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/ASchedule/Availability Requirements:4/8/25 – 6/30/25Facility Location: CHI St. Alexius WillistonSetting:Duties:Days per month:Required Procedures:EMR:MeditechSupport Staff:Full coverage of nursing support staffReason for Coverage:recruiting for permFacility Location: 1301 15th Avenue West Williston, ND 58801Setting:Emergency DepartmentDuties: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 PMDays per month:The APP works three 12-hour shifts per week,rotating weekends/ holidaysRequired Procedures:Standard emergency care in a Level 4 trauma center ERTravel Preferences:Preferred Lodging:Preferred hotels?Air Travel:Local, no flights?Preferred Lodging:Preferred hotelsAir Travel:Local, no preferred but not requiredPlease detail any anticipated travel exceptions, for example adietary 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?NOBilling enrollment-Is this position providing servicesin lieu of an existing enrolled providerfor a period of60 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; licensedfor 25 inpt beds which includes OB, have an additional 19 observation bedsAverage of 45 patients daily in the ER; Level 4 trauma center
Submission requirements: ALL OF THE FOLLOWING MUST BE NOTED INADDITIONAL SUBMISSION DETAILSAT NAME CLEAR TO BE CONSIDERED AND AVOID BEING REDIRECTED!!***PLEASE UPLOAD FULL PRESENTATION WITH RATES AT TIME OF NAME CLEAR.***Board Certified REQUIREDND License REQUIREDND DEA ONLY REQUIREDACLS, TNCC, PALS, BLS REQUIREDClean Malpractice/Background – PREFERREDAvailability at time of name clear – REQUIREDPLEASE 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 requirementscovers the information that must be entered into Trio to have the provider presentation presented to the client.Presentation submission requirementsincludes 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 TrioFull 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 TrioYears of locums experience is optionalLicense State where job is located…Copy of state licenseand 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 InAdditional Detailssection- (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 RatessectionMake sure all rates match the Master Services AgreementDoes the provider require – Airfare, Lodging and Rental (must be withing CommonSpirit Travel Guidelines)Presentation submission requirementsInclude 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 cleanSex Offendersearch- include screen shot -https://www.nsopw.gov/?AspxAutoDetectCookieSupport=1Supporting 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
Rate:In job description
Certifications:ACLS,BLS,ATLS,Board Certified,DEA
StateLicenses:North Dakota