PHYSICIAN (PRIMARY CARE/FAMILY MEDICINE)
SITE OF SERVICE:
National Intrepid Center of Excellence (NICoE) 5662 Screaming Eagle Boulevard, Fort Campbell, KY 42223
HOURS:
Monday through Friday, 8- or 10-hour shifts between 0600-1800 (typical clinical hours 0700-1600). 40 hours per week. No on-call or Federal holidays required.
POSITION OVERVIEW:
The Primary Care/Family Medicine Physician will provide comprehensive primary care services at the National Intrepid Center of Excellence (NICoE) or Intrepid Spirit Center under a Defense Health Agency (DHA) personal services contract. The physician serves on an interdisciplinary evaluation team providing treatment planning for service members and beneficiaries with mild TBI and psychological health issues. This role involves conducting initial medical intake evaluations, providing medical oversight, and coordinating long-term treatment plans with referring providers.
POSITION QUALIFICATION/REQUIREMENTS:
• Education: Doctor of Medicine (M.D.) or Doctor of Osteopathy (D.O.) from an accredited medical school in the United States or Canada, or ECFMG certification for foreign medical graduates.
• Board Certification: Board certification by American Board of Medical Specialties (ABMS) or AOA Bureau of Osteopathic Specialists.
• Licensure: Current, valid, unrestricted medical license from any U.S. State, DC, Puerto Rico, or U.S. Territory.
• Certifications: Basic Life Support (BLS) certification required.
• Internship/Residency: Successful completion of ACGME or AOA-approved internship and residency program in primary care or family medicine.
• Citizenship: U.S. Citizen required.
• Security: Must possess and maintain Tier III security investigation.
• DEA Registration: DEA registration number required if prescribing controlled substances.
DUTIES:
• Perform full range of physician services as a Primary Care/Family Physician on an interdisciplinary evaluation team.
• Provide treatment planning for service members and beneficiaries with mild TBI and psychological health issues.
• Conduct initial medical intake evaluations and provide medical oversight for beneficiaries.
• Work with referring providers at patient's hometown to coordinate long-term and follow-on treatment plans.
• Direct, perform, or assist in instruction of other health care professionals within scope of clinical privileges.
• Coordinate with care team on personnel, prioritization of projects, equipment, clinic policies, and clinical service programs connected to TBI or PH evaluation.
• Examine, diagnose, treat, or prescribe courses of treatment within 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 and request consultation or referral with appropriate physicians, clinics, or other health resources.
• Provide educational lectures and participate in in-service training to clinic staff members.
• Resolve issues not covered by precedents or established policies in concert with government officials.
• Document and close notes in MHS Genesis within three (3) business days of patient encounters.
• Respond to beneficiary messages in MHS Genesis secure portal within one (1) business day.
SPECIAL REQUIREMENTS/SKILLS:
Must be comfortable working with complex TBI and psychological health cases in an interdisciplinary environment. Technically proficient in directing and teaching other medical staff. Must possess knowledge of Dragon dictation software, MHS Genesis, and Microsoft Office programs. Must comply with regulatory, MTF, and Joint Commission quality inspection/peer review/utilization management requirements.
LUKE is an Equal Opportunity employer
Links: To learn more about LUKE please visit our website at: http://www.lukestaffing.com
Read LessREGISTERED NURSE - EMERGENCY
SITE OF SERVICE:
Naval Hospital Guam
POSITION QUALIFICATION/REQUIREMENTS:
· Degree: Bachelors of Science in Nursing.
· Education: Be graduate of a school of nursing by the Accreditation Commission for Education in Nursing (ACEN), formerly known as the National League for Nursing Accrediting Commission (NLNAC), or the Commission on Collegiate Nursing Education (CCNE)
· Cardiac Certification: Must hold current certifications through American Heart or American Red Cross:
o Basic Life Support Certification (BLS)
o Advanced Cardiac Life Support (ACLS)
o Pediatric Advanced Life Support (PALS)
o Neonatal Resuscitation Program (NRP)
· Experience: Possess a minimum of three years of experience within the last five years as a Registered Nurse in an Emergency Room setting.
· Licensure: Current, full, active, and unrestricted license to practice as a Registered Nurse.
· U.S. Citizenship: Worker performing under this contract shall be U.S. citizens.
· English Language: Able to read, write, and speak English well enough to effectively communicate.
· Physical: Shall be physically capable of standing and/or sitting for extended periods of time and physically capable of performing all services required under the contract and TO.
DUTIES:
· Shall provide services within the scope of their competencies and the applicable duties provided in the basic contract as well as the following:
· Ensure patient care is carried out in accordance with the Standards of Nursing Care and the policies and procedures of the Hospital and/or Clinic.
· Check patients into the clinic and triage using clinic guidelines. Inform the nurse, physician extender, or physician of the patient’s condition and potential problems.
· Obtain and document patient and pertinent family history.
· Perform a full range of diagnostic support duties which include taking vital signs, collecting specimens, obtaining, recording, and tracking results of diagnostics tools.
· Assist the physician in a variety of diagnostic examinations such as lumber punctures, colposcopies, and sigmoidoscopies, by preparing, positioning, and monitoring patients, and setting out and handling instruments and equipment.
· Perform, record, and report results for laboratory tests such as checking urine for sugar and stool for blood and record and report results.
· Perform a range of treatment procedures that include sterile dressing changes, applying compresses, monitoring IV fluids, inserting catheters and suctions, inserting nasogastric tubes, administering medications, giving enemas, setting up and giving treatment that requires auxiliary equipment such as oxygen and suction. Ambulate patients to other areas to include Radiology, various clinics, and physical therapy.
· Prepare patients to test, examinations, treatments, and/or surgery. Collect specimens such as urine sputum, and stool. Label specimens for laboratory examination and follow up by using MHS Genesis or by calling the laboratory for reports. Alert provider to conditions which deviate from expected findings.
· Prepare, start, monitor, and discontinue intravenous fluids with accuracy and in accordance with established procedures.
· Observe, report, and document all observed symptoms, reactions, treatments, and changes in the patient condition to the registered nurse, physician extender or physician. Make careful observations to assess that nursing procedures and treatment do not cause additional distress.
· Perform routine nursing care activities such as taking blood pressures, temperatures, baths, and hygiene care, passing and removal of trays, changing linen, and otherwise assist in the care of the physical need of the patient.
· Operate basic equipment required in delivery of patient care such as pumps, IV pumps, oxygen administration apparatus, and incentive spirometers.
· Execute physician’s orders within the guidelines of standard nursing practice. Ensure accurate medication is administered in correct form and dosage to the proper patient as directed by the physician.
· Maintain records of nursing care, dose, and time of medication administered, and indicate if the medication was not administered and the reason.
· Recognize conditions which require isolation. Ensure universal precautions are used in all patients encounters.
· Recognize emergency situations and assist with, or institute emergency measures for sudden adverse developments in patients such as cardiac arrest.
· Perform preoperative procedures for minor surgery and fill out pre-op checklist.
· Assist patients in admission, transfer, and perform discharge planning follows up and documentation.
· Support the patient and/or family members toward the achievement of treatment plan goals. Provide instructions to the patient on invasive procedures, surgical procedures, and post-surgical conditions which were previously provided to the patient by a nurse, physician extender, or physician.
HOURS:
Services shall be provided Sunday through Saturday between 0630 -1900 hours and/or 1830-0700 hours for three 12.5 hour shifts each week and one 8.5-hour shift within the two-week work period. Each shift includes a 30-minute meal break
SPECIAL REQUIREMENTS/SKILLS
Must be comfortable in a fast-paced, dynamic environment. Must be able and willing to reprioritize on short notice and work on multiple simultaneous projects. Flexible and able to work with various personalities. Team work skills required. Time management skills required. The ability to meet deadlines in a deadline intensive environment is essential. High level of adaptability and willingness to embrace change in a fast-paced, demanding environment.
LUKE is an Equal Opportunity Employer.
Links:
To learn more about Luke, please visit our website at: http://www.lukestaffing.com
Read LessREGISTERED NURSE – NEONATAL INTENSIVE CARE UNIT
SITE OF SERVICE:
· The work to be performed under this contract will be at the United States Naval Hospital Guam and associated branch medical clinics within a 40-mile radius of their assigned MTF.
· HCWs shall receive notification 48 hours prior to reassignment.
· Start Date: Targeted for 11/01/2025. Please be advised that onboarding and security clearance processing may take 1–4+ months.
· Please Note: This is not a travel assignment. However, we welcome all qualified candidates, including those willing to relocate or commute, to apply.
POSITION QUALIFICATION/REQUIREMENTS:
· Degree: Associates Degree of Nursing.
· Education: Graduate from a college or university accredited by Accreditation Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing Education (CCNE)
· Experience: Possess a minimum of two years’ experience within the last five years as a Registered Nurse in NICU setting.
· Licensure: Current, full, active, and unrestricted license to practice as a Registered Nurse.
· Certificate: MUST HAVE ALL:
o Possess and maintain certification in Basic Life Support (BLS).
o Possess and maintain certification in Neonatal Resuscitation Program (NRP).
o Possess and maintain a S.T.A.B.L.E Program Certification.
· U.S. Citizenship: HCWs performing under this contract shall be U.S. citizens.
· English Language Requirement: Able to read, write, and speak English well enough to effectively communicate.
· Physical Capability: Shall be physically capable of standing and/or sitting for extended periods of time and physically capable of performing all services required under the contract.
Core Duties:
· Shall provide services within the scope of their competencies and the applicable duties provided in the basic contract as well as the following:
· Assess each patient and perform triage duties as assigned.
· Formulate and carry out a goal directed plan of care which based on determined nursing diagnosis and patient outcomes and which is prioritized according to patient needs and available resources including time, personnel, equipment, and supplies.
· Evaluate effectiveness of patient self-care and ensure all aspects of clinical care support the progression of patient toward set outcomes.
· Provide treatment and discharge instructions upon patient release.
· Perform assessment/data collection in an ongoing and systematic manner, focusing on physiological, and cognitive status.
· Provide a safe and clean environment for each patient.
· Identify patient/significant other learning needs and implement appropriate measures to meet identified needs.
· Assist in planning, provide clinical direction, and provide instruction to LPNs/LVNs, nursing assistants and ancillary personnel.
· Demonstrate sound knowledge base and action in the care and decision making for designated patient situations. If weaknesses or deficiencies are identified either by peer reviews, quality control retorts (QCRs), or evaluations the HCW will be required to complete refresher training (in-services, competency reviews, continuing education, etc.) at Contractor expense.
· Perform documentation (manually and/or by use of computer) duties on unit and inpatient record that are timely, accurate, and concise.
· Participate actively in staff development for unit and Directorate personnel.
· Seek validation of knowledge base, skill level, and decision making as necessary and assertively seek guidance in areas of question.
· Implement care in a knowledgeable, skillful, consistent, and continuous manner.
· Establish priorities of patient care based on essential patient needs and available unit, command, and community resources including time, personnel, equipment, and supplies.
· Demonstrate competency in medication and intravenous (IV) administration to include blood products and Total Parental Nutrition (TPN) intramuscular (IM) and subcutaneous (SQ) administration and demonstrate competency in phlebotomy as specific to the position.
· Safely administers prescribed medications to include intravenous drugs.
· Identify patient/significant other learning needs and implement appropriate measures to meet identified needs.
· Perform documentation (manually and/or by use of computer) duties on unit and inpatient record which are timely, accurate, and concise.
· Participate actively in multifaceted staff development activities at the unit, Director, and command level such as clinically mentoring to paraprofessional personnel. Assist the facilitator of training sessions such as Command’s Basic Cardiac Life Support classes and other training that promotes staff competency and efficiency in emergent situations, and by participating in cross-training initiatives.
· Demonstrate self-directed learning.
· Demonstrate effective and professional communication methods, and skills, using lines of authority appropriately.
· Formulate and use effective working relationships with all health care team members, patients, and significant others. Refer unsolved complaints or infractions to the Division Head with recommendations for appropriate action.
· Practice effective problem identification and resolution skills as a method of sound decision making.
· Remain flexible in staffing patterns and resolution of staffing conflicts; participate in temporary assignment measures.
· Provide individual, group, and family/significant other counseling and health teaching in relation to the patient’s condition and his/her ability for self-care. Provide accessibility to various literature resources dealing with subjects related to specific patient health problems. Provide physical and psychological support to patients and significant others, explain procedures and treatments, and promote cooperation among staff, patients, and significant others.
· Participate in the orientation and training of newly assigned unit personnel. Participate in cross-training initiatives.
· Provide input into competency assessments of newly assigned unit personnel. 5.1.19.1.28 Collaborate in the review of unit standing operating procedures.
· If directed, perform triage based on protocols and assist as needed in accessing appropriate ambulatory/emergency care for beneficiaries.
· Provide training and/or technical direction as applicable to supporting government employees (i.e. hospital corpsmen, technicians, students) assigned to the HCW during the performance of clinical procedures. Such direction and interaction will adhere to Government and professional clinical standards and clinical protocols.
HOURS:
Services shall be provided Sunday through Saturday between 0630-1900 hours or 1830-0700 hours. Each two-week period will consist of 12.5-hour and/or 8.5-hour shifts to includes an uncompensated 30-minute meal break
SPECIAL REQUIREMENTS/SKILLS
Must be comfortable in a fast-paced, dynamic environment. Must be able and willing to reprioritize on short notice and work on multiple simultaneous projects. Flexible and able to work with various personalities. Teamwork skills required. Time management skills required. The ability to meet deadlines in a deadline intensive environment is essential. High level of adaptability and willingness to embrace change in a fast-paced, demanding environment.
LUKE is an Equal Opportunity employer
Links:
To learn more about LUKE please visit our website at:
https://lukestaffing.com/
Read Less