Description
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”
Schedule/Availability Requirements:
Preferred schedule for locum:
Friday: OR: 07:00- 15:00 1st Call: 15:00 - 07:00
Saturday: OR: 07:00 - 11:00 (OR may be extended depending on volumes) 1st Call: 11:00 - 07:00
Sunday: OR: 07:00 - 11:00 (OR may be extended depending on volumes) 1st Call: 11:00 - 07:00
In addition to weekend coverage, the following dates are also needed:
- October 30 – Nov 3; 7a – 7a
- Nov 25 – Dec 1; 7a – 7a
- Dec 16 – Jan 5; 7a – 7a
Setting: Hospital
Duties: General anesthesia
FTE: n/a
Required Procedures: n/a
EMR: Epic
Support Staff: n/a
Reason for Coverage: MDA leaving group
Credentialing Information:
Requirements:
Credentialing with other facilities?
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?)
Submission Requirements
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 - REQUIREDNE license or IMLC - REQUIRED
Fellowship Trained - REQUIRED
ACLS, BLS, PALS, DEA, NRP - REQUIRED
List availability at the time of name clear - REQUIRED
Clean malpractice/background - HIGHLY PREFERRED