AHSA - 088 - Locums - Emergency Medicine NP - Williston, ND

Facility Address: CHI St. Alexius Health Williston - Emergency Medicine

1301 15th Avenue West

Williston, ND 58801 Job Title: Locum - NP/PA - Emergency Medicine Williston, ND Bid Due Date: First to Fill Profession: NP/PA Specialty: Emergency Medicine Unit: CHI St. Alexius Health Williston - Emergency Medicine Rate Information: In job description Default Rate Type: Hourly Required Rate Types

• Orientation
• Hourly
• Holiday
  
  

Start Date: 4/8/2025 End Date: N/A # of Providers Needed: 1 Shift Type: Days Est. Shifts: Est. Hours: Shift Description: The APP works three 12-hour shifts per week, rotating weekends/ holidays MANDATED Job Requirements: ALL OF THE FOLLOWING MUST BE NOTED IN ADDITIONAL SUBMISSION DETAILS AT NAME CLEAR TO BE CONSIDERED AND AVOID BEING REDIRECTED!! PLEASE REFER TO THE RULES OF ENGAGEMENT FOR NAME CLEAR AND PRESENTATION REQUIREMENTS!

• PLEASE UPLOAD FULL PRESENTATION WITH RATES AT TIME OF NAME CLEAR.***
• Board Certified - REQUIRED
• ND License - REQUIRED
• ND DEA ONLY - REQUIRED
• ACLS, TNCC, PALS, BLS - REQUIRED
• Clean Malpractice/Background - PREFERRED
• Availability at time of name clear - REQUIRED
  
  

Important Steps for Submitting a Presentation - There are two main areas detailed below.

• Trio Submission requirements covers the information that must be entered into Trio to have the provider presentation presented to the client.
• Presentation submission requirements includes the information that must be sent over in the presentation packet to have your provider presentation reviewed and presented to the client.
  
  

Strict adherence to these guidelines will allow for the fastest path to getting your providers accepted. To process the best presentations, Account Coordinators and Account Managers will kickback presentations that do not include the information below (if it has not been discussed already). If you are unable to include something in the presentation, detail why and the plan to get it sent over. Account Managers and Account Coordinators will take this into account as they review the presentation, though they still reserve the right to redirect it back to the vendor if they deem it necessary.

Trio Submission requirements- the following must be updated in Trio

• Full legal name (first, middle, last)
• Suffix for provider (MD, DO, PA, NP, CRNA)
• NPI number must be entered in Trio
• Provider email and best phone number (this pulls to the cover page for Client)
• Best time to contact (this pulls to the cover page for the Client)
• Years of experience must be updated in Trio
• Years of locums experience is optional
• License - State where job is located... Copy of state license and the status. If provider's license in any other status besides active speak to Account Manager before presenting.
• Other Active State License(s)- only list if not in good standing and provide explanation.
• Certification (select multiple that apply; this pulls to the cover page for the Client)
• Availability Section - what is the providers ongoing availability (this pulls to the cover page for Client)
• Answer the pertinent questions:
• Has the provider's professional license or certification been investigated or suspended? (pulls to the cover page for the Client)
• Has the provider been convicted of, or charged with, a crime other than a minor traffic violation?
• Malpractice History- add details- payouts, pending cases, settled cases and dismissals or list "no malpractice”
• In Additional Details section- (Client can view these details)
• Please state if provider is IMLC
• Please state if DEA will be obtained or transferred
• Highlights about the provider
• List if provider has worked at any other CommonSpirit (CHI or Dignity facilities)
• Bill Rates section
• Make sure all rates match the Master Services Agreement
• Does the provider require - Airfare, Lodging and Rental (must be withing CommonSpirit Travel Guidelines)

Presentation submission requirements

• Include an up-to-date CV, which shall include:
• Scope of practice in CV job history section for each job.
• Explain gaps on CV (30-day or larger gaps)
• Copy of Board Certification(s)- If board eligible (List if Candidate is within 5-years of residency?)
• Submit a copy of clean Sex Offender search- include screen shot - https://www.nsopw.gov/?AspxAutoDetectCookieSupport=1
• Supporting certifications such as DEA, BLS, ACLS, ATLS, NRP, PALS
• Procedures provider is comfortable performing: (For Inpatient Services)
• Copy of state license active status. If provider's license is in any other state besides Active, speak to Account Manager before presenting
• If obtaining a new state license for provider- detail where in the process the provider is currently
• Other Active State License(s)- list the state, license number and status
• Disciplinary Actions: (Must provide detailed explanation with presentation)
• Malpractice History- supporting documentation·
• Two current Vendor references forms filled out (within two years) - supervisor and peer or two peer references (requirements could vary by Facility). Please speak to the RM if Candidate is new to Vendor and references have not been obtained

Certification Requirements:

• ACLS
• ATLS
• BLS
• Board Certified
• DEA
  
  

License Requirements:

• North Dakota
  
  

Facility Description Job Description:

Summary: Williston is in need of an experienced APP for our Emergency Room, beginning as soon as credentialed. The locum will be onsite three days per week, working 12-hour shifts. Looking for a provider from April through June while we hire a permanent provider.

RATE Caps For Submission

Malpractice - Must be included in rates.

Orientation - half the hourly/callback rate, kicks in after 8 hours. "Per hour of orientation or training beyond 8 hours”

Hourly - $175 and below - "Per hour, not OT”

Holiday - Must be 1.5x the regular rate. "Per 24 hours on holiday”

Average worked Callback Hours: [insert # of hours from "Locums Avg Patient Contact Hours" report]

N/A

Schedule/Availability Requirements

April 7, 9, 10

April 17, 18, 19

April 20, 21, 23

April 30 May 2, 3, 4

May 9, 10

May 11, 13, 14

May 20, 21, 22

May 26, 27, 28

Facility Location: CHI St. Alexius Williston

EMR: Meditech

Support Staff: Full coverage of nursing support staff

Reason for Coverage: recruiting for perm

Facility Location: 1301 15th Avenue West Williston, ND 58801

Setting: Emergency Department

Duties: The locum will be onsite to treat patients who present to the Emergency Department. We staff one MD 24/7 in the ER. We also staff one APP daily, working a 12-hour shift from 10 AM to 10 PM

Days per month: The APP works three 12-hour shifts per week, rotating weekends/ holidays

Required Procedures

• Standard emergency care in a Level 4 trauma center ER
  
  

Travel Preferences

Preferred Lodging: Preferred hotels?

Air Travel: Local, no flights?

Preferred Lodging: Preferred hotels

Air Travel: Local, no preferred but not required

Please detail any anticipated travel exceptions, for example a dietary restriction necessitating specific lodging situations. Travel exception requests will be denied if this information is not part of the provider presentation. Please also indicate the city where provider will be traveling from in the travel section of the provider submission.

Credentialing Information

Timeframe:Faster credentialing timeline if candidate has a ND license.

Requirements

Credentialing with other facilities? NO

Billing enrollment - Is this position providing services in lieu of an existing enrolled provider for a period of 60 days or less?

Additional Details / Questions Answered By Facility

Admissions per day, Patients/day, Types of cases, Disclosures that may need to be made, etc.

CHI history?

First day info (include attachment?)

25 bed CAH hospital.

Average daily census 12.7; licensed for 25 inpt beds which includes OB, have an additional 19 observation beds

Average of 45 patients daily in the ER; Level 4 trauma center Presentation Requirements:

• Current Up-to-Date CV (including Locums history)
• Provider's Contact Info
• Availability
• NPI and/or License Number
• Malpractice and/or Background Documentation
• References if Available
• Scope of Services if Applicable