Medical_Professional_services_SOW.docx

19AQMM18R0082, Attachment 1 Statement of Work Occupational Healthcare Staffing Services U.S. Department of State Bureau of Medical Services (M/MED/EX/ADM)

Statement of Work

1. BACKGROUND

The Department of State's bureau of Medical Services manages a worldwide health care network providing medical services for federal employees and their families serving domestically and abroad within the State Department and other Foreign Affairs Agencies. MED is comprised of a central office located in Washington DC (MED/WASH) and Health Units (Hus) located at over 200 U.S. diplomatic missions in 170 countries.

MED requires services from physicians (Regional Medical Officers-RMO’s), psychiatrists (RMO/Ps), Nurse practitioners (NP’s), physician assistants (PAs), nurses, Psychologists, social workers, Regional Medical Laboratory Scientists(RMLSs), Epidemiologist, Clinical Psychologist, Infectious Disease Physician, and administrative personnel working in Washington DC and in Health Units in U.S. Embassies and Consulates around the world. MED provides primary medical care and support to over 60,000 Foreign Service and other U.S. Government personnel and their families posted overseas.

In addition to providing primary medical care, MED provides mental health care, occupational health care, and coordination of local medical care, medical evacuations (medevacs), and medical clearance assessments. Overall, MED’s practice environment is relatively low volume and low acuity. MED does not provide in-patient care, does not currently limit its providers to a formulary, and does not bill for its services.

In Washington, MED Washington operates the following clinical and administrative functions:

· Examination Clinic – performs medical clearance physical examinations for personnel being assigned overseas;

· Laboratory (College of American Pathologists certified) – processes laboratory samples internally, and through an external reference laboratory;

· Travel Health and Immunization Clinics - provide immunizations and limited occupational health care;

· Mental Health Services - provides specialized mental health evaluations and support;

· Foreign Programs - a centralized office to coordinate medical evacuations worldwide;

· Medical Clearances - reviews and processes approximately 30,000 medical clearance determinations annually;

· Medical Records - performs the input of documents and release of electronic medical records (EMR) to patients; registers new patients;

· Medical Informatics – maintains the current EHR system for MED;

· Quality Management – coordinates MED’s quality assurance initiatives as well as professional credentialing and related functions;

· Health and Safety – supports occupational health, industrial hygiene and health promotion/wellness programs;

· Executive Office - provides administrative support including Budget and Finance, Human Resources and General Services.

Expert professional healthcare services are required to support these functions.

2. OBJECTIVE

The overall goal of this activity is to safeguard and promote the health and well-being of America's diplomatic community by providing highly qualified and skilled medical professional services as outlined in described herein.

3. SCOPE OF WORK

The Contractor shall be responsible for supporting the Bureau Of Medical Services in providing expertise in various healthcare fields. The contractor shall be responsible for supporting the Bureau of Medical Services in ensuring that all work activities are performed in a timely and cost effective manner while maintaining the highest quality of performance.

4. REQUIREMENTS

The contractor shall perform the following tasks:

· Registered Nursing

· Nurse Consulting -Clearances

· Cardiology

· Consulting Pathology

· Clinical Psychology

· Child Psychiatry

· Psychiatry/Social Work

· Clinical Psychology - Child & Family

· Phlebotomy

· Epidemiologist

· Clinical Psychologist

· Infectious Disease Physician

a. Registered Nursing (Health Unit)

From the health units located in Washington or Virginia on a rotating basis, the contractor shall perform the following tasks:

· Provides clinical nursing care for injuries and illnesses occurring in the workplace.

· Assist in disease and injury, prevention and health promotion goals of the Occupational Medical Program.

· Adhere to “the day-to-day service of the occupational health employee unit and planning, organization and implementation of the Occupational Medicine programs policies and procedures relating to the employee health units.”

· Follow all guidelines, federal regulations,Department of State policies and procedures as well as physicians signed or verbal orders provided the basis of independent clinical practice patterns.

· Provide limited follow-up and treatment or referral as indicated. Orders and interprets some laboratory and diagnostics test under practice guidelines or physician's orders.

· Update patient medical history information. Documents all patient care encounters according to accepted practices and patient care guidelines.

· Review and update occupational injury and illness reporting. Responsible for ordering and keeping nursing supplies and equipment in the health unit facilities organized and within proper shelf life. This includes monitoring the expiratory dates, and alerting appropriate offices of need for equipment maintenance.

· Keep the health unit in an organized fashion for efficient patient services.

· Conduct allergy and travel immunizations and assists with administering these programs to include supporting the implementation of the annual Flu Shot Program.

· Work with the guidance of the safety officer in assisting in the development of and conducting training programs geared to awareness of health hazard, health maintenance and safe working habits.

b. Nurse Consulting

The contractor shall review the medical clearance examination or medical clearance update submissions to determine the medical diagnosis and needs of the individual. This includes review of all medical reports and diagnostic reports. Returning accurate and timely clearance review and adjudication is the primary goal for all of the clinical staff in Medical Clearances. Duties routinely require decision making to ensure the medical history, records and current health profile of an individual meet the parameters established in Department policy and regulations. The function requires extensive communications, many sensitive, with individual government employees, dependents, other government agencies, and medical consultants. The service requirements are as follows.:

· Using ISO 9000 Medical Clearance Guidelines; efficiently, consistently and appropriately determine a medical clearance of approximately 2,000 individuals per year, including employees assigned to war zones. The NC reviews medical information submitted by the client or medical provider for an initial medical clearance, or to update an existing medical clearance. Consistent clearance determinations will be issued in a timely manner after assignment to the NC.

· Issuing Post approvals for individuals with a Post-Specific (Class 2) clearance. The Medical Clearance NC will evaluate the ongoing medical needs of an individual based on recent reports from their physician. The bid list is reviewed and determination made of the posts to which the individual can be assigned.

· Adjudicating Medical Clearances--Per ISO 3360 Nurse Consultant Competency standards, the Nurse Consultant (NC) applies the principles of the nursing process to independently evaluate all medical information submitted to Medical Clearances for a clearance determination (initial review of clearance and update). Medical information may include but is not limited to past history, laboratory reports, physical examination, medical reports, cables or emails and specialty consults. The NC will adjudicate all clearances of those with the last name beginning with the letter of the alphabet assigned. The NC determines a medical clearance based upon assessment of submitted information, knowledge of existing M/MED ISO standard operating procedures, and pre-established medical clearance guidelines for specific medical diagnoses. After accepting the case file for review, the NC has 7 working days to make contact with the client or if enough information is available, complete the clearance decision (ISO 3301). The NC clearly and effectively communicates verbally and in writing the requirements needed. The NC clearly and effectively communicates verbally and in writing the requirements needed to complete the medical clearance process with the client. The nurse reviews and responds in a professional manner to emails, cables, faxes, and phone calls from clients and health care providers. The NC updates the eMED problem list, inputs concise progress notes, and clearly delineates ISO guidelines rationale for all Class 2 clearance decisions.

· Clearly and effectively communicating verbally and in writing the requirements needed. The NC clearly and effectively communicates verbally and in writing the requirements needed to complete the medical clearance process with the client. The nurse reviews and responds in a professional manner to emails, cables, faxes, and phone calls from clients and health care providers. The NC updates the eMED problem list, inputs concise progress notes, and clearly delineates ISO guidelines rationale for all Class 2 clearance decisions.

· Determining Post Approvals for Class 2 Clearances--Per the Nurse Consultant Competency Standards (ISO 3360) the Nurse Consultant (NC) applies the nursing process to match individual client's needs for ongoing care with available overseas medical resources. These resources include the use of the MCI Post Approval Tool, Cent Com Mod 12 guidelines for Afghanistan, communications with Foreign Service Medical Providers and Regional Medical Officers, vetted expert consultants in country, and the patient's medical providers. The post approval process is required prior to post assignment and is to be completed within 3 working days (ISO 3302) after receipt of all required information from the patient, consultant or overseas medical officer. Upon accepting a post approval request from the client's Career Development Officer (or Human Resources equivalent) the NC enters a process note detailing the requirements needed to complete the post approval process. Upon completion of the review the NC adds a post approval process note detailing which posts are approved and which posts are not approved. These process notes recur with each Post Approval request.

· Per ISO 3360 Nurse Consultant Competency standards, the Nurse Consultant (NC) participates in internal reviews of performance standards, internal process committees and regular staff meetings. The NC demonstrates knowledge and understanding of the Medical Clearance Guidelines found in the ISO Medical Clearance Index under Clearances and/or Medical Clearances Index (MCI) Guidelines. These include:

· Following guidelines for accurate and consistent clearance adjudications,

· Understanding ISO standards for quality service delivery of our product (clearance adjudications and post approval reviews,

· Reviewing customer satisfaction measurements regarding our product.

· Maintaining a high quality of work while issuing medical clearances and determining post approvals by thorough and consistent performance of duties. Offer excellent customer service by listening attentively to clients’ concerns/requests and rending appropriate responses/services in a timely and professional manner. Provide training/orientation to new employees

c. Cardiology

The contractor helps provide the Department of State with Cardiologic services among the US government workforce and family members serving overseas. The service requirements are as follows:

· Provides consultation with cardiac examination of patients, monitoring and interpreting stress testing examinations, interpreting electrocardiograms and echocardiograms, and rendering professional medical judgment on patients seen in the Cardiology unit of the Office of Medical Services. Assists with the planning, development, and operation of special cardiology projects.

· Prepares reports of findings. Completed reports become property of the Department of State.

· Provides telephone consultation regarding urgent or emergency situations of patients overseas and Medevacs (medical evacuations).

d. Consulting Pathology

The contractor helps provide the Department of State with Medical expertise and health care in relation to laboratory operations procedures and testing techniques utilized to operate and certify a laboratory. The contractor will provide professional advice support and assistance regarding the overall operation and administration of the laboratory. The service requirements are as follows:

· Advise on the employment of personnel and assist in determining employee competence for performing test procedures, record and report test results promptly, accurately, and proficiently.

· Advise on standard operating procedures and make recommendations regarding compliance with applicable federal, state, professional standards and requirements.

· Provide assistance to the Director of Laboratory Programs and Services in ensuring that testing systems developed and used for each of the tests performed in the laboratory provide quality laboratory services for all aspects of test performance, which includes the pre-analytic, analytic, and post-analytic phases of testing.

· Provide guidance and advise Bureau of Medical Services staff, and Facility Management staff regarding the physical plant and environmental conditions of the laboratory are appropriate for the testing performed and provide a safe environment in which employees are protected from physical, chemical, and biological hazards.

· Research medical literature to assist in making infectious diseases guidelines and recommendations

· Evaluate and make recommendations regarding the entire testing process allowing the Bureau of Medical Services to verify the following:

· Test methodologies selected have the capability of providing the quality of results required for patient care.

· Verification procedures used are adequate to determine the accuracy, precision, and other pertinent performance characteristics of the method and;

· Laboratory personnel are performing the test methods as required for accurate and reliable results.

· Laboratory is enrolled in a CMS-approved proficiency testing program for the testing performed and that the proficiency testing (PT) samples are tested as required under 42 CFR, Part 493.1445, subpart H

· Results are returned within the timeframes established by the proficiency testing program

· Proficiency testing reports received are reviewed by the appropriate staff to evaluate the laboratory's performance and to identify any problems that require corrective action

· Approved corrective action plan is followed when any PT result is found to be unacceptable or unsatisfactory.

· Evaluate and make recommendations regarding the Quality Control and Quality Assessment programs including establishment of new aspects of the program, discontinue existing aspects if no longer required, or modification of current aspects of the program. This includes but is not limited to the following:

· Evaluate established programs and make recommendation to improve, maintain, or new programs required to assure the quality of laboratory services provided and to assist in identifying failures in quality as they occur.

· Evaluate and make recommendations regarding acceptable levels of analytical performance for each test system.

· Review and evaluate the remedial actions that were/were not taken in the documented instances of significant deviations for the established performance characteristics. Randomly review an appropriate statistical sample to ensure that significant deviations from established performance characteristics and evaluate whether:

· Patient test results are reported only when the system is functioning properly.

· Reports of test results include pertinent information required for interpretation.

· Provide advice and assistance to the Medical Technologist/Laboratory supervisor for on-site supervision of high complexity test performance by testing personnel qualified under 42 CFR, Part 493.1489(b)(4).

· Review and make recommendations regarding policies and procedures that are established for monitoring individuals who conduct pre-analytical, analytical, and post-analytical phases of testing to assure that they are competent and maintain their competency to process specimens, perform test procedures and report test results promptly and proficiently, and whenever necessary, identify needs for remedial training or continuing education to improve skills.

· Review, evaluate, and make recommendations concerning the approved procedure manual and identify those areas where the manual may not be available to an employee performing testing

· Review, evaluate, and make recommendations regarding the responsibilities of each consultant, each supervisor, and each person engaged in the performance of the pre-analytic, analytic, and post-analytic phases of testing.

· Review, evaluate, identify, and make recommendations concerning which examinations and procedures each individual is authorized to perform, whether supervision is required for specimen process, test performance or result reporting and whether supervisory or director review is required prior to reporting patient test results.

· Mentor and evaluate medical residents, students and other trainees that are rotating on infectious diseases.

· Attend meetings and teleconferences on infectious disease topics for interdepartmental collaborative efforts.

· Assist in the creation of and maintain research protocols performed in MED.

· Participate in the Human Subject’s Protection Committee as needed.

· Assist MED Epidemiologist in providing information for the Infectious Diseases daily reporting

e. Clinical Psychology

The Clinical Psychology is performed at the Bureau of Medical Services, Child and Family Program office located in building SA1, and is inspected and accepted by the Director of Mental Health Services and/or Director, Child & Family Program. The contractor shall work collaboratively within a multi-disciplinary team. The contractor responds to all requests regarding mental health related clearance recommendations and inquiries from the Medical Clearances office. The contractor supports established work priorities and takes initiative to resolve most problems with considerable independence in support of the Bureau of Medical Services, as suitable for a licensed professional. The contractor keeps the Director advised of progress in particularly difficult cases and alerts the him or the Mental Health Programs Director of the potentially controversial nature of a specific situation. The Director will evaluate work accomplishments largely on the basis of review of work, soundness of decisions made, inter-disciplinary teamwork and the degree to which the Clinical Psychologist has effectively performed assignments and conforms to the accepted professional standards for independent practice. Providing the Department of State with a safe and health workforce able to promote the interests of the American people abroad is the ultimate of scope of effect of a successful contractor in this position. The service requirements are as follows:

· Conducts intensive case reviews for rendering recommendations about Foreign Service personnel (specifically dependent children) to assist with treatment and medical clearance decisions.

· Performs case examination to ascertain eligibility for the Special Needs Educational Allowance (SNEA) which provides funding and oversight of educational services utilized by dependent children with special educational needs outside of the United States.

· Supports employees and family members evacuated for psychiatric illness, monitors care and treatment and works in a team-based approach to medical clearance determination for children and other family members.

· Works with a clinical team to facilitate local care referrals for child mental health care.

· Liaison with other departments and agencies to provide information and education about MHS programs for children and families via public speaking, video conferencing and review of written materials that may be distributed to employees and families. Provides education to professional staff, preventative education to supported populations, and training to Department of State staff and management on the handling of difficult staff and personnel situations. Will complete additional tasks as assigned by the Deputy Director of Mental Health Services and/or Director, Child & Family Program. In addition, he/she must maintain current knowledge regarding the interplay of medical and legal issues. Serves as an educational developmental specialist for children and provides guidance related to educational and therapeutic placements.

f. Child Psychiatry

The contractor will support activities within the Adult and Child divisions of Mental Health Services. The service requirements are as follows:

· Conduct intensive case reviews for and rendering recommendations about Foreign Service personnel to assist with treatment and medical clearance decisions.

· In conjunction with other staff members, support employees and family members evacuated for psychiatric illness; monitor care and treatment. S/he also works with a clinical team to facilitate local care referrals for child mental health care.

· Work closely with the Child & Family Program Team Leader to assess eligibility for access to the Special Needs Educational Allowances (SNEA) which provides funding and oversight of educational services utilized by dependent children with special educational needs overseas.

· Be engaged in a multi-disciplinary team approach to cases which may include video conferencing with patients and providers overseas, documentation and upkeep of medical records/database, and clinical supervision of other mental health professionals.

· Liaise with other departments and agencies to educate them about State programs for children via public speaking, video conferencing, or review of written materials that may be distributed to employees and families.

· Maintain existing databases.

· Contribute to the development of short and long term goals and programming for the Child and Family Program.

g. Psychiatry/Social Work

The contractor shall work collaboratively within a multi-disciplinary team. The contractor responds to all requests regarding mental health related clearance recommendations and inquiries from the Medical Clearances office. The contractor supports established work priorities and takes initiative to resolve most problems with considerable independence in support of the Bureau of Medical Services, as suitable for a licensed professional. The contractor keeps the Director advised of progress in particularly difficult cases and alerts the Director or the Mental Health Programs Director of the potentially controversial nature of a specific situationProviding the Department of State with a safe and health workforce able to promote the interests of the American people abroad is the ultimate of scope of effect of a successful contractor in this position. The service requirements are as follows:

· Educational clearance reviews with case management for children with special needs

· Mental Health clearance reviews with case management for children

· Coordination of psychoeducational evaluations of Foreign Service dependent children

· Support services for children and their families on medical travel

· Providing education to clients on policies and regulations

· Performs expert case examination to ascertain eligibility for the Special Needs Educational Allowance (SNEA) which provides funding and oversight of educational services utilized by dependent children with special educational needs outside of the United States. This includes tracking and ongoing intensive oversight of DOS dependents in Therapeutic Boarding Schools, maintaining necessary documentation and communication with parents, schools and DOS providers world wide.

· Conducts intensive case reviews for rendering recommendations about Foreign Service personnel (specifically dependent children) to assist with treatment and medical clearance decisions.

· Supports employees and family members evacuated for psychiatric illness, monitors care and treatment and works in a team based approach to medical clearance determination for children and other family members

· Liaises with other departments and agencies to provide information and education about MHS programs for children and families via public speaking, video conferencing and review of written materials that may be distributed to employees and families.

h. Child Psychology

The service requirements are as follows:

· Conducts intensive case reviews for rendering recommendations about Foreign Service personnel (specifically dependent children) to assist with treatment and medical clearance decisions.

· Performs case examination to ascertain eligibility for the Special Needs Educational Allowance (SNEA) which provides funding and oversight of educational services utilized by dependent children with special educational needs outside of the United States.

· Supports employees and family members evacuated for psychiatric illness, monitors care and treatment and works in a team-based approach to medical clearance determination for children and other family members.

· Works with a clinical team to facilitate local care referrals for child mental health care.

· Liaises with other departments and agencies to provide information and education about MHS programs for children and families via public speaking, video conferencing and review of written materials that may be distributed to employees and families.

· Provides education to professional staff, preventative education to supported populations, and training to Department of State staff and management on the handling of difficult staff and personnel situations.

· Completes additional tasks as assigned by the Deputy Director of Mental Health Services and/or Director, Child & Family Program. In addition, he/she must maintain current knowledge regarding the interplay of medical and legal issues.

· Serves as an educational developmental specialist for children and provides guidance related to educational and therapeutic placements.

i. Phlebotomy

The service requirements are as follows:

· Performs phlebotomy services (blood drawing) on patients of all ages, infants to adults, in the clinical laboratory of the Bureau of Medical Services, and processes specimens

· Cleans workstations daily

· Processes and logs specimens from overseas laboratories

· Documents errors in database files

· Monitors Supplies email box for requests, packages and send supplies and other mail items to overseas Department of State health units

· Sends specimens to reference laboratories

· Requests supplies as needed and organizes supplies

· Performs basic Admin Assistant duties as needed

j. Clinical Psychologist (part-time)

The Clinical Psychologist position is located in the Diplomatic Security Support Program (DSSP), Mental Health Services (MHS), and Bureau of Medical Services (MED). Serves as a clinical psychologist within the DSSP staff and functions as a subject matter expert on involved cases. The position requirements are as follows.

· Performs expert evaluations on a Subject’s eligibility for a national security clearance at the Department of State under the provisions of EO 10450 and 12968. Such evaluations may include the review of comprehensive medical and security clearance investigative reports, diagnostic interviewing, performance of mental status examinations, psychological and neuropsychological testing, the development of expert witness opinions and reports, and the provision of testimony before the Department of State’s Security Appeals Panel and/or in U.S. District Court.

· Assist with security clearance related triage case conferences with designated DS personnel, during which time shall consult (as assigned by the DSSP Director) concerning the prioritization of cases.

· Assist with security clearance related case management conferences with designated DS and MED personnel and shall update (as assigned by the DSSP Director) the status and management of current cases pending final opinions.

· Coordinate the various inter-bureau and inter-agency components involved in DS Special Agent Fitness for Duty Evaluations and will conduct the psychological evaluations related thereto generating an expert witness opinion on such cases to the Director of the Diplomatic Security Service.

· Correspond and communicate with other departments, agencies and DS to provide information and education about DSSP programs via lecturing in the DS Training Center, video conferencing and other related duties as may be assigned by the DSSP Director.

k. Epidemiologist (Full-time) This position is in the Bureau of Medical Services (MED) and helps provide the Department of State with epidemiological data about zika virus and other illnesses among the US government workforce and family members serving overseas. The position requirements are as follows:

· Implement and maintains public health information collection analysis among patients serving in posts with zika transmission for the Department of State’s Bureau of Medical Services (MED).

· Is responsible for planning and implementing a variety of epidemiologic data systems and will utilize data collection and surveillance systems currently in use or under consideration by MED.

· Conducts appropriate epidemiologic studies on zika or other public health conditions affects DOS employees and their families.

· Provides appropriate consultation as requested and interfaces with the CDC, the Peace Corps, PAHO, WHO, and other public health organizations and with other bureaus within the Department of State.

· Develop geospatial maps visualizing data collected from disease surveillance activities.

l. Infectious Disease Physician (Tropical)

This position is in the Bureau of Medical Services (MED) and helps provide the Department of State with Medical expertise and health care in relation to Zika Virus (and other infectious diseases) for the US government workforce and family members serving overseas. The position requirements are as follows:

· Provide subject matter expertise as it relates to the evaluation of routine and complex cases of patients seen in the travel or exam clinic with infectious diseases problems.

· Provide Patient consultations via phone, email or video conferencing. Travel to sites of outbreaks to provide Chief of Mission, Emergency Action Committees (EACs) and medical staff advice on infectious diseases threats and response. Conducts reviews of pre-travel consultations with nursing staff and advice about complex immunization questions.

· Review and draft MED policies as directed and research medical literature to assist in making infectious diseases guidelines and recommendations, review and provide subject matter expertise with regards to DoS MED Website Infectious Diseases resources to maintain and improve them. Provide laboratory and didactic infectious diseases training for new hires both government and contractor. Provide lectures and workshops for MED’s annual Continuing Medical Education. Mentor and assist medical residents, students and other trainees that are rotating through the Infectous Disease portion of medical school() Represents the infectous disease branch at interdepartmental collaborative efforts at meetings and teleconferences. Assist in the creation of and maintain research protocols performed in MED. Participate in the Human Subject’s Protection Committee as needed. Assist MED Epidemiologist in management of the Infectious Diseases daily reporting

5. PLACE OF PERFORMANCE

Bureau of Medical Services 2401 E Street NW, Rm. L101 Washington DC, 20520

6. TRAVEL

Full performance of the work requirements of this contract — as outlined in the labor class(es) and other related sections of the statement of work — may require contracted personnel supporting this contract to conduct worldwide travel. Because of the unpredictable nature of medical requirements nececessity to travel to locations to perform the work requirements of the contract. Any travel performed under this contract will be approved in advance by the COR and travel must be conducted in accordance with the Federal Travel Regulations promulgated by the U.S. General Services Administration as well as Department-specific travel directives outlined in the Foreign Affairs Manual and Foreign Affairs Handbooks. Worldwide travel may include any of the following U.S. facilities described at 4-FAH-1 H-430, but may also include travel to add Travel will be required as outlined in section 6.0 (d) of the Statement of Work.

The Infectious Disease Physician and Epidemiologist positions in this contract may be subject to international and domestic travel to ZIKA endemic areas such as Africa and South America. The Nurse and Clinical Psychologist may be subject to domestic travel as needed for training or other reasons associated with their job requirements. Travel and Other direct Cost are reimbursable at actual cost plus applicable G&A in accordance with the Federal Travel Regulations (FTR) per FAR 31.205-46 itional locations as necessary to provide medical support or to receive training.

6. PERIOD OF PERFORMANCE:

The period of performance is for a base year and includes four option years.

7. KEY PERSONNEL

The following are key personnel under the contract, as well as, tehri minimum qualifications and credentials.

Registered Nurse (Health Unit) Part-time (1) Full-time(2) Nurse Consultant-Clearances: (7) Nurse Consultant-Exam Clinic: (1) Cardiologist: (part time) (1) Consulting Pathologist (part-time): (1) Clinical Psychologist: (1) Child Psychiatrist: (1) Psychiatric/Social Worker: Part-time (1) Child Psychologist: (1) Phlebotomist: (1) Clinical Psychologist (Forensic)-Top Secret/SCI (1) – Part-time Infectious Disease Physician-Secret (1) – Full-time Epidemiologist-Secret (1) – Full-time

a. Registered Nurse (Health Unit) Part-time (1) Full-time(2) Registered Nurses shall possess the following minimum education and certification:

· Must be knowledgeable in the process of workplace hazard surveys, and will be able to assess and summarize findings. Must be a graduate of an accredited nursing school/college.

· Must have an unrestricted current Registered Nurse license to practice nursing from any of the 50 states or the District of Columbia.

· Must have Basic Life Support certification, and be professional in appearance and

Registered Nurses shall possess the following minimum skills and expereieince:

· Must be able to perform basic occupational screening procedures associated with visual and hearing programs and respirator use programs.

· Must be able to summarize and assess findings.

· Must have a minimum of three years of current Clinical experience in occupational health nursing, hospital or public health nursing

· Must be computer literate and have the ability to work with electronic medical records

b. Nurse Consultant-Clearances (7), Nurse Consultant-Exam Clinic (1)

Nurse Consultants shall possess the following minimum education and certification:

· Must be a graduate of an accredited nursing school/college.

· Must have an unrestricted current Registered Nurse license to practice nursing from any of the 50 states or the District of Columbia

Nurse Consultants shall possess the following minimum skills and expereieince:

· Must have a minimum of three years of current clinical experience in occupational health nursing/hospital nursing or public health nursing.

· Previous experience working in overseas health units is desirable.

· Must be professional in appearance and punctual.

· Must be computer literate and have the ability to work with electronic medical records.

c. Cardiologist: (part time) (1)

The Cardiologist shall possess the following minimum education and certification::

· Must have a Doctor of Medicine or Doctor of Osteopathy or equivalent degree from a school in the United States or Canada approved by a recognized accrediting body.

· Doctor of Medicine degree or equivalency degree from a foreign medical school that provides educational and medical knowledge substantially equivalent to accredited schools in the United States may be demonstrated by permanent certification by the Educational Commission for Medical

· Graduates or a fifth pathway certificate for Americans who completed primary education in the United States and graduate education in a foreign country.

The Cardiolgist shall possess the following minimum skills and expereieince:

· Must be licensed to practice in the United States and must have current board certification in Cardiology and Internal Medicine.

· Must have an unrestricted current valid license to practice medicine from any of the 50 states or the District of Columbia.

· Must have a minimum of five years of post/fellowship residency clinical experience as a cardiologist.

· Must be computer literate.

d. Consulting Pathologist (part-time): (1)

The Consulting Pathologist shall possess the following minimum education and experience:

· Must be a graduate of an accredited medical college/school with a current valid license to practice medicine from any of the 50 states or the District of Columbia

· Must be certified or board eligible by the American Board of Pathology and must have a minimum of five (5) years of post-residency clinical experience in pathology.

**Previous experience as a Laboratory Director of a High Complexity Clinical Laboratory with successful completion of CAP Accreditation is highly preferred and desired**

e. Clinical Psychologist: (1)

The Clinical Psychologist shall possess the following minimum education and certification::

· Must have a Ph.D.in clinical psychology/educational psychology from a program accredited by the American Psychological Association. He/she must have completed an internship that was approved by the American Psychological Association and have a minimum of ten years of post-doctorate experience and extensive experience treating children and families. The incumbent must be licensed within the United States to practice as an independent psychologist or equivalent educational certification

The Clinical Psychologist shall possess the following minimum knowledge, skills and expereieince:

· Must be a skilled and experienced clinical psychologist, thoroughly familiar with all aspects of effective mental health care delivery and management.

· In addition, he/she must be able to recognize and manage the problems of mental health care delivery to USG personnel and eligible family members posted overseas in widely scattered groups, often where local medical and mental health resources are limited or nonexistent.

· Should have experience working and living overseas. Firsthand knowledge of the dynamics of overseas living within an embassy community and of the Foreign Service lifestyle are extremely desirable. The incumbent must be able to integrate clinical, administrative, and managerial skills in order to support a mental health program essential to the maintenance of an effective overseas Foreign Service Corps.

· Must able to manage a wide range of mental health services for a diverse population overseas and provide expert guidance to Foreign Service Medical Officers and other health practitioners with varying backgrounds and levels of training. The incumbent must have experience that includes an extensive background in performing in-depth psychological evaluations of adults, children and families. He/she must have an up-to-date familiarity with psychotropic medications in current usage.

· Knowledge of developmental delays in children, including learning disabilities is a critical factor.

· Knowledge of resource network for the evaluation of children with special needs and facility in working with schools in the U.S. and overseas which have special education services.

· Must be versed in medical regulations and policies of the Department of State. He/she must possess a high degree of integrity, decisiveness, and fairness in order equitably to apply the regulations and policies of the medical program to all eligible persons.

· Skill in oral and written communications. Ability to write neuropsychiatric notes, memoranda, cables, correspondence, and occasional articles for State Magazine and the Foreign Service Journal. Knowledge of guidelines and professional ethics standards related to medical documentation.

· Ability to apply systems theory and work tactfully and cooperatively at all levels in order to provide effective consultation to supervisors, managers and employees. Previous experience in government positions highly desirable.

· Extensive background in performing behavioral health evaluations of children, adolescents, teens and adults.

· Strong ability to manage emergency situations and seek assistance as appropriate.

· High level management skills to plan, develop, analyze and coordinate activities.

· Thorough understanding of the Department and the rigors of Foreign Service life.

· Ability to work and communicate persuasively, both orally and in writing, using tact and finesse.

· Ability to meet and deal with all levels of personnel both in and outside of DOS.

· Ability to plan, organize, and prioritize

· Knowledge of the techniques, principles, and practices of public speaking.

f. Child Psychiatrist: (1) The Child Psychiatrist shall possess the following minimum education and certification::

· Must be a physician who has completed a residency in Psychiatry and fellowship in Child Psychiatry. S/he must have completed at least 5 years of post-fellowship experience and be board certified in Adult and Child psychiatry.

The Child Psychiatrist shall possess the following minimum skills and expereieince:

· Extensive background in performing psychiatric evaluations of children, adolescents, teens and adults.

· Strong ability to manage emergency situations and seek assistance as appropriate.

· High degree of clinical mental health care management expertise

· High level management skills to plan, develop, analyze and coordinate activities

· Through understanding of the Department and the rigors of Foreign Service life.

· Ability to work and communicate persuasively, both orally and in writing, using tact and finesse

· Ability to meet and deal with all levels of personnel both in and outside of DOS

· Ability to plan, organize, and prioritize

· Knowledge of the techniques, principles, and practices of public speaking

** The work of the Child Psychiatrist is performed under broad guidelines, policies, regulations and legislation. Departmental policies and practices, government regulations and the Foreign Service Act of 1980 (as amended) serve as additional guidance. Many aspects of the work have no specific guidelines, so the incumbent must devise procedures for accomplishing tasks and providing expert guidance and assistance to overseas providers and domestic personnel to also accomplish these tasks.

Child Psychiatrist works closely with and receives general policy direction as well as guidance from the Director and Deputy Director of Mental Health Services and the Medical Director.

Providing the Department of State with a safe and health workforce able to promote the interests of the American people abroad is the ultimate of scope of effect of a successful contractor in this position. **

g. Psychiatric/Social Worker: Part-time (1)

The Psychiatric/Social Worker shall possess the following minimum education and certification:

· A professional knowledge of the theories, principles, practices and techniques of clinical social work, including family systems therapy, crisis intervention, and cognitive behavioral interventions. Incumbent is required to have a doctoral degree from an accredited school of social work and at least five years of post graduate experience in a clinical psychiatric setting.

· Must possess qualifications for self regulated practice in the form of membership in the Academy of Certified Social Workers (ACSW) or be credentialed as a Board Certified Diplomat (BCD) by the American Board of Examiners in Clinical Social Work and possess licensing at an independent practice level (LICSW) in any State.

The Psychiatric/Social Worker shall possess the following minimum knowledge, skills and expereieince:

· Knowledge and skill in providing psychotherapy to individuals, couples, families, and groups. Skill in counseling parents, children and adolescents.

· Knowledge of medical problems and skill in working with patients who are medically or mentally ill.

· Knowledge of developmental delays in children, including learning disabilities.

· Knowledge of resource network for the evaluation of children with special needs and facility in working with schools in the U.S. and overseas which have special education services.

· Familiarity with DSM V and ICD diagnostic categories and ability to triage psychiatric emergencies.

· Acquaintance with the Foreign Service lifestyle and familiarity with the Foreign Service Act of 1980.

· Knowledge of rules and regulations pertaining to the Medical Program of the Department (3.FAM 680) and the Family Advocacy Program, and knowledge of the child abuse reporting requirements in the Omnibus Crime Control Act of 1990. Knowledge of the Department of State's policies regarding sexual harassment, ADDS and the Drug Free "Workplace. Knowledge of the Family Medical Leave Act of 1993, The Americans with Disabilities Act of 1990, the Education of All Handicapped Children Act of 1975 (PL 94 142) and the Individuals with Disabilities Education Act of 1990 (IDEA, PL 101 476). Knowledge of the 1993 amendments to the Hatch Act (PL 103 94) involving garnishment of federal pay. Knowledge of the Educational Allowance regulations (DSSR270). Knowledge of the Privacy Act (PL 93 579) and of the Health Insurance Portability and Accountability Act of 1996 (HIPAA, PL104 191).

· Knowledge of mental health, medical and social services available in the metropolitan community, elsewhere in the U.S., and overseas. Knowledge of Federal Employee Health Benefit Programs in order to make appropriate, cost effective referrals.

· Skill in oral and written communications. Ability to write neuropsychiatric notes, memoranda, cables, correspondence, and occasional articles for State Magazine and the Foreign Service Journal. Knowledge of guidelines and professional ethics standards related to medical documentation.

· Ability to apply systems theory and work tactfully and cooperatively at all levels in order to provide effective consultation to supervisors, managers and employees.

· Extensive background in performing educational and behavioral evaluations of children, adolescents, teens and adults.

· Strong ability to manage emergency situations and seek assistance as appropriate.

· High level management skills to plan, develop, analyze and coordinate activities.

· Thorough understanding of the Department and the rigors of Foreign Service life.

· Ability to work and communicate persuasively, both orally and in writing, using tact and finesse.

· Ability to meet and deal with all levels of personnel both in and outside of DOS.

· Ability to plan, organize, and prioritize.

· Knowledge of the techniques, principles, and practices of public speaking.

h. Child Psychologist: (1)

The Child Psychologist shall possess the following minimum education and certification::

· Must have a Ph.D.in clinical psychology/educational psychology from a program accredited by the American Psychological Association.

· Must have completed an internship that was approved by the American Psychological Association and have a minimum of ten years of post-doctorate experience and extensive experience treating children and families.

· Must be licensed within the United States to practice as an independent psychologist or equivalent educational certification.

The Child Psychologist shall possess the following minimum knowledge, skills and experience:

· Must be a skilled and experienced clinical psychologist, thoroughly familiar with all aspects of effective mental health care delivery and management. In addition, he/she must be able to recognize and manage the problems of mental health care delivery to USG personnel and eligible family members posted overseas in widely scattered groups, often where local medical and mental health resources are limited or nonexistent.

· Should have experience working and living overseas. Firsthand knowledge of the dynamics of overseas living within an embassy community and of the Foreign Service lifestyle are extremely desirable.

· Able to integrate clinical, administrative, and managerial skills in order to support a mental health program essential to the maintenance of an effective overseas Foreign Service Corps.

· Ability to manage a wide range of mental health services for a diverse population overseas and provide expert guidance to Foreign Service Medical Officers and other health practitioners with varying backgrounds and levels of training.

· Experience that includes an extensive background in performing in-depth psychological evaluations of adults, children and families. He/she must have an up-to-date familiarity with psychotropic medications in current usage.

· Knowledge of developmental delays in children, including learning disabilities is a critical factor.

· Knowledge of resource network for the evaluation of children with special needs and facility in working with schools in the U.S. and overseas which have special education services.

· Possess a high degree of integrity, decisiveness, and fairness in order equitably to apply the regulations and policies of the medical program to all eligible persons.

· Skill in oral and written communications.

· Ability to…