Job Details

Summary:Yavapai Regional Medical Center is looking for geriatric locum coverage. They will consider a Primary Care physician with geriatric experience. This is home based primary care. • Very high population of geriatric patients in this area, with limited access to Geriatric specific care.Retirement Community.

BID DUE DATE: 04/11 3pm EST

####s (if you are submitting rates different from the request below, please clear with AM)
• hourly
• 24 hour call (to include 4 hours gratis)
• night call (to include 2.5 hours gratis)
• callback

Schedule/Availability Requirements:

As soon as credentialed
• Clinic work M-F typically
• Rotating call with all providers listed above - 3 provider

Facility Location: Prescott, AZ

Setting: Clinic and home visit setting.

FTE: 1.0

Duties: TBD

Required Procedures: TBD

EMR: CERNER

Support Staff: Standard clinic

Reason for Coverage: Provider is out on LOA

Deal breakers (do not present this): do not present if locum does not feel comfortable caring for geriatric patient

Travel Preferences:

Preferred Lodging: Preferred hotels

Air Travel: Local, preferred but not required

Credentialing Information:

Timeframe: 60 days after receiving completed application (Completed Application needs to be turned around in 5 days or less)

Requirements: CV must be in chronological order beginning at Med School, no gaps over 60 days without written explanation, 3 references

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?: No

Additional Details / Questions Answered by Facility:

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

CSH history?

First day info (include attachment?)

Questions answered by client:

• Admissions per day: Varies based on location. In office 7-10, out of office 5-7 on average.
• Patients/day: Same as above
• Types of patient cases seen in the clinic and homes: Palliative Medicine patients with life limiting illness, endstage liver disease, cancers, etc.
• Is the call only for clinic patients? the call is only for our patients
• Are there any visits to a care facility to see patients? We go to most local care homes and facilities in the tri city area
• Any Required procedures? The only procedures would be occasional joint injections, and ear lavages
• What are the duties of any interim provider (ex., locums)? See patients, refill prescriptions, manage messages for whichever provider is being covered and patients that they are seeing.
• Call hours vary; some are split into shifts on days, weekends are typically one provider for the whole day, and these are outpatient calls only

All presentations must be submitted completely with rates prior bid due date listed on job description. If presentation or rate have not arrived, then candidate will not be submitted and THE TRIO TEAM will redirect.

Please note, vendor is responsible for provider background screening and 12-panel drug screening after offer acceptance.

In Additional Submission Details: Disclose if provider has worked at any other CHI/Dignity Facility

PLEASE REFER TO THE RULES OF ENGAGEMENT FOR NAME CLEAR AND PRESENTATION REQUIREMENTS!

Requirement description :

• Board Certification - Board Certified
• State License - Required or IMLC
• Malpractice - Clean Preferred
• Availability at time of name clear - Required

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.

1. Trio Submission requirements covers the information that must be entered into Trio to have the provider presentation presented to the client.
2. 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)
• ####s 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 -
• 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