Thank you all for your input. For future reference, in case anyone has this exact question. If you have more than one offer (not your top choices) you are waiting to hear back from another department in the same hospital. I highly encourage you to talk to the recruiter. The recruiter help me out a lot, from setting up interviews that where within the timeframe of other offers to guiding me on how to accept an offer while I waited for the one I wanted. They can help with extending the date you need to accept or deny the offer. So, Definitely talk to the recruiters. I ended up getting the job I wanted!