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Pivot Path Solutions
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  • Job DescriptionJob DescriptionBased in the Washington, D.C. Metro area... Read More
    Job DescriptionJob DescriptionBased in the Washington, D.C. Metro area, Pivot Path Solutions, LLC, is a government contracting and business solutions firm that offers enterprise IT solutions, strategic and acquisition planning, organizational development, and medical research and analytics services to help customers adapt and thrive in changing market conditions. Pivot Path Solutions is seeking a highly qualified and compassionate Internal Medicine Physician to deliver exceptional patient care services at Mike O’Callahan Military Medical Center in Nellis Air Force Base. This role is essential to supporting the military healthcare mission by providing timely, high-quality, and patient-focused radiological care in a dynamic clinical environment.

    The ideal candidate will possess strong clinical expertise, sound medical judgment, and the ability to effectively manage emergent and complex cases. Excellent communication, collaboration, and leadership skills are also critical to success in this position.

    PRIMARY RESPONSIBILITIESThe professional in this position shallProvide a full spectrum Internal Medicine care encompassing outpatient clinical and procedural services. This will be provided in a cost-effective manner that focuses on patient-centered evidence-based outcomes.  Collaborate with staff and other clinical departments within and outside the MTF to facilitate excellent patient care and will be expected to participate fully as a member of the 99 MDG medical staff. Possess sufficient experience to be able to adequately diagnose and treat diseases/injuries to include but not limited to; Cardiovascular diseases (congestive heart failure, hypertension, arrhythmias, acute myocardial infarction), respiratory diseases (asthma, bronchitis, pulmonary thromboembolism, pulmonary insufficiency & adult respiratory distress syndrome), gastrointestinal diseases (peptic ulcer, gastritis, pancreatitis, cirrhosis & alcoholic liver), endocrinology (disease of the thyroid & diabetes mellitus), rheumatology (sarcoidosis, degenerative joint disease), renal disease (acute renal failure, urinary tract infection), neurology (epilepsy & cerebrovascular disease) and infectious diseases (infectious diarrheas, bacterial infections, hospital-acquired infections, tuberculosis, infections of the compromised host & other microbacterial infections). Care shall include but not be limited to routine general internal medicine care to include care for acute and chronic patient conditions. See new patient consults and established follow-up clinic visits and is expected to participate in telehealth and virtual encounters as well as respond to telephone consults and secure messages IAW pertinent to MTF and local policies. The contract personnel will also consult with other specialty practitioners for consultative opinions and continuation of care. Provide routine general internal medicine care which includes care for acute and chronic patient conditions. Adhere to the policies of Defense Health Agency and the MTF in meeting or exceeding established standards for access, Preventive Health Assessment Individual Medical Record (PIMR) and HEDIS measures. Coordinate patient care with community health agencies and social programs. Will facilitate continuity of care for patients. Has knowledge of a wide variety of resource agencies available in the military treatment system to ensure proper and expedient referral of the patient and/or family member. Possess sufficient knowledge of current TRICARE standards, population-based health care, disease management, medically oriented computer systems, and trends in prevention. Be familiar with Department of Defense (DoD), Federal, State, non-profit healthcare systems and organizations, to include DoD Tri-Service Military Healthcare Systems, TRICARE purchased care system, Medicare, Medicaid and the Veterans Administration (VA) is highly desired. Ensure implementation of policies, standards, and programs that support the clinical practice within ethical and legal boundaries. Possess knowledge and experience in Patient Advocacy, Patient Privacy, and Customer Relations. Function as a child advocate and mandatory reporter in the medical center. Possess basic knowledge of emergency procedures in order to react promptly and appropriately to provide effective care during emergency situations, respiratory or cardiac arrest. Consult with medical personnel, legal authorities, and military commanders as required. Be guided by the MTF formulary for prescriptions. Drugs not appearing on the formulary must be pre- approved by the Pharmacy and Therapeutics Committee. Possess basic knowledge of established clinic standards of care and Joint Commission requirements for clinical and documentation protocols, safety, infection control, performance improvement, etc., to ensure compliance with policies and provide consistent training and guidance for clinic staff. Ensure patient and staff safety through safety awareness, proper infection control and promotion of clean, orderly clinic environment. Recognizes, reports, and corrects potential safety hazards. Prepare all documentation to meet or exceed established MTF standards, to include, but not limited to: timeliness, accuracy, content, and signature. Use MTF approved abbreviations ONLY for documentation in the patient health records and follow the MTF’s Do Not Use Abbreviation List. Complete medical records documentation within 72 business hours of the encounter with the patient. Use the proper coding of procedures and treatment and shall maintain coding accuracy (CPT/ E&M/procedure) at the same standard, 90% or higher, as military and civil service health care providers engaged in comparable work. Be responsible for creating, maintaining and disposing of only those Government records which are specified by the 99 MDG. Release medical information obtained during the course of this contract to other MTF staff involved in the care and treatment of that individual patient only. Possess basic knowledge of and ability to demonstrate leadership skills in order to provide guidance, counseling, training and professional evaluation. Develop and clinically guide long-term management strategies.  Provide clinical and administrative leadership and expertise, managing patient care and coordinating additional subspecialty referrals, answering patient telephone consults (with the assistance of clinic staff), and refilling prescriptions. May be asked to participate in committees, programs or clinical services directly related to area of clinical responsibility or privileges.  Provide for ongoing education programs to promote, protect and maintain optimum levels of wellness.  Provide health counseling to patients and their families and develop a plan for health maintenance based on individual needs.Provide instruction, coaching, mentoring, and training for medical residents, physician assistant students, medical students and/or students of other health care disciplines in the form of clinical rotations, didactics and outpatient discussions as appropriate. Participate in educational activities to include giving lectures, supervision of internal medicine residents and physician assistant students in clinic duties, teaching residents on internal medicine services. Be scheduled to participate in formal educational lectures (approximately 6 per year) Collaborate with and provide clinical guidance to other healthcare team members as appropriate during the performance of clinical duties. Perform administrative duties that may include maintaining statistical records of his or her clinical workload, participating in medical educations programs, and participating in quality improvement functions and other duties as prescribed by the Chief of Medical Staff or the applicable Government department chief. Attend and participate in meetings, professional staff conferences and other appropriate professional activities such as, but not limited to the following: quality improvement meetings, professional staff meetings, commander's staff meetings, flight meetings, and other meetings required by applicable regulations, MTF guidance, or as identified by the Chief of Medical Staff or the applicable Government department chief. Possess basic knowledge of operating a wide variety of medical equipment/non-medical equipment to ensure patient and staff safety, proper equipment maintenance and accessibility. Treat patient information, no matter how developed, as privileged information. Patient information shall not be disclosed or revealed in any way for any use outside the MTF without adherence to HIPAA and local policies and regulations. Respect and maintain the basic rights of patients, demonstrating concern for personal dignity and human relationships.  Maintain open and professional communication with members of the MTF staff, MTF customers, and other contract personnel.  Seek and maintain interpersonal relationships with clients/families and coworkers which contribute to mission accomplishment. Possess basic knowledge of various training methods and interpersonal skills in order to develop a rapport with the patients, family members, and co-workers during which instructional and education information is presented and a supportive, trusting relationship is established. 
    REQUIRED SKILLS & EXPERIENCE
    Minimum Requirements:Degree: Doctor of Medicine (M.D.) or Doctor of Osteopathy (D.O.).Education: Graduation from a medical school in the United States, Canada, or approved by the Liaison Committee on Medical Education of the American Medical Association (AMA), graduation from a college of osteopathy approved by the American Osteopathic Association (AOA), or graduation from a medical school with evidence of Educational Commission for Foreign Medical Graduates (ECFMG) certification.Certification. The DoD only recognizes certifications issued by boards that are members of the American Board of Medical Specialties (ABMS) or the AOA Bureau of Osteopathic Specialists.Internship/Residency/Fellowship. Completion of an accredited residency approved by the Accreditation Council for Graduate Medical Education (ACGME).​​​​​​​ExperienceAs required to meet clinical competency requirements specified in the credentialing instructions.Licensure:Current, full, active, and unrestricted license to practice medicineProfessional Certification(s):
    In addition to Basic Life Support (BLS), the candidate shall hold and maintain Advanced Cardiac Life Support (ACLS) or Advanced Life Support (ALS) required certifications. Pediatric Advanced Life Support (PALS) and Advanced Trauma Life Support (ATLS) are not required. Certifications must be through the American Red Cross guidelines or American Heart Association. Members must present proof of current certification(s) actively held through the American Red Cross. NOTE: Computer-based training does not constitute fulfilling the training requirements. Individuals must maintain active certifications at NO cost to the government. 
     
    Board Certification: The Board-Certified Internal Medicine Physician must be certified by the American Board of Internal Medicine or American Osteopathic Board of Internal Medicine. This must always remain current.   
     
    Licensure:  For positions involving patient care, candidates must have a permanent, full, and unrestricted medical license to practice medicine in the state of Nevada. 

    Physical & Other RequirementsMust pass TB Test Subject to a background/security investigation Willingness to comply with DHA vaccination requirements. Pre-employment drug screening US Citizenship Contract workers shall maintain good personal hygiene and present a well-groomed and professional appearance IAW the policy at the place of performance.What We Offer:
    Pivot Path Solutions strives to attract, motivate, and retain the best people in the industry. Our benefits package reflects our continued commitment to our employees by prioritizing the health and well-being of each member. The Company offers a comprehensive compensation package that includes:Comprehensive benefits package, including health, dental, and vision insuranceGenerous Contribution on Health, Dental and Vision Insurances100% Employer Paid Group Life Insurance, Short Term and Long-Term DisabilitySafe Harbor 401(K) PlanHealth Saving Account (HSA)Healthcare Flexible Saving Account (FSA) and Dependent Care FSAEducation ReimbursementEmployee Referral ProgramU.S. Citizenship is required, and all selected applicants will be subject to a government security investigation. This includes meeting the eligibility requirements for access to classified information and the ability to obtain government-granted security clearance. Individuals may also be subject to background investigation including criminal history, employment verification, education verification, drug testing, and creditworthiness.

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  • VOIP Enterprise Architect (TS Clearance)  

    - Bethesda
    Job DescriptionJob DescriptionBased in the Washington, D.C. Metro area... Read More
    Job DescriptionJob DescriptionBased in the Washington, D.C. Metro area, Pivot Path Solutions, LLC , is a government contracting and business solutions firm that offers enterprise IT solutions, strategic and acquisition planning, organizational development, and medical research and analytics services to help customers adapt and thrive in changing market conditions. Pivot Path Solutions is seeking a highly experienced VOIP Enterprise Architect to support the Naval Surface Warfare Center Carderock Division. This position requires a senior-level professional who can develop master-level understanding of complex telecommunications infrastructure and lead deployment efforts with minimal operational impact.

    PRIMARY RESPONSIBILITIES
    System Architecture & ConfigurationDevelop and maintain master-level understanding of existing VOIP and PSTN systems configuration within two (2) weeks of contract awardProvide expert guidance in configuration, network architecture, and implementation planning for CISCO VOIP solutionsLead the engineering and formatting of CISCO VOIP systems to support telecommunications services at NSWCCD headquarters and detachment sitesDesign and implement VOIP architecture that accommodates NSWCCD's unique infrastructure, including buildings with secured spaces and underground concrete structures with limited network connectivityImplementation & IntegrationLead implementation of new VOIP systems including migration of all legacy systems to new VOIP architecture with minimal impact to operationsEnsure integration and interfacing into commercial systems, both inside and outside the fence line, including analog, copper, network, digital, and VOIP systemsLead programming and interfacing operations upon contract award to meet deployment date of 30 September 2026Ensure full Cisco Call Manager functionality, gateway and endpoint functionality, and integration with necessary enterprise systemsConfigure systems using commercial products only, in accordance with government requirementsDeployment Planning & ManagementDevelop structured tracking and deployment process for VOIP phones/lines, their allocation, and managementCreate comprehensive transition plan describing the transition of existing contractor support to new contractor, including explanation of plan and timeline to be accomplished within two (2) weeksCoordinate deployment activities to minimize impact to NSWCCD daily operations, including scheduling installations during nonbusiness hours (nights and weekends) when necessaryPlan and execute configuration trips to primary detachment sites (may require travel to multiple locations for no more than 2 working days per site)Support & MaintenanceProvide sustaining support including routine maintenance and troubleshooting of errors/defectsAssist with deployment and ongoing support to ensure VOIP fleet remains compliant and functional for telecommunications across the base and detachmentsServe as technical escalation point for complex VOIP system issuesMINIMUM QUALIFICATIONS
    Security ClearanceActive DoD Top Secret (Tier 5) security clearance REQUIRED prior to commencement of workMust be able to complete T1-P1 security processing within 10 days of contract awardEducation & ExperienceMinimum one (1) year experience performing the same or similar workDemonstrated expertise in VOIP enterprise architecture and CISCO telecommunications systemsProven experience with large-scale VOIP implementations and migrationsExperience with government or DoD telecommunications infrastructure preferredTechnical Skills & KnowledgeExpert knowledge of CISCO VOIP systems including Cisco Call ManagerDeep understanding of network architecture and telecommunications infrastructureProficiency in configuring gateway and endpoint functionalityExperience with integration of legacy systems (analog, copper, PSTN) with modern VOIP architecturesStrong understanding of commercial telecommunications products and solutionsKnowledge of enterprise system integration and interfacing requirementsProfessional CompetenciesExceptional problem-solving and analytical skillsStrong project management and planning capabilitiesExcellent communication skills for interfacing with government clients and technical teamsAbility to work independently and lead technical initiativesFlexibility to work nonbusiness hours (nights and weekends) when required for deploymentsPREFERRED QUALIFICATIONSCISCO certifications (CCNA, CCNP, or CCIE Voice/Collaboration)Experience with Naval or DoD telecommunications environmentsKnowledge of DoD security requirements and compliance standardsExperience with secured facilities and SCIF environmentsProject Management Professional (PMP) certificationPHYSICAL REQUIREMENTS & WORK ENVIRONMENTOn-site presence required Monday through Friday at NSWCCD facilitiesAbility to access secured spaces and work in various facility environmentsOccasional travel to detachment sites across the United StatesFlexibility to work extended hours including nights and weekends during deployment phases.What We Offer:
    Pivot Path Solutions strives to attract, motivate, and retain the best people in the industry. Our benefits package reflects our continued commitment to our employees by prioritizing the health and well-being of each member. The Company offers a comprehensive compensation package that includes:Comprehensive benefits package, including health, dental, and vision insuranceGenerous Contribution on Health, Dental and Vision Insurances100% Employer Paid Group Life Insurance, Short Term and Long-Term DisabilitySafe Harbor 401(K) PlanHealth Saving Account (HSA)Healthcare Flexible Saving Account (FSA) and Dependent Care FSAEducation ReimbursementEmployee Referral ProgramU.S. Citizenship is required, and all selected applicants will be subject to a government security investigation. This includes meeting the eligibility requirements for access to classified information and the ability to obtain government-granted security clearance. Individuals may also be subject to background investigation including criminal history, employment verification, education verification, drug testing, and creditworthiness.

     

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