St. Alexius Health Bismarck in need of urology coverage for clinic and call coverage. Prefers providers who are able to perform prostate biopsy with an RN and no ultrasound tech at the site. Please disclose at time of name clear.
BID DUE DATE: 7/3/24 3pm EST
Schedule/Availability Requirements:
11/2312/112/2112/31
Details:
Avg callback: 24hOngoing coverage needed Setting: Clinic and CallDuties: Clinic and Call dutiesFTE:1.0Required Procedures: TRUS Biopsies of prostate cystoscopy cystoscopy and dilationEMR: EPICSupport Staff: 2 RNs 1 LPNReason for Coverage: No permanent provider on staffDealbreakers: Unable to perform TRUS biopsies without an US tech present. Only nursing staff and provider with patient during prostate biopsy.
Additional Details/ Questions Answered by Facility:
13 patients dailyNumber of surgeries Just emergent surgeries. May get 13 stone cases while working.Proceduresmay need to do cystoscopyProviders will do rounding during the week on their post op patients but no other rounding required.The clinic is located in the hospital30 patients scheduled per day in the clinic with 5 in clinic procedures per day.On surgery days there will typically be 4 surgeries scheduled.
Credentialing Information:
Timeframe: 90 daysRequirements: completed credentialing application ND license DEA license supplemental documentation case logsCredentialing with other facilities Not sure what you are asking for this question. They will only need to be credentialed in our facility
Travel Preferences (see attachment for specific travel guidelines):
Preferred Lodging: Preferred hotels. In the event that the CommonSpirit Health preferred hotel is not available hotel/lodging rates will be reimbursed based on actual expense up to 1.5 times the current GSA rate for the market. Air Travel: Local preferred but not required. xx750/round trip capRental Cars: xx65/day all in cap (including taxes and fees) regardless of car class.Mileage: IRS Standard RatePlease 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.
Rates to Submit (see attachment for specific rate structure guidelines):
Malpractice Must be included in rate.Orientation half the Call Back rate kicks in after 8 hours. Per hour of orientation or training beyond 8 hoursHoliday rates 1.5x the regular rate per CS guidelines for all corresponding rates.Hourly per hour no OT (xx361 xx395)Night Call (to include 2.5 hours gratis) ($596 xx845)24 hour call (to include 4 hours gratis) Per 24 hours to include 4 hours gratis (to include 4 hours gratis) ($3496$3795)Callback Per hour of patient contact hours after gratis hours are completed gratis prorate to MSA terms. ($361 xx395)
PLEASE REFER TO THE RULES OF ENGAGEMENT FOR NAME CLEAR AND PRESENTATION REQUIREMENTS!
Requirement description : ALL OF THE FOLLOWING MUST BE NOTED IN ADDITIONAL SUBMISSION DETAILS AT NAME CLEAR TO BE CONSIDERED AND AVOID BEING REDIRECTED!!
***PLEASE UPLOAD FULL PRESENTATION WITH RATES AT TIME OF NAME CLEAR.***
Board Certified Urology PREFERRED. (Will accept Board Eligible providers if they are within 5 years from residency)North Dakota License HIGHLY PREFERREDCase logs will be requested for reviewal at presentation and offer.
PLEASE REFER TO THE RULES OF ENGAGEMENT FOR NAME CLEAR AND PRESENTATION REQUIREMENTS!
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 TrioProvider 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 IMLCPlease state if DEA will be obtained or transferredHighlights about the providerList if provider has worked at any other CommonSpirit (CHI or Dignity facilities)Bill Rates sectionMake sure all rates match the Master Services AgreementDoes the provider require Airfare Lodging and Rental (must be withing CommonSpirit Travel Guidelines) Presentation submission requirements
Include an uptodate CV which shall include:- Scope of practice in CV job history section for each job.
- Explain gaps on CV (30day or larger gaps)
Copy of Board Certification(s) If board eligible (List if Candidate is within 5years of residency)Submit a copy of clean Sex Offender search include screen shot Supporting certifications such as DEA BLS ACLS ATLS NRP PALSProcedures 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 presentingIf obtaining a new state license for provider detail where in the process the provider is currentlyOther Active State License(s) list the state license number and statusDisciplinary 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 : - Board Certified
- Board Eligible
STATE LICENSE REQUIREMENTS :
Weekend Requirements : N/A
On Call Requirements : N/A
