Physician - Nephrology Bismarck

Summary: Faith based organization in central and western North Dakota. Provider will round on patients in the hospital and see patients in clinic. The clinic and dialysis unit are conveniently located by being attached to the hospital. They are also 2 dialysis units in western North Dakota that the provider would be on call for questions. BID DUE DATE: 11/18/2024 5p est Rate Caps for Submission: Malpractice - Must be included in rates. Orientation - half the hourly/callback ratekicks in after 8 hours. "Per hour of orientation or training beyond 8 hours" Hourly --- "Per hour, not OT" Holiday - Must be 1.5x the regular rate"Per holiday hour, no OT" Nightly Call --- "Per night call to hold the pager, to include 2.5 hours gratis" Holiday Nightly Call --- "Per night call to hold the pager, to include 2.5 hours gratis" On Call (Daily) --- "Per 24 hours to include 4 hours gratis" 24 Hour Holiday Call Rate --- "Per 24 hours to include 4 hours gratis" Call Back --- "Per hour of patient contact hours, after gratis hours are completed, gratis prorate to MSA terms." Holiday Call Back --- "Per holiday hour of patient contact hours, after gratis hours are completed, gratis prorate to MSA terms." Average Call Back: 2- 6 hours Schedule/Availability Requirements: 01/03/2025 01/03/2025 08:00 AM - 05:00 PM Inpatient rounding, clinic in PM, on call 01/03/2025 01/04/2025 05:00 PM - 08:00 AM - (On Call) Overnight call 01/04/2025 01/05/2025 08:00 AM - 08:00 AM - (On Call) 24 hour call 01/05/2025 01/06/2025 08:00 AM - 08:00 AM - (On Call) 24 hour call 01/31/2025 01/31/2025 08:00 AM - 05:00 PM Inpatient rounding, clinic in PM, on call 01/31/2025 02/01/2025 05:00 PM - 08:00 AM - (On Call) Overnight call 02/01/2025 02/02/2025 08:00 AM - 08:00 AM - (On Call) 24 hour call 02/02/2025 02/03/2025 08:00 AM - 08:00 AM - (On Call) 24 hour call 03/07/2025 03/07/2025 08:00 AM - 05:00 PM Inpatient rounding, clinic in PM, on call 03/07/2025 03/08/2025 05:00 PM - 08:00 AM - (On Call) Overnight call 03/08/2025 03/09/2025 08:00 AM - 08:00 AM - (On Call) 24 hour call 03/09/2025 03/10/2025 08:00 AM - 08:00 AM - (On Call) 24 hour call Facility Location: CHI St. Alexius Health Bismarck, ND Setting: Clinic and Hospital Duties: call, rounding on inpatients, and ½ day clinic FTE: PRN Required Procedures: plasmapheresis EMR: Epic Support Staff: 2 RNs Reason for Coverage: Shortage of hired staff Travel Preferences (see attachment for specific travel guidelines): • Preferred Lodging: none. 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. • ir Travel:/round trip cap • Rental Cars:/day all in cap (including taxes and fees) regardless of car class. • Mileage: IRS Standard Rate • Please 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. Credentialing Information: Timeframe: Requirements: plasmapheresis Credentialing with other facilities? No Emergency credentialing? Possibly Additional Details / Questions Answered by Facility: Admissions per day, Patients/day, Types of cases, Disclosures that may need to be made, etc. CHI history? As the largest health care delivery system in central and western North Dakota, CHI St. Alexius Health covers more square miles and sees more patients than anyone else in the region. Our faith-based heritage inspires our healing ministry of care. And our commitment to quality calls us to deliver better patient outcomes for you and your family. 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 or Board Eligible - REQUIRED ND License - PREFERRED - (Will consider non-license candidates) BLS - REQUIRED Clean Malpractice / Background - PREFERRED Case logs will be requested for reviewal at presentation and offer. 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 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) Bill Rates 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 CERTIFICATION REQUIREMENTS BLS Board Certified Board Eligible STATE LICENSE REQUIREMENTS North Dakota

Created: 2026-03-04