ray, Ultrasound, Emergency/ED, Inpatient, Outpatient
  

PRIVILEGES & COMPLIANCE

• Hospital Privileges Required: Yes
  
• Temporary Privileges Available: Yes
  
• Credentialing Timeline: 90-120 days
  

REQUIRED PROCEDURES

• General radiology reads
  
• CT
  
• MRI
  
• X-Ray
  
• Ultrasound
  
• Emergency/ED reads
  
• Inpatient reads
  
• Outpatient reads
  

JOB REQUIREMENTS

• Licenses: Active FL license
  
• Board: Board Certified or Board Eligible in Radiology
  
• DEA: Required
  
• Certifications: DEA, ABR Certification, CSP, Fluoroscopy (FL, DC, CA)
  
• Other Qualifications: Ability to work remotely; own workstation preferred
  

DUTIES & RESPONSIBILITIES

• Provide remote overnight radiology coverage from midnight to 8:00 AM.
  
• Interpret general radiology studies including CT, MRI, X-Ray, and Ultrasound.
  
• Provide emergency department and inpatient radiology reads.
  
• Maintain productivity of 10-12 wRVUs per hour.
  
• Ensure timely and accurate reporting of imaging studies.
  

JOB OVERVIEW

• Job Id: Y-MD-
  
• Profession: Physician
  
• Specialty: Physical Medicine Rehabilitation
  
• Job Type: Locum Tenens
  
• Location: East Sandwich, MA
  
• Service Setting: Rehab Hospital
  
• Coverage Type: Clinical + Call
  
• Coverage Period: Jan 04, 2027 - Apr 05, 2027
  
• Clinical Shift Schedule: Mon - Fri, 8a - 5p
  
• On-Call Shift Schedule: Weekends only (1 in 7 weekends, Sat - Sun)
  
• Travel, Lodging, and Malpractice Insurance: Covered (hotel, flight, rental car)
  

FACILITY INFORMATION

• EMR System: Epic
  
• Patient volume/census: 15

PRIVILEGES & COMPLIANCE

• Hospital Privileges Required: Yes
  
• Temporary Privileges Available: Yes
  
• Credentialing Timeline: 3 to 6 months
  

JOB REQUIREMENTS

• Licenses: Active MA license
  
• Board: BC
  
• DEA: Yes
  
• Experience: Minimum 1 year
  
• Other Qualifications: Willing to consider temp-to-perm license; flexible with attending vs consultant role
  

DUTIES & RESPONSIBILITIES

• Provide comprehensive physical medicine and rehabilitation care to patients on a full-time basis, Monday through Friday, 8:00 AM to 5:00 PM.
  
• Round on assigned patients and assist house officers with patient needs during weekend call coverage.
  
• Manage admissions and discharges for an average daily census of 15 patients.
  
• Participate in weekend call rotation, approximately one in seven weekends, with four hours gratis each day.
  
• Adapt to an attending or consultant role as assignment needs dictate.
  

Are you an Anesthesiology physician searching for your next locum tenens opportunity? This position with one of VISTA's healthcare partners in Arkansas might be the perfect fit for you!

Opportunity Highlights

• Schedule: Monday - Friday 6:30am - 3:00pm, possible weeknight call
• Job Setting: Hospital, Trauma Level 2, very busy practice
• Types of Cases: General and OB cases, Epidural placement, Supervising CRNA(s), no cardiac/vascular/thoracic cases
• Credentialing: 2-3 weeks

Minimum Requirements

• Board Certified or Board Eligible
• Certifications: DEA
• Licensure: Active Arkansas license required, will consider IMLC with LOQ in hand

About VISTA Staffing

A ClearlyRated Best of Staffing Client and Talent 10-Year Diamond Award winner, VISTA has 30 years of experience optimizing continuity of care for hospitals, medical practices and government agencies across the US. A leading provider of short-term US locum tenens and permanent physician search services, VISTA partners healthcare providers with facilities who need them most, providing an effective strategy for lessening the impact of the global provider shortage. Our VISTA team goes above and beyond to make healthcare providers feel valued in the job search process and are committed to elevating careers to new heights.

For more information, visit .

SUMO Medical Staffing is recruiting an Anesthesiologist MD/DO for a locum tenens opportunity in Brockton, Massachusetts.This opportunity offers flexible weekday 8- or 10-hour shifts, along with optional weeknight and weekend in-house call coverage. Join an established anesthesia team working across eight anesthetizing sites with a broad surgical case mix.Job

The post Anesthesiology locum position in Brockton MA appeared first on Sumo Medical Staffing .

Sumo Medical Staffing is recruiting for an experienced Hospitalist to work locum shifts in Manhattan, Kansas (KS). Starting in October 2026, the role offers ongoing work with a competitive market rate and benefits.The Hospitalist role: Duration: ASAP- Ongoing

The post Locum Hospitalist: Manhattan, Kansas (KS) appeared first on Sumo Medical Staffing .

Nocturnist Physician Locums Job Ongoing Hospital Coverage in California

Join a well-supported hospital medicine team seeking a Nocturnist for ongoing night coverage. This is an excellent opportunity to work in a collegial environment with APP support, specialty backup, and a manageable admissions volume.

Details/Requirements:
Night Shift: 7:00 PM - 7:00 AM
Flexible scheduling with rotating coverage
Additional day shift opportunities may also be available
Epic EMR
Average privileging timeline

Clinical Responsibilities
Primary focus on admissions
Second physician primarily cross-covers
APP support available until 9:00 PM
Average of 6-10 admissions per night
Responds to codes
Open ICU environment, but no ICU procedures required
No procedures required
Specialty backup available at all times

Preferred Qualifications
Hospitalist/Nocturnist experience
Experience caring for cancer and Hematology/Oncology patients preferred, but not required

The Jackson and Coker Advantage:
Join a team that prioritizes your peace of mind so you can focus on patient care.
Elite Coverage: Top-rated malpractice insurance.
Seamless Logistics: Full-service in-house travel agency and credentialing coordinators.
Constant Support: 24/7 recruiter availability to handle any issues in real-time.
Experience the standard of excellence recognized by Forbes and Staffing Industry Analysts.

Apply Today!

Madison McKnight

For more jobs, visit Jackson and Coker .

JOB OVERVIEW

• Job Id: Y-MD-
  
• Profession: Physician
  
• Specialty: Radiology
  
• Job Type: Locum Tenens
  
• Location: Temecula, CA
  
• Service Setting: Hospital (Inpatient/Outpatient/ED)
  
• Coverage Type: Clinical Only
  
• Coverage Period: Dec 14, 2026 - Mar 15, 2027
  
• Clinical Shift Schedule: Various shifts: Evenings (5p-11p or 6p-midnight), Overnight (midnight-8a), and Mid (8am start) shifts available
  

PATIENT INFORMATION

• Case Mix: General Radiology, CT, MRI, X-Ray, Ultrasound, Emergency, Inpatient, Outpatient
  

PRIVILEGES & COMPLIANCE

• Hospital Privileges Required: Yes
  
• Temporary Privileges Available: Yes
  
• Credentialing Timeline: 90-120 days
  

REQUIRED PROCEDURES

• General Diagnostic Radiology
  
• CT
  
• MRI
  
• X-Ray
  
• Ultrasound
  
• Fluoroscopy
  
• Emergency/ED Reads
  
• Inpatient Reads
  
• Outpatient Reads
  

JOB REQUIREMENTS

• Licenses: Active California license
  
• Board: Board Certified or Board Eligible in Radiology
  
• DEA: Yes, DEA required
  
• Certifications: ABR Certification, CSP, Fluoroscopy
  

DUTIES & RESPONSIBILITIES

• Perform remote diagnostic reading of radiology studies including CT, MRI, X-Ray, and Ultrasound.
  
• Provide emergency department reads and inpatient/outpatient interpretations.
  
• Maintain productivity expectation of 6-10 wRVUs per hour.
  
• Ensure compliance with credentialing and licensing requirements.
  
• Utilize own workstation for remote reading.
  

Facility in Tacoma, WA seeking Ortho Surgery locums coverage Rates: Regular hourly $350/hr Night call - $300 with 2 hours gratis included. On Call (Daily) $2500 - Per 24 hours to include 4 hours gratis Call Back $400/hr after gratis hours Orientation $150/hr Opportunity Highlights

• Schedule: Coverage for 2 weeks per month (based on internal doctor's off-schedule) for a duration of 6 9 months.
• Work Mix: The two-week block includes:
• 24/7 ER Call Coverage with dedicated PA support.
• 3 Outpatient Clinic half-days (mornings, Monday Friday) each week.
• Procedures: Full spectrum of orthopedic cases minus complex pelvic issues. Admissions per day vary from 0 7.
• EMR: The facility uses EPIC for all charting.
• Trauma Credentialing: The facility will consider experienced Orthopedic Surgeons who lack formal trauma fellowship training, provided they can be successfully credentialed.

Key Requirements (Dealbreakers)

• Experience: MUST have 5 years of Level II Trauma Center experience.
• Board Status: Board Certified (BC) is REQUIRED.
• Fellowship: Fellowship trained Orthopedic Trauma Surgeon is REQUIRED (preference, but highly experienced trauma surgeons lacking the fellowship may be considered).
• Licensure: Active Washington (WA) License is HIGHLY PREFERRED, or active IMLC with LOQ in hand.
• Certifications: BLS and DEA are REQUIRED (will consider candidates who will obtain once the offer is accepted).
• Background: Clean Malpractice History is highly preferred.

About WhiteCoat Locums: - Physician owned and led agency - Highest-Pay rates on the market - $1m/3m malpractice insurance and tail - 100% transparency

Seeking a Board Eligible or Board Certified Ophthalmologist to provide comprehensive medical and surgical eye care in Fairbanks, Alaska. This position offers a diverse practice that includes outpatient care, surgical services, and outreach clinics throughout Interior Alaska.

Position Highlights:

• Comprehensive ophthalmology examinations, diagnosis, treatment, and surgical care
• Perform procedures including cataract, glaucoma, refractive, corneal, vitreoretinal, oculoplastic, and other ophthalmic surgeries
• Perform laser procedures and oversee postoperative care
• Collaborate with Optometry, Eye Clinic, and other healthcare professionals
• Educate patients on eye health, disease prevention, and treatment options
• Participate in rural outreach and village field clinics
• Opportunity to serve as Section Lead for Ophthalmology
• Practice across outpatient, ambulatory surgery, and outreach settings
• Meaningful opportunity to improve access to specialty eye care for underserved communities

Ideal Candidate:
Board Eligible or Board Certified Ophthalmologist with strong medical and surgical skills, excellent communication abilities, and the ability to practice independently while collaborating with a multidisciplinary team.

James Newman
Senior Recruiter
Arc Health Justice a Public Benefit Company
Direct Phone:

Are you an Emergency Medicine physician searching for your next locum tenens opportunity? This position with one of VISTA's healthcare partners in Pennsylvania might be the perfect fit for you!

Opportunity Highlights

• Schedule: Various dates starting 10/24/26 through May 2027 with shifts at 6am & 6pm
• Job Setting: Emergency Department at Nason Hospital (LifePoint Health system); 9 bed ED, Level 4 Trauma, ADC 44
• Types of Cases: General emergency medicine; NO L&D - if delivery situation arises, deliver and transfer to Conemaugh when stable; newborn deliveries received in ED
• Credentialing: 14 days

Minimum Requirements

• Board Certified/Board Eligible: Board Certified Emergency Medicine required
• Licensure: Active PA license required

About VISTA Staffing

A ClearlyRated Best of Staffing Client and Talent 10-Year Diamond Award winner, VISTA has 30 years of experience optimizing continuity of care for hospitals, medical practices and government agencies across the US. A leading provider of short-term US locum tenens and permanent physician search services, VISTA partners healthcare providers with facilities who need them most, providing an effective strategy for lessening the impact of the global provider shortage. Our VISTA team goes above and beyond to make healthcare providers feel valued in the job search process and are committed to elevating careers to new heights.
For more information, visit .

Facility in Quincy, IL seeking Urgent Care locums coverage Rates: $180/hr Opportunity Highlights

• Schedule: Monday Thursday (Looking for consistency with 4 shifts in a row).
• Shifts: 12-hour shifts; mix of 6:00 AM 6:00 PM or 10:00 AM 10:00 PM.
• Volume: Clinic averages patients per day split between 3 providers (approx. 2.5 patients per hour).
• EMR: Epic.
• Support: Comprehensive specialty support available on-site; experienced nursing and mid-level staff.
• Work Setting: You may work solo from 6:00 AM 9:00 AM before the full team arrives.

Clinical Responsibilities The patient mix is approximately 60% Adult and 40% Pediatric. Candidates must be comfortable managing standard urgent care presentations and performing essential minor procedures. Typical Cases Include:

• Upper respiratory infections (Cough/Sore throat), UTI, and Flu.
• STD testing and pelvic exams.
• Rashes and general medical evaluations.

Required Procedures:

• Suturing of lacerations.
• Splinting for orthopedic injuries.
• Foreign body removal (including eye).
• Interpretation of on-site X-rays.

Provider Requirements

• Board Status: Board Certified or Board Eligible in Family Medicine (REQUIRED).
• Experience: Minimum of 1 year of experience in an Urgent Care or Emergency setting.
• Licensure: Active Illinois State License (IMLC accepted).
• Certifications: Active ATLS, PALS, BLS, and DEA are required.
• Availability: Must be able to cover the Monday Thursday block.

Start Date & Privileging

• Estimated Start: May 1, 2026.
• Privileging: Full privileges take approximately 120 days.

About WhiteCoat Locums: - Physician owned and led agency - Highest-Pay rates on the market - $1m/3m malpractice insurance and tail - 100% transparency

Facility in Jackson, MI seeking Outpatient Neurology locums coverage Rates: $280/hr Opportunity Highlights

• Flexible Terms: Open to Locum Tenens, Locum-to-Permanent, or direct Permanent placement.
• Schedule: Monday Friday, 8:00 AM 4:30 PM (No weekends or on-call required).
• Practice Setting: Outpatient Neurology Clinic.
• Group Dynamics: Join an established group of 3 physicians with a dedicated support staff including an RN Navigator and 4 Medical Assistants.
• EMR: Epic.

Clinical Responsibilities

• Patient Load: office/clinic patients per day.
• Demographics: 95% Adult, 5% Pediatric.
• Procedures:
• EMG (Electromyogram)
• Botulinum Toxin Administration (Botox)
• Radiologic Exam Interpretation (Unofficial)

Candidate Requirements

• Board Certification: Required.
• Licensure: Active Michigan (MI) State License is required.
• Certification: Active BLS.
• Background: Clean background is highly preferred.
• NPDB: Self-Query NPDB pulled within the last 30 days is required for submission.
• Commitment: Must be available for full-time hours (40 hours/week).

About WhiteCoat Locums: - Physician owned and led agency - Highest-Pay rates on the market - $1m/3m malpractice insurance and tail - 100% transparency

Facility in West MA seeking EM locums coverage Rates: $325/hr Opportunity Highlights

• Schedule Flexibility: 8, 11, and 12-hour shifts are available.
• High Priority: Morning and night shifts.
• Supportive Environment: Admissions are managed by an on-staff Hospitalist service.
• Collaborative Team: Robust APP coverage is available on-site.
• Credentialing: Temporary privileges are available for candidates with clean backgrounds to ensure a quick start.
• EMR: Meditech.

Clinical Setting & Scope

• Trauma Level: Level III Trauma Center.
• Volume: Annual ER volume of approximately 55,000 visits.
• Admission Rate: Approximately 30% of ED patients are admitted daily.
• Responsibilities: Standard Emergency Medicine services.
• Monitoring/supervising Paramedics and Ambulance crews via radio.
• Note: Emergency Physicians are not responsible for codes; deliveries are sent directly to Labor & Delivery.

Provider Requirements

• Board Status: ABEM Board Certified or Board Eligible (within 5 years of residency) is Required.
• Licensure: Active Massachusetts (MA) license is Highly Preferred.
• Certifications: Active BLS, ACLS, and ATLS are Required.
• Logistics: Candidates must be local (no flights will be reimbursed).
• Background: A clean background is required for expedited credentialing.
• Documentation: A Self-Query NPDB report (dated within the month) is required at the time of presentation.

About WhiteCoat Locums: - Physician owned and led agency - Highest-Pay rates on the market - $1m/3m malpractice insurance and tail - 100% transparent

A thriving clinic in Riverside County, California is looking for a locum tenens MD to fulfill a 3 month assignment with the opportunity to extend. Providers should have a CA license to apply.

Setting : Outpatient community clinic
Schedule : 5 8s, M-F
Patients Per Day : 16
EMR : NextGen
Pay : Above market and negotiable!
Logistics : Covered (mileage, car, flight, lodging)

Ready to make a difference in California? Apply today! Send your CV to or call/text at for more information.

A thriving clinic in Riverside County, California is looking for a locum tenens MD to fulfill a 3 month assignment with the opportunity to extend. Providers should have a CA license to apply.

Setting : Outpatient community clinic
Schedule : 5 8s, M-F
Patients Per Day : 16
EMR : NextGen
Pay : Above market and negotiable!
Logistics : Covered (mileage, car, flight, lodging)

Ready to make a difference in California? Apply today! Send your CV to or call/text at for more information.

A thriving clinic in Southern California is looking for a locum tenens Family Practice Physician to fulfill a 3-6 month assignment with the opportunity to extend. Providers should have a CA license and 1 year of experience to apply.

Setting : Outpatient community clinic
Schedule : 5 8s, M-F
Patients Per Day : 16
EMR : Epic
Pay : Above market and negotiable!
Logistics : Covered (mileage, car, flight, lodging)

Ready to make a difference in Orange County CA? Apply today! Send your CV to or call/text at for more information.

Schedule: 12-hour shifts (6a-6p or 6p-6a); select coverage dates with ongoing needs; no call

Setting: Hospital-based Emergency Department

Patient Volume: Approximately 44 patients per day

EMR: Epic

Required Skills: Full-scope emergency medicine including acute care, stabilization, and general ED procedures

Board Status: Board Certified required (Emergency Medicine)

Licensure: Pennsylvania license required

Credentialing: Approximately 14 days (expedited)

Support: Physician + APP model with consistent nursing and ancillary support in a low-to-moderate volume ED

Locums OB Hospitalist call coverage in South Carolina, covering weekends only with no scheduled surgical cases. Inpatient rounding and unscheduled deliveries, supported by OB Hospitalist backup and guaranteed checkout coverage.

Highlights

• Weekend call coverage only, recurring need beginning January 2027
• No scheduled surgical cases
• OB Hospitalist support, includes guaranteed checkout coverage
• Level 3 NICU onsite with Neonatologists, plus Maternal Fetal Medicine available

Practice Setting

• Inpatient OB coverage for patients approximately age 15 and up
• Work includes inpatient rounding, select consultations, and patient phone calls
• Unscheduled deliveries as needed, approximately 8 to 12 deliveries per weekend
• 517 bed hospital with a 52 bed level 3 NICU onsite

Schedule

• Call coverage every weekend beginning January 2027, with remaining dates listed January through June
• Call runs from Friday morning through Sunday afternoon
• Daytime call with nighttime emergency pager backup, no continuous in house requirement

Cases and Procedures

• Unscheduled deliveries
• No scheduled surgical cases
• Inpatient rounding and select consultations

Requirements

• Must be an MD or DO
• Board Certified or Board Eligible within 5 years in Obstetrics and Gynecology
• South Carolina license required
• DEA required

If weekend OB call coverage in South Carolina is a fit for your schedule, reach out and we can compare your availability with the remaining weekend dates starting January 2027.