Nurse Practitioner/Physician Assistant

Nurse Practitioner/PA - Physician Extender at China Lake - Branch Health Clinic, CA

General Description:
• Perform a full range of physician services in accordance with privileges granted by the MTF.
• Direct, perform, or assist in the instruction of other health care professionals within the scope of the
clinical privileges or responsibilities.
• Examine, diagnose, treat or prescribe courses of treatment within the scope of training, experience
and privileges.
• Provide preventive and health maintenance care, including annual physicals, positive health
behaviors, and self-care skills through education and counseling.
• Order diagnostic tests as applicable as well as request consultation or referral with appropriate
physicians, clinics, or other health resources as indicated.
• Technically proficient in directing and teaching other medical staff, providing educational lectures and participating in the provision of in-service training to clinic staff members. Such direction and interaction will adhere to Government and professional clinical standards and accepted clinical protocols.

1.3. Background:

1.3.1. Naval Hospital Twentynine Palms and BHC China Lake require ancillary and physician services to support the local mission through the utilization of the Defense Health Agency (DHA) strategic sourcing program. The health clinic is a TRICARE Prime facility that serves active duty, their family members, eligible retired military personnel, and their families. NHTP and its outlying clinics are in the state of California.

NOTE: In general, Federal holidays falling on a Saturday are observed on the preceding Friday whereas holidays falling on a Sunday are observed on the following Monday. At time of award, it is anticipated the Medical Treatment Facility (MTF) will be closed for the following Federal Holidays: New Year's Day, Martin Luther King Day, President's Day, Memorial Day, Juneteenth National Independence Day, Independence Day, Labor Day, Columbus Day, Veteran's Day, Thanksgiving Day, and Christmas Day. However, there may be other Federally Recognized Holidays during the Period of Performance, if so, those holidays will apply to this PWS Para.

1.5.7. Hours of Operation: The Naval Hospital Twentynine Palms MTF operates 365 days a year, 7 days a week, 24 hours per day. Branch Health Clinic China Lake, CA, operates Monday through Friday 0700 to 1800 hours. The Contractor is responsible for conducting business on the days and hours specified.

1.5.7.2. Scheduling: Specific days, hours, and shift length will be scheduled by the designated Government representative. MTF Leadership may change work schedules to include Saturdays and Sundays to support the mission of the department and medical center. The specific schedule for each two-week period will be provided 1 month in advance by the Government supervisor or designee. At the mutual agreement of the contractor and the Government, alternative work schedules may be implemented such as a compressed work schedule. Any changes in the schedule shall be coordinated between the HCW and the Government. Any planned absences of the HCW shall be communicated to the Government supervisor in advance of the absence in order to ensure that clinical operations are not adversely affected. The Government reserves the right to change shift hours with 72 hours' notice to accommodate patient care needs and mission requirements.

1.5.7.3. Recording HCW Time: Changes to the recording of HCW time identified in the contract PWS are as follows: The Government will provide physical paper sign-in sheets at the ward/unit/clinic/department where HCWs will record their arrival and departure time. The HCW(s) are required each day that services are performed to sign in upon arrival and sign out at the end of their shift on a daily log sheet to be maintained within the department and submitted to the COR for validation. The Government reserves the right to verify hours worked by the
contract employee.

1.5.7.3.1. If a HCW is absent for three (3) or more consecutive unplanned days, the designated Government representative may require written documentation from a qualified health care provider that the HCW is free from communicable disease. The Government reserves the right to examine and/or re-examine any HCW who meets this criterion.

1.5.8. Place of Performance: The work to be performed under this TO will be at Naval Hospital Twentynine Palms, CA, and BHC China Lake, CA, as specified in the TO. While each HCW will be assigned to a primary location, the Government retains the right to assign an HCW, permanently or temporarily, to another location within a 40-mile commuting radius of their assigned MTF. The reassignment will be to a department or clinic comparable to that of their primary location and within the scope of the HCW's duties, expertise and qualifications. Contractors and incumbent HCWs shall receive notification two weeks prior to the reassignment, unless otherwise specified in the TO. Under a mutual agreement between the Contractor and the Government, this two (2) week notice may be waived.

1.5.9. Mission Essential: The Government has designated ALL HCWs in this TO as mission essential. Mission essential personnel are those personnel who must be present for duty to continue and sustain essential clinical operations during base and facility unplanned closures. Mission Essential applies to PWS paragraphs: Part 5.

1.6.20.3.1. Tuberculosis and Hepatitis Screening: The additional immunization/screening requirements for the risk of exposure to tuberculosis (TB) are as follows:

1.6.20.3.1.1. Health examination, tuberculosis, and immunization screening. After task order award, but prior to performing services, each HCW shall have the "Contracted Health Care Worker Examination and Immunization Verification Form" completed by a licensed medical practitioner. All HCWs providing services under this contract must meet all the requirements specified for their labor category and duties in accordance with the MTF instructions and procedures.

The Contractor shall obtain the current version from the COR and have the form completed in its entirety in accordance with its instructions. The facility shall identify incumbent HCWs who are not required to complete this documentation after task order award.

1.6.20.3.1.2. The Hepatitis B requirements given in the "Contract Health Care Worker Examination and Immunization/Screening Requirement Form" provide that a HCW must either show a positive titer or demonstrate persistent non-response to the vaccine. A HCW may be approved for service at the MTF prior to achieving a Hepatitis B positive titer or demonstrating a persistent non-response according to the following provisions:

1.6.20.3.1.3. A HCW must receive the first vaccination of his/her initial vaccination series prior to commencing service under the contract and must complete the series not later than 6 months after commencing service and, if a negative titer is obtained, must complete the second series within another 6 months; or

1.6.20.3.1.4. A HCW who has completed his/her initial series and obtained a negative titer must begin his/her second vaccine series prior to commencing service and must complete the second series not later than 6 months after commencing service.

5.2.9. Security Investigative Requirements: The Contractor shall ensure HCWs comply with the following security requirements not already identified in the contract PWS: All requirements as directed by the MTF Director and DHA security for background clearances for Tier 3 investigation: The following are required for a Tier 3 investigation.

? OF 306 Declaration for Federal Employment-typed
? DHA Notification of Incoming Personnel Memorandum (COR Provides)
? Resume
? Proof of US Citizenship and Proof of ability to work in US

? Performance Work Statement (COR Provides)
5.2.9.1. ? HCWs shall be subject to the following additional security investigative processes, to include appointments with Security Managers: The Contractor/HCW shall work with the COR in order to set-up appointment with the Security Manager at the MTF.

5.2.9.4. ? HCWs shall be subject to the following security processes for fingerprints: Electronically and hard copy. Original hardcopy Fingerprint Cards taken for those requiring a Childcare Background Check (CBC). One original Fingerprint Card is required for each state the contractor lived in. Bring two (2) forms of Government-issued identification (one must be picture ID).

5.2.9.5. ?The HCW shall complete either a SF-85 ? or a SF-86 ? Questionnaire for National Security Positions (or equivalent OPM investigative product).

5.2.9.5.1. ?The HCW ? shall provide documents that establish both identity and authorization to work in US, from the authorized List of Acceptable documents provided by the COR.

5.2.9.6. ?All HCWs shall be required to undergo a Childcare Background Check (CBC), to include Installation Records Checks (IRCs) for individuals who will have regular contact with children under the age of 18 in the course of their work-related duties.

? DD 2981 - Basic Criminal History Statement of Admission (If applicable, Childcare only) (COR Provides)
? DD 3058 DOD Consent to Conduct Installation Records Check- Current or prior DOD Affiliation only (COR Provides)
? DA 5018-R ADAPCP Clients Consent Statement for Release of Treatment Information Current or prior DOD Affiliation only (must have witness sign)
? Substance Abuse SUD RELEASE FORM - current or prior DoD affiliation only (COR Provides)
? DHA Childcare Residency Worksheet (COR Provides)

5.2.9.7. Once an individual's Childcare Background Check is scheduled with the investigation service provider (ISP), they may be issued a Line-of-Sight Supervision (LOSS) Authorization/Denial Memorandum based upon preliminary investigative findings. When the individual no longer requires a LOSS, then a LOSS Removal Memorandum will be issued, allowing the individual to perform their job duties without supervision or restriction.

5.2.9.8. Access to Navy & Defense Health Agency (DHA) Facilities.

5.2.9.8.1. Legal Authorization to Work in the United States: HCWs performing under this contract must be a U.S. Citizen. U.S. citizens who are also dual citizens are not specifically excluded from occupying either sensitive or designated IT positions, however, a dual citizenship status raises foreign influence and foreign preference concerns that will most likely prohibit interim assignment pending favorable investigation and adjudication of these issues. Eligibility will not be established for persons who hold a foreign passport.

5.4.3.1. Malpractice Insurance for Personal Services: Performance under this TO will constitute a personal services contract. The Contractor is not required to obtain medical malpractice
insurance for its employees performing under a personal services arrangement.

5.4.4. Schedule Management for Personal Services: The contractor need not provide back-up coverage for the HCWs during periods of approved absences of 7 days or less or absences that have been coordinated with the Government supervisor beyond 7 days. In no instance will the HCW be required to provide services in excess of 80 hours per two-week period.

5.4.4.1. Physician Extender (PA/NP) Services shall be provided Monday through Friday for an 8.5-hour shift (which includes an uncompensated 30-minute meal break) between the hours of 0700 to 1830.

5.4.4.2. Physician - Pediatric Services shall be provided Monday through Friday for an 8.5-hour shift (which includes an uncompensated 30-minute meal break) between the hours of 0600 to 2000.

5.5.3. Scope of Work: HCWs may bill the Government for participation in administrative functions (i.e., orientation, quality improvement programs, clinical/administrative data collection, meetings, and training). Specific tasks associated with administrative duties beyond the tasks outlined in the contract PWS include: NA

SALARY INFORMATION:

• Range $100 to $130 per hour 1099 Tax Form
• Range $90 to $110 per hour W-2 Tax Form

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