Draft Attachment J.2-Clinical West Site Staffing Plan Amendment 00001.xlsx

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Federal Occupational Health (FOH) Clinical West Staffing
Solicitation number
PSCFOH-ClinicalWest-PSC347298
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This is a Draft Staffing Plan Amendment for Federal Occupational Health (FOH) Clinical West Services covering three operational periods from November 1, 2021, through April 30, 2022. The document outlines detailed staffing requirements across multiple clinical service provision sites (SPS) located primarily in Western United States regions, including California, Utah, Colorado, Washington, Alaska, Hawaii, Arizona, New Mexico, Oregon, and Idaho. The staffing plan specifies labor categories including Nurse Coordinators (RN), Staff Nurses (RN), Physicians (Clinical), Nurse Coordinators II (RN), Area Clinic Managers, and a Reviewing Medical Officer (RMO) at the regional level, with hourly rates ranging from approximately $55 to $187 per hour depending on position and location.

The plan identifies 52 distinct clinical sites with specific hours of operation, staff allocation by day of week, and annual hour commitments ranging from minimal FFS (Fee-for-Service) outreach hours to full-time equivalent positions. Total estimated costs for the three-month operational periods range from approximately $1.9 million to $1.98 million. Key site-specific requirements include IRS security clearance for several Fresno locations and one Ogden location, with special notations for Hawaii regarding absence of HHS PIV Card issuance and Alaska as a remote site with hard-to-fill vacancies. The document also includes a separate sheet reflecting revised staffing allocations with multiple positions showing decreases per a January 26 review, indicating adjustments to physician and staff nurse hours at numerous locations to optimize resource allocation.

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Base 11.1.21-1.31.22

FOH Clinical (WEST) Staffing Plan (Servefed)
HHSP233201800009I/75P00119F37005
PoP: November 1, 2021 - January 31, 2022
CANSiteStreet AddressRoom LocationCityStateLabor CategoryArea Clinic ManagersRegional Clinic ManagerClinic Hours of OperationCommentsPurpose for HoursStaff HoursMonTueWedThuFriTotal Hours
12 MonthsHours:
3-MonthsOP3 RatesTotal Cost:
3 MonthsNotes
E8622IEA1724000 Avila RoadRoom 3103ALaguna NiguelCANurse Coordinator, RNCasey GannonStacie PetrashFSA+ FFS work(M-F) 7:30am-4:00pm888882000500$69.45$34,725.00
E8622IGA1724000 Avila RoadRoom 3103ALaguna NiguelCAPhysician (Clinical)Casey GannonStacie PetrashFFSAverage 6 hours per year.61.5$156.20$234.30
E8622IGA1724000 Avila RoadRoom 3103ALaguna NiguelCAStaff Nurse, RNCasey GannonStacie PetrashFFS40 hours per year as needed for FFS work only.4010$67.95$679.50
E8622IEA1C855 M StreetStop 163FresnoCANurse Coordinator, RNCasey GannonStacie PetrashIRS only siteFSA(M,W,F) 8:00-4:30;
(T-TH) 9-5:30 pm888882000500$64.90$32,450.00
E8622IEA1C855 M StreetStop 163FresnoCAStaff Nurse, RN (Evening)Casey GannonStacie PetrashIRS only siteFSA(W) 5:00-8:00pm (Second and Third Wed.)37218$67.80$1,220.40
E8622IEA3B1973 North Rulon White BlvdMS 1526 Twin Rivers ComplexOgdenUTNurse Coordinator, RNStacie Petrash(M,W,F) 7:30am-3:30pm (T,TH) 9:00am-5:30pm; 1st Wednesday of the month 7:30am-7:30pmIRS onlyFSA(M,W,F) 7:30am-3:30pm (T,TH) 9:00am-5:30pm7.587.587.51930482.5$59.58$28,747.35
E8622IEA3B1973 North Rulon White BlvdMS 1526 Twin Rivers ComplexOgdenUTStaff Nurse, RNStacie Petrash(M,W,F) 7:30am-3:30pm (T,TH) 9:00am-5:30pm; 1st Wednesday of the month 7:30am-7:30pmEveryday Outreaches (3 other building)FSA5 hours per week.526065$58.05$3,773.25
E8622IEA3B1974 North Rulon White BlvdMS 1526 Twin Rivers ComplexOgdenUTStaff Nurse, RN (Evening)Stacie Petrash(M,W,F) 7:30am-3:30pm (T,TH) 9:00am-5:30pm; 1st Wednesday of the month 7:30am-7:30pmFSA1st Wednesday of the month 3:30pm-7:30pm4812$60.55$726.60
E8622IGA3B1973 North Rulon White BlvdMS 1526 Twin Rivers ComplexOgdenUTStaff Nurse, RNStacie Petrash(M,W,F) 7:30am-3:30pm (T,TH) 9:00am-5:30pm; 1st Wednesday of the month 7:30am-7:30pmFFS - Outreach4.5 hours per week for FFS outreach.23458.5$58.05$3,395.93
E8622IEA3C1325 BroadwayStop 164FresnoCANurse Coordinator, RNCasey GannonStacie PetrashIRS onlyFSA(M, W, F) 7:30- 3:00;
(T, TH) 9:00-4:30777771820455$64.90$29,529.50
E8622IEA3D700 Stewart Street, Suite 6201SeattleWANurse Coordinator, RNStacie PetrashFSA(M-TH) 7:30-4:0088881664416$76.44$31,799.04
E8622IGA3D700 Stewart Street, Suite 6201SeattleWAStaff Nurse, RNStacie PetrashFFS - Outreach90 hours per year as needed for FFS work only.9022.5$73.14$1,645.65
E8622IEA3N50 United Nations PlazaHealth CenterSan FranciscoCANurse Coordinator, RNCasey GannonStacie PetrashFSA(T, TH) 9:00-3:30
(W) 9:00-4:0066.56962240.5$92.93$22,349.67
E8622IEA4275 Hawthorne Street3rd Floor, Room 3320San FranciscoCANurse Coordinator, RNCasey GannonStacie PetrashFSA(M-F) 7:45-4:15888882000500$92.93$46,465.00
E8622IGA42San FranciscoCAPhysician (Clinical)Casey GannonStacie PetrashFFSNo more than 10 hours per year.102.5$159.95$399.88
E8622IGA4275 Hawthorne Street3rd Floor, Room 3320San FranciscoCAStaff Nurse, RNCasey GannonStacie PetrashFFS2 hours per week as needed for FFS work only.10426$93.98$2,443.48
E8622IEA4A3211 S. Northpointe DriveNorthpointe Campus; Stop 16FresnoCANurse Coordinator, RNCasey GannonStacie PetrashPEAK SEASON:

FEB-JUN (M-F) 7:30am-8:30pm NON-PEAK SEASON:

JUL-JAN (M-F) 8:00am-3:30pm FSA PEAK SEASON:

JAN-JUNE (M-F) 7:30am-4:00pm NON-PEAK SEASON:

JULY-DEC (M-F) 8:00am-3:30pm888882000500$64.90$32,450.00New Address
E8622IEA4A3211 S. Northpointe DriveNorthpointe Campus; Stop 16FresnoCAStaff Nurse, RN (Evening)Casey GannonStacie PetrashPEAK SEASON:

FEB-JUN (M-F) 7:30am-8:30pm NON-PEAK SEASON:

JUL-JAN (M-F) 8:00am-3:30pmFSAPEAK SEASON:
JAN-JUNE (M-F) 4:00pm-8:30pm4.54.54.54.54.5600150$66.18$9,927.00New Address
E8622IGA4A3211 S. Northpointe DriveNorthpointe Campus; Stop 16FresnoCAStaff Nurse, RNCasey GannonStacie PetrashPEAK SEASON:

FEB-JUN (M-F) 7:30am-8:30pm NON-PEAK SEASON:

JUL-JAN (M-F) 8:00am-3:30pmFFS - OutreachNo more than 40 hours per year as needed for FFS work only.4010$63.40$634.00New Address
E8622IEA6M1301 Clay Street3rd Floor, North TowerOaklandCANurse Coordinator, RNCasey GannonStacie PetrashFSA(M-F) 8:00am-4:30pm888882000500$92.93$46,465.00
E8622IGA6M1301 Clay Street3rd Floor, North TowerOaklandCAPhysician (Clinical)Casey GannonStacie PetrashFFSNo more than 74 hours per year.7418.5$162.45$3,005.33
E8622IGA6M1301 Clay Street3rd Floor, North TowerOaklandCAStaff Nurse, RNCasey GannonStacie PetrashFFS7 hours per week as needed for FFS work only.36491$92.93$8,456.63
E8622IEA70300 Ala Moana Blvd., Box 50032Room 5-204HonoluluHINurse Coordinator, RNCasey GannonStacie PetrashFSA(M,W) 7:30am-4:00pm,
(F) 7:30am-11:30am8841000250$72.80$18,200.00
E8622IEA70300 Ala Moana Blvd., Box 50032Room 5-204HonoluluHIStaff Nurse, RNCasey GannonStacie PetrashFSA7.5 hours per week.7.534586.25$69.65$6,007.31
E8622IGA70300 Ala Moana Blvd., Box 50032Room 5-204HonoluluHIPhysician (Clinical)Casey GannonStacie PetrashFFSNo more than 104 hours per year.310426$169.54$4,408.04
E8622IGA70300 Ala Moana Blvd., Box 50032Room 5-204HonoluluHIStaff Nurse, RNCasey GannonStacie PetrashFFS10 hours per week as needed for FFS work only.7520130$69.67$9,057.10
E8622IBA7325 Jessie StreetRoom 1105San FranciscoCANurse Coordinator, RNCasey GannonStacie PetrashOperational site.(M-F) 8:00am-12:00pm444441000250$92.93$23,232.50
E8622IEA7G90 Seventh StreetRoom 300, 2nd floorSan FranciscoCANurse Coordinator, RNCasey GannonStacie PetrashFSA(M-F) 8:00am-4:30pm888882000500$92.93$46,465.00
E8622IGA7G90 Seventh StreetRoom 300, 2nd floorSan FranciscoCAPhysician (Clinical)Casey GannonStacie PetrashFFSNo more than 10 hours per year.102.5$157.45$393.63
E8622IGA7G90 Seventh StreetRoom 300, 2nd floorSan FranciscoCAStaff Nurse, RNCasey GannonStacie PetrashFFS4 hours per week as needed for FFS work only.20852$92.93$4,832.36
E8622IEA7L1973 N. Rulon White BlvdMS 1527OgdenUTNurse Coordinator, RNStacie Petrash(M,W,F) 7:00am-2:30pm; (T,TH) 9:30am-5:30pm; DEC-MAY: (3rd Monday each month only) (M-F) 7:00am-7:30pmIRS onlyFSA(M,W,F) 7:00am-2:30pm; (T,TH) 9:30am-5:30pm;77.577.571800450$59.58$26,811.00
E8622IEA7L1973 N. Rulon White BlvdMS 1527OgdenUTStaff Nurse, RN (Evening)Stacie Petrash(M,W,F) 7:00am-2:30pm; (T,TH) 9:30am-5:30pm; DEC-MAY: (3rd Monday each month only) (M-F) 7:00am-7:30pmFSAPEAK SEASON
DEC-MAY (3rd Monday of each month) 2:30pm-7:30pm246$60.55$363.30
E8622IBA7S200 E. Griggs Ave.138Las CrucesNMNurse Coordinator, RNCasey GannonStacie Petrash(T,W,TH) 7:30am-4:00pmFSA(T,W,TH) 7:30am-4:00pm8881248312$65.25$20,358.00
E8622IEA881160 West 1200 SouthMS-1525OgdenUTNurse Coordinator II, RNStacie Petrash(M-F) 6:00am-7:30pmIRS onlyFSA(M-F) 6:00am-2:30pm888882000500$61.10$30,550.00
E8622IEA881160 West 1200 SouthMS-1525OgdenUTStaff Nurse, RNStacie Petrash(M-F) 6:00am-7:30pmFSA(M-F) 7:00am-3:30pm888882000500$58.05$29,025.00
E8622IEA881160 West 1200 SouthMS-1525OgdenUTStaff Nurse, RN (Evening)Stacie Petrash(M-F) 6:00am-7:30pmFSA(M-F) 2:30pm-7:30pm555551300325$60.55$19,678.75
E8622IGA881160 West 1200 SouthMS-1525OgdenUTStaff Nurse, RNStacie Petrash(M-F) 6:00am-7:30pmFFS - Outreach11.25 hours per week as needed for FFS work only.585146.25$58.05$8,489.81
E8622IBA8M155 Hermann StRoom 302San FranciscoCANurse Coordinator, RNCasey GannonStacie Petrash(M-TH) 7:00am-3:30pmOperational site(M-TH) 7:00am-3:30pm88881664416$92.93$38,658.88
E8622IEA9C230 North 1st AvePhoenixAZNurse Coordinator, RNStacie PetrashFSA(T, W, TH) 8:30am - 5:00pm8881248312$58.91$18,379.92
E8622IGA9C230 North 1st AvePhoenixAZStaff Nurse, RNStacie PetrashFFS - Outreach30 hours per year as needed for FFS work only.307.5$58.15$436.13
E8622IBA9S325 BroadwayBoulderCONurse Coordinator, RNApril McNameeStacie Petrash(M-F) 7:30am-4:30pmNOAAFFS(M-F) 7:30am-4:30pm888882000500$76.81$38,405.00New Site in Oct.2021
E8622IHREG299 S. Main St.STE 400Salt Lake CityUTReviewing Medical Officer (RMO) - Regional40 hours per week.33583.75$187.11$15,670.46
E8622IEZ18350 W. 1st StreetSuite 2405Los AngelesCANurse Coordinator, RNCasey GannonStacie PetrashFSA(M-F) 7:30am-4:00pm888882000500$72.47$36,235.00
E8622IGZ18350 W. 1st StreetSuite 2405Los AngelesCAPhysician (Clinical)Casey GannonStacie PetrashFFSNo more than 60 hours per year.6015$159.88$2,398.20
E8622IGZ18350 W. 1st StreetSuite 2405Los AngelesCAStaff Nurse, RNCasey GannonStacie PetrashFFS8 hours per week as needed for FFS work only.416104$70.94$7,377.76
E8622IEZ19255 East TempleRoom 244Los AngelesCANurse Coordinator II, RNJan LuomaStacie PetrashFSA(M-F) 7:30am-4:00pm888882000500$73.97$36,985.00
E8622IGZ19255 East TempleRoom 244Los AngelesCAPhysician (Clinical)Jan LuomaStacie PetrashFFSNo more than 120 hours per year.12030$159.88$4,796.40
E8622IGZ19255 East TempleRoom 244Los AngelesCAStaff Nurse, RNJan LuomaStacie PetrashFFS12 hours per week as needed for FFS work only.624156$70.94$11,066.64
E8622IEZ1A501 I StreetSuite 7-300SacramentoCANurse Coordinator, RNJan LuomaStacie PetrashFSA(M-F) 7:45am-4:15pm888882000500$86.11$43,055.00
E8622IGZ1A501 I StreetSuite 7-300SacramentoCAPhysician (Clinical)Jan LuomaStacie PetrashFFSNo more than 84 hours per year.8421$152.46$3,201.66
E8622IGZ1A501 I StreetSuite 7-300SacramentoCAStaff Nurse, RNJan LuomaStacie PetrashFFS16 hours per week as needed for FFS work only.832208$86.11$17,910.88
E8622IEZ1A501 I StreetSuite 7-300SacramentoCAArea Clinic ManagerCasey GannonStacie Petrash(M-F) 8:00am-4:30pm888882000500$98.23$49,115.00
E8622IEZ1B450 Golden Gate Avenue, P.O Box 36115Room 5284, 2nd FLSan FranciscoCANurse Coordinator II, RNJan LuomaStacie PetrashFSA(M-F) 7:30am-4:00pm888882000500$92.93$46,465.00
E8622IGZ1B450 Golden Gate Avenue, P.O Box 36115Room 5284, 2nd FLSan FranciscoCAPhysician (Clinical)Jan LuomaStacie PetrashFFSNo more than 300 hours per yer.30075$157.45$11,808.75
E8622IGZ1B450 Golden Gate Avenue, P.O Box 36115Room 5284, 2nd FLSan FranciscoCAStaff Nurse, RNJan LuomaStacie PetrashFFS30 hours per week as needed for FFS work only.1560390$92.93$36,242.70
E8622IEZ1D630 Sansome StreetRoom 1434San FranciscoCANurse Coordinator, RNJan LuomaStacie PetrashFSA(M-F) 7:30am-4:00pm888882000500$92.93$46,465.00
E8622IGZ1D630 Sansome StreetRoom 1434San FranciscoCAPhysician (Clinical)Jan LuomaStacie PetrashFFSNo more than 75 hours per year.7518.75$157.45$2,952.19
E8622IGZ1D630 Sansome StreetRoom 1434San FranciscoCAStaff Nurse, RNJan LuomaStacie PetrashFFS4 hours per week as needed for FFS work only.20852$92.93$4,832.36
E8622IEZ1G501 West Ocean Blvd, 3rd FlRoom 3130Long BeachCANurse Coordinator, RNCasey GannonStacie PetrashFSA(T,W,TH) 7:30am-4:00pm88832208$69.45$14,445.60
E8622IGZ1G501 West Ocean Blvd, 3rd FlRoom 3130Long BeachCANurse Coordinator, RNCasey GannonStacie PetrashFFS - Exams Special arangement to supplement FS hours of operation.8 hours per week as needed for FFS work only.8416104$69.45$7,222.80
E8622IGZ1G501 West Ocean Blvd, 3rd FlRoom 3130Long BeachCAPhysician (Clinical)Casey GannonStacie PetrashFFSNo more than 80 hours per year.8020$152.46$3,049.20
E8622IGZ1G501 West Ocean Blvd, 3rd FlRoom 3130Long BeachCAStaff Nurse, RNCasey GannonStacie PetrashFFS - OutreachNo more than 40 hours per year as needed for FFS work only.4010$67.95$679.50
E8622IEZ1JP.O. Box 251145Bldg 40, Entrance W-3, Room A1115DenverCONurse Coordinator II, RNJan LuomaStacie PetrashFSA(M-TH) 7:30am-4:00pm88881664416$70.92$29,502.72
E8622IGZ1JP.O. Box 251145Bldg 40, Entrance W-3, Room A1115DenverCOPhysician (Clinical)Jan LuomaStacie PetrashFFSNo more than 156 hours per year.15639$145.16$5,661.24
E8622IGZ1JP.O. Box 251145Bldg 40, Entrance W-3, Room A1115DenverCOStaff Nurse, RNJan LuomaStacie PetrashFFS - Exams/Outreach23 hours per week as needed for FFS work only.1196299$67.92$20,308.08
E8622IPZ1JP.O. Box 251145Bldg 40, Entrance W-3, Room A1115DenverCOArea Clinic ManagerApril McNameeStacie Petrash(M-F) 8:00am-4:30pm888882000500$98.23$49,115.00
E8622IEZ1L1961 Stout StreetSuite 02-101, Room 322DenverCONurse Coordinator II, RNJan LuomaStacie PetrashFSA(M-F) 7:30am-4:00pm888882000500$73.79$36,895.00
E8622IGZ1L1961 Stout StreetSuite 02-101, Room 322DenverCOPhysician (Clinical)Jan LuomaStacie PetrashFFSNo more than 160 per year.16040$146.49$5,859.60
E8622IGZ1L1961 Stout StreetSuite 02-101, Room 322DenverCOStaff Nurse, RNJan LuomaStacie PetrashFFS - Exams/Outreach22 hours per week as needed for FFS work only.1144286$70.75$20,234.50
E8622IEZ1N2500 Tulare StRoom 4-240FresnoCANurse Coordinator, RNCasey GannonStacie Petrash(M-TH) 8:00am-1:00pmFSA(M-TH) 8:00am-1:00pm55551000250$64.90$16,225.00
E8622IGZ1N2500 Tulare StRoom 4-240FresnoCANurse Coordinator, RNCasey GannonStacie Petrash00$64.90$0.00No IG Hours in FY22
E8622IGZ1N2500 Tulare StRoom 4-240FresnoCAPhysician (Clinical)Casey GannonStacie Petrash00$156.20$0.00No IG Hours in FY22
E8622IEZ1U125 S State StreetRoom 2107Salt Lake CityUTNurse Coordinator, RNJan LuomaStacie PetrashFSA(M-F) 7:00am-3:30pm888882000500$59.58$29,790.00
E8622IGZ1U125 S State StreetRoom 2107Salt Lake CityUTPhysician (Clinical)Jan LuomaStacie PetrashFFSNo more than 150 hours per year.15037.5$150.66$5,649.75
E8622IGZ1U125 S State StreetRoom 2107Salt Lake CityUTStaff Nurse, RNJan LuomaStacie PetrashFFS14 hours per week as needed for FFS work only.728182$55.03$10,015.46
E8622IEZ2A500 Gold Avenue, SWRoom 11002AlbuquerqueNMNurse Coordinator, RNJan LuomaStacie PetrashFSA(M-F) 7:30am-4:00PMpm888882000500$65.23$32,615.00
E8622IGZ2A500 Gold Avenue, SWRoom 11002AlbuquerqueNMPhysician (Clinical)Jan LuomaStacie PetrashFFSNo more than 64 hours per year.12531.25$154.83$4,838.44
E8622IGZ2A500 Gold Avenue, SWRoom 11002AlbuquerqueNMStaff Nurse, RNJan LuomaStacie PetrashFFS14 hours per week as needed for FFS work only.728182$63.62$11,578.84
E8622IEZ2E550 West Fort Street, Msc-014Room 383BoiseIDNurse Coordinator, RNStacie PetrashFSA(M,T, W) 8:00am-12:00pm; (Th) 12:30-4:30pm4444832208$59.05$12,282.40
E8622IGZ2E550 West Fort Street, Msc-014Room 383BoiseIDNurse Coordinator, RNStacie PetrashFFS - Exams8 hours per week as needed for FFS work only.416104$59.05$6,141.20
E8622IGZ2E550 West Fort Street, Msc-014Room 383BoiseIDPhysician (Clinical)Stacie PetrashFFSNo more than 52 hours per year.5213$146.37$1,902.81
E8622IGZ2E550 West Fort Street, Msc-014Room 383BoiseIDStaff Nurse, RNStacie PetrashFFS - OutreachNo more than 40 hours per year as needed for FFS work only.4010$57.53$575.30
E8622IEZ3A915 2nd AvenueRoom 570SeattleWANurse Coordinator II, RNJan LuomaStacie PetrashFSA(M-F) 7:30am-4:00pm888882000500$78.11$39,055.00
E8622IGZ3A915 2nd AvenueRoom 570SeattleWAPhysician (Clinical)Jan LuomaStacie PetrashFFSNo more than 253 hours per year.25363.25$166.05$10,502.66
E8622IGZ3A915 2nd AvenueRoom 570SeattleWAStaff Nurse, RNJan LuomaStacie PetrashFFS20 hours per week as needed for FFS work only.1040260$78.12$20,311.20
E8622IEZ3H1220 SW 3rd Ave.Room G020PortlandORNurse Coordinator, RNStacie Petrash(M-F) 7:30am-4:00pmFSA(M-F) 7:30am-4:00pm888882000500$66.92$33,460.00
E8622IGZ3H1220 SW 3rd Ave.Room G020PortlandORPhysician (Clinical)Stacie PetrashFFSNo more than 100 hours per year.10025$146.67$3,666.75
E8622IGZ3H1220 SW 3rd Ave.Room G020PortlandORStaff Nurse, RNStacie PetrashFFS8 hours per week as needed for FFS work only.416104$63.13$6,565.52
E8622IEZ3Q400 15th Street, SWRoom 1170AuburnWANurse Coordinator, RNStacie PetrashFSA(M-F) 9:00am-1:00pm444441000250$74.82$18,705.00Site closing 12/31/21
E8622IGZ3Q401 15th Street, SWRoom 1171AuburnWAStaff Nurse, RNStacie PetrashFFS - Flu Shot Season5 hours per year as needed for FFS work only.51.25$74.82$93.53Site closing 12/31/21
E8622IEZ43401 W. Washington StreetSuite 301PhoenixAZNurse Coordinator, RNJan LuomaStacie PetrashFSA(M-F) 7:30am-4:00pm888882000500$58.91$29,455.00
E8622IGZ43401 W. Washington StreetSuite 301PhoenixAZPhysician (Clinical)Jan LuomaStacie PetrashFFSNo more than 224 hours per year.22456$146.11$8,182.16
E8622IGZ43401 W. Washington StreetSuite 301PhoenixAZStaff Nurse, RNJan LuomaStacie PetrashFFS17 hours per week as needed for FFS work only.884221$58.15$12,851.15
E8622IEZ47920 W. Riverside AvenueRoom 481SpokaneWANurse Coordinator, RNStacie PetrashFSA(W-F) 8:00am-2:30pm666936234$71.52$16,735.68
E8622IGZ47920 W. Riverside AvenueRoom 481SpokaneWAPhysician (Clinical)Stacie PetrashFFSNo more than 208 hours per year.20852$157.58$8,194.16
E8622IGZ47920 W. Riverside AvenueRoom 481SpokaneWAStaff Nurse, RNStacie PetrashFFS8 hours per week as needed for FFS work only.416104$69.85$7,264.40
E8622IEZ4J222 W. 7th Avenue, #42Room 532AnchorageAKNurse Coordinator, RNJan LuomaStacie PetrashFSA(M-TH) 7:30am-4:00pm88881664416$70.40$29,286.40
E8622IGZ4J222 W. 7th Avenue, #42Room 532AnchorageAKNurse Coordinator, RNJan LuomaStacie PetrashFFS(F) 7:30am-4:00pm. 8 hours per week as needed for FFS work only.8832208$70.40$14,643.20
E8622IGZ4J222 W. 7th Avenue, #42Room 532AnchorageAKPhysician (Clinical)Jan LuomaStacie PetrashFFSNo more than 204 hours per year.20451$137.60$7,017.60
E8622IGZ4J222 W. 7th Avenue, #42Room 532AnchorageAKStaff Nurse, RNJan LuomaStacie PetrashFFS20 hours per week as needed for FFS work only.1040260$70.55$18,343.00
E8622IEZ5634 Civic Center Plaza3rd FloorSanta AnaCANurse Coordinator, RNJan LuomaStacie PetrashFSA(M-F) 7:00am-3:30pm888481872468$72.47$33,915.96
E8622IGZ5634 Civic Center Plaza3rd FloorSanta AnaCANurse Coordinator, RNJan LuomaStacie PetrashFFS4 hours per week as needed for FFS work.420852$72.47$3,768.44
E8622IGZ5634 Civic Center Plaza3rd FloorSanta AnaCAPhysician (Clinical)Jan LuomaStacie PetrashFFSNo more than 80 hours per year.8020$153.94$3,078.80
E8622IGZ5634 Civic Center Plaza3rd FloorSanta AnaCAStaff Nurse, RNJan LuomaStacie PetrashFFS - Exams/Outreach20 hours per week as needed for FFS work only.1040260$70.94$18,444.40
E8622IEZ57880 Front StreetRoom B217San DiegoCANurse Coordinator II, RNJan LuomaStacie PetrashFSA(M-F) 7:30am-4:00pm888882000500$69.45$34,725.00
E8622IGZ57880 Front StreetRoom B217San DiegoCAPhysician (Clinical)Jan LuomaStacie PetrashFFSNo more than 108 hours per year.10827$162.45$4,386.15
E8622IGZ57880 Front StreetRoom B217San DiegoCAStaff Nurse, RNJan LuomaStacie PetrashFFS30 hours per week as needed for FFS work only.1560390$66.40$25,896.00
E8622IEZ596230 Van Nuys Blvd.Room 2005Van NuysCANurse Coordinator, RNCasey GannonStacie PetrashFSA(T-TH) 7:30am-4:00pm88832208$67.95$14,133.60
E8622IGZ596230 Van Nuys Blvd.Room 2005Van NuysCAPhysician (Clinical)Casey GannonStacie PetrashFFSNo more than 56 hours per year.5614$149.93$2,099.02
E8622IGZ596230 Van Nuys Blvd.Room 2005Van NuysCAStaff Nurse, RNCasey GannonStacie PetrashFFS5 hours per week as needed for FFS work only.26065$66.40$4,316.00
E8622IBZ5N7600 Sand Point Way, NENOAA BIN C-15700SeattleWANurse Coordinator, RNStacie PetrashOperational site.(M-F) 7:30am-4:00pm888882000500$78.12$39,060.00
E8622IBZ5N7600 Sand Point Way, NENOAA BIN C-15700SeattleWAStaff Nurse, RNStacie PetrashOperational site.No more than 36 hours per year.369$74.80$673.20
E8622IEZ5S11000 Wilshire BlvdRoom 7218Los AngelesCANurse Coordinator, RNJan LuomaStacie PetrashFSA(TU,W, TH) 7:30am-4:00pm8881248312$72.47$22,610.64
E8622IGZ5S11000 Wilshire BlvdRoom 7218Los AngelesCAPhysician (Clinical)Jan LuomaStacie PetrashFFSNo more than 320 hours per year.32080$159.88$12,790.40
E8622IGZ5S11000 Wilshire BlvdRoom 7218Los AngelesCAStaff Nurse, RNJan LuomaStacie PetrashFFS - Exams/Outreach36 hours per week as needed for FFS work only.1872468$79.24$37,084.32
E8622IEZ98101 12th Street, Box 21Room B 36FairbanksAKNurse Coordinator, RNStacie PetrashFSA(M-W) 7:30am-4:00pm,
(TH) 7:30am-2:00pm88861560390$68.13$26,570.70
E8622IGZ98101 12th Street, Box 21Room B 36FairbanksAKNurse Coordinator, RNStacie PetrashFFS2 hours per week as needed for FFS work only.10426$68.13$1,771.38
E8622IGZ98101 12th Street, Box 21Room B 36FairbanksAKPhysician (Clinical)Stacie PetrashFFSNo more than 10 hours per year.102.5$150.14$375.35
102,16525,541$1,956,471.42

OP1 2.1.22-4.30.22

FOH Clinical (WEST) Staffing Plan (Servefed)
HHSP233201800009I/75P00119F37005
PoP: February 1, 2022 - April 30, 2022
CANSiteStreet AddressRoom LocationCityStateLabor CategoryArea Clinic ManagersRegional Clinic ManagerClinic Hours of OperationCommentsPurpose for HoursStaff HoursMonTueWedThuFriTotal Hours
12 MonthsHours:
3-MonthsOP3 RatesTotal Cost:
3 MonthsNotes
E8622IEA1724000 Avila RoadRoom 3103ALaguna NiguelCANurse Coordinator, RNCasey GannonStacie PetrashFSA+ FFS work(M-F) 7:30am-4:00pm888882000500$69.45$34,725.00
E8622IGA1724000 Avila RoadRoom 3103ALaguna NiguelCAPhysician (Clinical)Casey GannonStacie PetrashFFSAverage 6 hours per year.61.5$156.20$234.30
E8622IGA1724000 Avila RoadRoom 3103ALaguna NiguelCAStaff Nurse, RNCasey GannonStacie PetrashFFS40 hours per year as needed for FFS work only.4010$67.95$679.50
E8622IEA1C855 M StreetStop 163FresnoCANurse Coordinator, RNCasey GannonStacie PetrashIRS only siteFSA(M,W,F) 8:00-4:30;
(T-TH) 9-5:30 pm888882000500$64.90$32,450.00
E8622IEA1C855 M StreetStop 163FresnoCAStaff Nurse, RN (Evening)Casey GannonStacie PetrashIRS only siteFSA(W) 5:00-8:00pm (Second and Third Wed.)37218$67.80$1,220.40
E8622IEA3B1973 North Rulon White BlvdMS 1526 Twin Rivers ComplexOgdenUTNurse Coordinator, RNStacie Petrash(M,W,F) 7:30am-3:30pm (T,TH) 9:00am-5:30pm; 1st Wednesday of the month 7:30am-7:30pmIRS onlyFSA(M,W,F) 7:30am-3:30pm (T,TH) 9:00am-5:30pm7.587.587.51930482.5$59.58$28,747.35
E8622IEA3B1973 North Rulon White BlvdMS 1526 Twin Rivers ComplexOgdenUTStaff Nurse, RNStacie Petrash(M,W,F) 7:30am-3:30pm (T,TH) 9:00am-5:30pm; 1st Wednesday of the month 7:30am-7:30pmEveryday Outreaches (3 other building)FSA5 hours per week.526065$58.05$3,773.25
E8622IEA3B1974 North Rulon White BlvdMS 1526 Twin Rivers ComplexOgdenUTStaff Nurse, RN (Evening)Stacie Petrash(M,W,F) 7:30am-3:30pm (T,TH) 9:00am-5:30pm; 1st Wednesday of the month 7:30am-7:30pmFSA1st Wednesday of the month 3:30pm-7:30pm4812$60.55$726.60
E8622IGA3B1973 North Rulon White BlvdMS 1526 Twin Rivers ComplexOgdenUTStaff Nurse, RNStacie Petrash(M,W,F) 7:30am-3:30pm (T,TH) 9:00am-5:30pm; 1st Wednesday of the month 7:30am-7:30pmFFS - Outreach4.5 hours per week for FFS outreach.23458.5$58.05$3,395.93
E8622IEA3C1325 BroadwayStop 164FresnoCANurse Coordinator, RNCasey GannonStacie PetrashIRS onlyFSA(M, W, F) 7:30- 3:00;
(T, TH) 9:00-4:30777771820455$64.90$29,529.50
E8622IEA3D700 Stewart Street, Suite 6201SeattleWANurse Coordinator, RNStacie PetrashFSA(M-TH) 7:30-4:0088881664416$76.44$31,799.04
E8622IGA3D700 Stewart Street, Suite 6201SeattleWAStaff Nurse, RNStacie PetrashFFS - Outreach90 hours per year as needed for FFS work only.9022.5$73.14$1,645.65
E8622IEA3N50 United Nations PlazaHealth CenterSan FranciscoCANurse Coordinator, RNCasey GannonStacie PetrashFSA(T, TH) 9:00-3:30
(W) 9:00-4:0066.56962240.5$92.93$22,349.67
E8622IEA4275 Hawthorne Street3rd Floor, Room 3320San FranciscoCANurse Coordinator, RNCasey GannonStacie PetrashFSA(M-F) 7:45-4:15888882000500$92.93$46,465.00
E8622IGA42San FranciscoCAPhysician (Clinical)Casey GannonStacie PetrashFFSNo more than 10 hours per year.102.5$159.95$399.88
E8622IGA4275 Hawthorne Street3rd Floor, Room 3320San FranciscoCAStaff Nurse, RNCasey GannonStacie PetrashFFS2 hours per week as needed for FFS work only.10426$93.98$2,443.48
E8622IEA4A3211 S. Northpointe DriveNorthpointe Campus; Stop 16FresnoCANurse Coordinator, RNCasey GannonStacie PetrashPEAK SEASON:

FEB-JUN (M-F) 7:30am-8:30pm NON-PEAK SEASON:

JUL-JAN (M-F) 8:00am-3:30pm FSA PEAK SEASON:

JAN-JUNE (M-F) 7:30am-4:00pm NON-PEAK SEASON:

JULY-DEC (M-F) 8:00am-3:30pm888882000500$64.90$32,450.00New Address
E8622IEA4A3211 S. Northpointe DriveNorthpointe Campus; Stop 16FresnoCAStaff Nurse, RN (Evening)Casey GannonStacie PetrashPEAK SEASON:

FEB-JUN (M-F) 7:30am-8:30pm NON-PEAK SEASON:

JUL-JAN (M-F) 8:00am-3:30pmFSAPEAK SEASON:
JAN-JUNE (M-F) 4:00pm-8:30pm4.54.54.54.54.5600150$66.18$9,927.00New Address
E8622IGA4A3211 S. Northpointe DriveNorthpointe Campus; Stop 16FresnoCAStaff Nurse, RNCasey GannonStacie PetrashPEAK SEASON:

FEB-JUN (M-F) 7:30am-8:30pm NON-PEAK SEASON:

JUL-JAN (M-F) 8:00am-3:30pmFFS - OutreachNo more than 40 hours per year as needed for FFS work only.4010$63.40$634.00New Address
E8622IEA6M1301 Clay Street3rd Floor, North TowerOaklandCANurse Coordinator, RNCasey GannonStacie PetrashFSA(M-F) 8:00am-4:30pm888882000500$92.93$46,465.00
E8622IGA6M1301 Clay Street3rd Floor, North TowerOaklandCAPhysician (Clinical)Casey GannonStacie PetrashFFSNo more than 74 hours per year.7418.5$162.45$3,005.33
E8622IGA6M1301 Clay Street3rd Floor, North TowerOaklandCAStaff Nurse, RNCasey GannonStacie PetrashFFS7 hours per week as needed for FFS work only.36491$92.93$8,456.63
E8622IEA70300 Ala Moana Blvd., Box 50032Room 5-204HonoluluHINurse Coordinator, RNCasey GannonStacie PetrashFSA(M,W) 7:30am-4:00pm,
(F) 7:30am-11:30am8841000250$72.80$18,200.00
E8622IEA70300 Ala Moana Blvd., Box 50032Room 5-204HonoluluHIStaff Nurse, RNCasey GannonStacie PetrashFSA7.5 hours per week.7.534586.25$69.65$6,007.31
E8622IGA70300 Ala Moana Blvd., Box 50032Room 5-204HonoluluHIPhysician (Clinical)Casey GannonStacie PetrashFFSNo more than 104 hours per year.310426$169.54$4,408.04
E8622IGA70300 Ala Moana Blvd., Box 50032Room 5-204HonoluluHIStaff Nurse, RNCasey GannonStacie PetrashFFS10 hours per week as needed for FFS work only.7520130$69.67$9,057.10
E8622IBA7325 Jessie StreetRoom 1105San FranciscoCANurse Coordinator, RNCasey GannonStacie PetrashOperational site.(M-F) 8:00am-12:00pm444441000250$92.93$23,232.50
E8622IEA7G90 Seventh StreetRoom 300, 2nd floorSan FranciscoCANurse Coordinator, RNCasey GannonStacie PetrashFSA(M-F) 8:00am-4:30pm888882000500$92.93$46,465.00
E8622IGA7G90 Seventh StreetRoom 300, 2nd floorSan FranciscoCAPhysician (Clinical)Casey GannonStacie PetrashFFSNo more than 10 hours per year.102.5$157.45$393.63
E8622IGA7G90 Seventh StreetRoom 300, 2nd floorSan FranciscoCAStaff Nurse, RNCasey GannonStacie PetrashFFS4 hours per week as needed for FFS work only.20852$92.93$4,832.36
E8622IEA7L1973 N. Rulon White BlvdMS 1527OgdenUTNurse Coordinator, RNStacie Petrash(M,W,F) 7:00am-2:30pm; (T,TH) 9:30am-5:30pm; DEC-MAY: (3rd Monday each month only) (M-F) 7:00am-7:30pmIRS onlyFSA(M,W,F) 7:00am-2:30pm; (T,TH) 9:30am-5:30pm;77.577.571800450$59.58$26,811.00
E8622IEA7L1973 N. Rulon White BlvdMS 1527OgdenUTStaff Nurse, RN (Evening)Stacie Petrash(M,W,F) 7:00am-2:30pm; (T,TH) 9:30am-5:30pm; DEC-MAY: (3rd Monday each month only) (M-F) 7:00am-7:30pmFSAPEAK SEASON
DEC-MAY (3rd Monday of each month) 2:30pm-7:30pm246$60.55$363.30
E8622IBA7S200 E. Griggs Ave.138Las CrucesNMNurse Coordinator, RNCasey GannonStacie Petrash(T,W,TH) 7:30am-4:00pmFSA(T,W,TH) 7:30am-4:00pm8881248312$65.25$20,358.00
E8622IEA881160 West 1200 SouthMS-1525OgdenUTNurse Coordinator II, RNStacie Petrash(M-F) 6:00am-7:30pmIRS onlyFSA(M-F) 6:00am-2:30pm888882000500$61.10$30,550.00
E8622IEA881160 West 1200 SouthMS-1525OgdenUTStaff Nurse, RNStacie Petrash(M-F) 6:00am-7:30pmFSA(M-F) 7:00am-3:30pm888882000500$58.05$29,025.00
E8622IEA881160 West 1200 SouthMS-1525OgdenUTStaff Nurse, RN (Evening)Stacie Petrash(M-F) 6:00am-7:30pmFSA(M-F) 2:30pm-7:30pm555551300325$60.55$19,678.75
E8622IGA881160 West 1200 SouthMS-1525OgdenUTStaff Nurse, RNStacie Petrash(M-F) 6:00am-7:30pmFFS - Outreach11.25 hours per week as needed for FFS work only.585146.25$58.05$8,489.81
E8622IBA8M155 Hermann StRoom 302San FranciscoCANurse Coordinator, RNCasey GannonStacie Petrash(M-TH) 7:00am-3:30pmOperational site(M-TH) 7:00am-3:30pm88881664416$92.93$38,658.88
E8622IEA9C230 North 1st AvePhoenixAZNurse Coordinator, RNStacie PetrashFSA(T, W, TH) 8:30am - 5:00pm8881248312$58.91$18,379.92
E8622IGA9C230 North 1st AvePhoenixAZStaff Nurse, RNStacie PetrashFFS - Outreach30 hours per year as needed for FFS work only.307.5$58.15$436.13
E8622IBA9S325 BroadwayBoulderCONurse Coordinator, RNApril McNameeStacie Petrash(M-F) 7:30am-4:30pmNOAAFFS(M-F) 7:30am-4:30pm888882000500$76.81$38,405.00New Site in Oct.2021
E8622IHREG299 S. Main St.STE 400Salt Lake CityUTReviewing Medical Officer (RMO) - Regional40 hours per week.33583.75$187.11$15,670.46
E8622IHREGReviewing Medical Officer (RMO) - Regional900225$186.03$41,856.75
E8622IEZ18350 W. 1st StreetSuite 2405Los AngelesCANurse Coordinator, RNCasey GannonStacie PetrashFSA(M-F) 7:30am-4:00pm888882000500$72.47$36,235.00
E8622IGZ18350 W. 1st StreetSuite 2405Los AngelesCAPhysician (Clinical)Casey GannonStacie PetrashFFSNo more than 60 hours per year.6015$159.88$2,398.20
E8622IGZ18350 W. 1st StreetSuite 2405Los AngelesCAStaff Nurse, RNCasey GannonStacie PetrashFFS8 hours per week as needed for FFS work only.416104$70.94$7,377.76
E8622IEZ19255 East TempleRoom 244Los AngelesCANurse Coordinator II, RNJan LuomaStacie PetrashFSA(M-F) 7:30am-4:00pm888882000500$73.97$36,985.00
E8622IGZ19255 East TempleRoom 244Los AngelesCAPhysician (Clinical)Jan LuomaStacie PetrashFFSNo more than 120 hours per year.12030$159.88$4,796.40
E8622IGZ19255 East TempleRoom 244Los AngelesCAStaff Nurse, RNJan LuomaStacie PetrashFFS12 hours per week as needed for FFS work only.624156$70.94$11,066.64
E8622IEZ1A501 I StreetSuite 7-300SacramentoCANurse Coordinator, RNJan LuomaStacie PetrashFSA(M-F) 7:45am-4:15pm888882000500$86.11$43,055.00
E8622IGZ1A501 I StreetSuite 7-300SacramentoCAPhysician (Clinical)Jan LuomaStacie PetrashFFSNo more than 84 hours per year.8421$152.46$3,201.66
E8622IGZ1A501 I StreetSuite 7-300SacramentoCAStaff Nurse, RNJan LuomaStacie PetrashFFS16 hours per week as needed for FFS work only.832208$86.11$17,910.88
E8622IEZ1A501 I StreetSuite 7-300SacramentoCAArea Clinic ManagerCasey GannonStacie Petrash(M-F) 8:00am-4:30pm888882000500$98.23$49,115.00
E8622IEZ1B450 Golden Gate Avenue, P.O Box 36115Room 5284, 2nd FLSan FranciscoCANurse Coordinator II, RNJan LuomaStacie PetrashFSA(M-F) 7:30am-4:00pm888882000500$92.93$46,465.00
E8622IGZ1B450 Golden Gate Avenue, P.O Box 36115Room 5284, 2nd FLSan FranciscoCAPhysician (Clinical)Jan LuomaStacie PetrashFFSNo more than 300 hours per yer.30075$157.45$11,808.75
E8622IGZ1B450 Golden Gate Avenue, P.O Box 36115Room 5284, 2nd FLSan FranciscoCAStaff Nurse, RNJan LuomaStacie PetrashFFS30 hours per week as needed for FFS work only.1560390$92.93$36,242.70
E8622IEZ1D630 Sansome StreetRoom 1434San FranciscoCANurse Coordinator, RNJan LuomaStacie PetrashFSA(M-F) 7:30am-4:00pm888882000500$92.93$46,465.00
E8622IGZ1D630 Sansome StreetRoom 1434San FranciscoCAPhysician (Clinical)Jan LuomaStacie PetrashFFSNo more than 75 hours per year.7518.75$157.45$2,952.19
E8622IGZ1D630 Sansome StreetRoom 1434San FranciscoCAStaff Nurse, RNJan LuomaStacie PetrashFFS4 hours per week as needed for FFS work only.20852$92.93$4,832.36
E8622IEZ1G501 West Ocean Blvd, 3rd FlRoom 3130Long BeachCANurse Coordinator, RNCasey GannonStacie PetrashFSA(T,W,TH) 7:30am-4:00pm88832208$69.45$14,445.60
E8622IGZ1G501 West Ocean Blvd, 3rd FlRoom 3130Long BeachCANurse Coordinator, RNCasey GannonStacie PetrashFFS - Exams Special arangement to supplement FS hours of operation.8 hours per week as needed for FFS work only.8416104$69.45$7,222.80
E8622IGZ1G501 West Ocean Blvd, 3rd FlRoom 3130Long BeachCAPhysician (Clinical)Casey GannonStacie PetrashFFSNo more than 80 hours per year.8020$152.46$3,049.20
E8622IGZ1G501 West Ocean Blvd, 3rd FlRoom 3130Long BeachCAStaff Nurse, RNCasey GannonStacie PetrashFFS - OutreachNo more than 40 hours per year as needed for FFS work only.4010$67.95$679.50
E8622IEZ1JP.O. Box 251145Bldg 40, Entrance W-3, Room A1115DenverCONurse Coordinator II, RNJan LuomaStacie PetrashFSA(M-TH) 7:30am-4:00pm88881664416$70.92$29,502.72
E8622IGZ1JP.O. Box 251145Bldg 40, Entrance W-3, Room A1115DenverCOPhysician (Clinical)Jan LuomaStacie PetrashFFSNo more than 156 hours per year.15639$145.16$5,661.24
E8622IGZ1JP.O. Box 251145Bldg 40, Entrance W-3, Room A1115DenverCOStaff Nurse, RNJan LuomaStacie PetrashFFS - Exams/Outreach23 hours per week as needed for FFS work only.1196299$67.92$20,308.08
E8622IPZ1JP.O. Box 251145Bldg 40, Entrance W-3, Room A1115DenverCOArea Clinic ManagerApril McNameeStacie Petrash(M-F) 8:00am-4:30pm888882000500$98.23$49,115.00
E8622IEZ1L1961 Stout StreetSuite 02-101, Room 322DenverCONurse Coordinator II, RNJan LuomaStacie PetrashFSA(M-F) 7:30am-4:00pm888882000500$73.79$36,895.00
E8622IGZ1L1961 Stout StreetSuite 02-101, Room 322DenverCOPhysician (Clinical)Jan LuomaStacie PetrashFFSNo more than 160 per year.16040$146.49$5,859.60
E8622IGZ1L1961 Stout StreetSuite 02-101, Room 322DenverCOStaff Nurse, RNJan LuomaStacie PetrashFFS - Exams/Outreach22 hours per week as needed for FFS work only.1144286$70.75$20,234.50
E8622IEZ1N2500 Tulare StRoom 4-240FresnoCANurse Coordinator, RNCasey GannonStacie Petrash(M-TH) 8:00am-1:00pmFSA(M-TH) 8:00am-1:00pm55551000250$64.90$16,225.00
E8622IGZ1N2500 Tulare StRoom 4-240FresnoCANurse Coordinator, RNCasey GannonStacie Petrash00$64.90$0.00No IG Hours in FY22
E8622IGZ1N2500 Tulare StRoom 4-240FresnoCAPhysician (Clinical)Casey GannonStacie Petrash00$156.20$0.00No IG Hours in FY22
E8622IEZ1U125 S State StreetRoom 2107Salt Lake CityUTNurse Coordinator, RNJan LuomaStacie PetrashFSA(M-F) 7:00am-3:30pm888882000500$59.58$29,790.00
E8622IGZ1U125 S State StreetRoom 2107Salt Lake CityUTPhysician (Clinical)Jan LuomaStacie PetrashFFSNo more than 150 hours per year.15037.5$150.66$5,649.75
E8622IGZ1U125 S State StreetRoom 2107Salt Lake CityUTStaff Nurse, RNJan LuomaStacie PetrashFFS14 hours per week as needed for FFS work only.728182$55.03$10,015.46
E8622IEZ2A500 Gold Avenue, SWRoom 11002AlbuquerqueNMNurse Coordinator, RNJan LuomaStacie PetrashFSA(M-F) 7:30am-4:00PMpm888882000500$65.23$32,615.00
E8622IGZ2A500 Gold Avenue, SWRoom 11002AlbuquerqueNMPhysician (Clinical)Jan LuomaStacie PetrashFFSNo more than 64 hours per year.12531.25$154.83$4,838.44
E8622IGZ2A500 Gold Avenue, SWRoom 11002AlbuquerqueNMStaff Nurse, RNJan LuomaStacie PetrashFFS14 hours per week as needed for FFS work only.728182$63.62$11,578.84
E8622IEZ2E550 West Fort Street, Msc-014Room 383BoiseIDNurse Coordinator, RNStacie PetrashFSA(M,T, W) 8:00am-12:00pm; (Th) 12:30-4:30pm4444832208$59.05$12,282.40
E8622IGZ2E550 West Fort Street, Msc-014Room 383BoiseIDNurse Coordinator, RNStacie PetrashFFS - Exams8 hours per week as needed for FFS work only.416104$59.05$6,141.20
E8622IGZ2E550 West Fort Street, Msc-014Room 383BoiseIDPhysician (Clinical)Stacie PetrashFFSNo more than 52 hours per year.5213$146.37$1,902.81
E8622IGZ2E550 West Fort Street, Msc-014Room 383BoiseIDStaff Nurse, RNStacie PetrashFFS - OutreachNo more than 40 hours per year as needed for FFS work only.4010$57.53$575.30
E8622IEZ3A915 2nd AvenueRoom 570SeattleWANurse Coordinator II, RNJan LuomaStacie PetrashFSA(M-F) 7:30am-4:00pm888882000500$78.11$39,055.00
E8622IGZ3A915 2nd AvenueRoom 570SeattleWAPhysician (Clinical)Jan LuomaStacie PetrashFFSNo more than 253 hours per year.25363.25$166.05$10,502.66
E8622IGZ3A915 2nd AvenueRoom 570SeattleWAStaff Nurse, RNJan LuomaStacie PetrashFFS20 hours per week as needed for FFS work only.1040260$78.12$20,311.20
E8622IEZ3H1220 SW 3rd Ave.Room G020PortlandORNurse Coordinator, RNStacie Petrash(M-F) 7:30am-4:00pmFSA(M-F) 7:30am-4:00pm888882000500$66.92$33,460.00
E8622IGZ3H1220 SW 3rd Ave.Room G020PortlandORPhysician (Clinical)Stacie PetrashFFSNo more than 100 hours per year.10025$146.67$3,666.75
E8622IGZ3H1220 SW 3rd Ave.Room G020PortlandORStaff Nurse, RNStacie PetrashFFS8 hours per week as needed for FFS work only.416104$63.13$6,565.52
E8622IEZ3Q400 15th Street, SWRoom 1170AuburnWANurse Coordinator, RNStacie PetrashFSA(M-F) 9:00am-1:00pm$74.82$0.00Site Closed 12/31/21
E8622IGZ3Q401 15th Street, SWRoom 1171AuburnWAStaff Nurse, RNStacie PetrashFFS - Flu Shot Season5 hours per year as needed for FFS work only.$74.82$0.00Site Closed 12/31/21
E8622IEZ43401 W. Washington StreetSuite 301PhoenixAZNurse Coordinator, RNJan LuomaStacie PetrashFSA(M-F) 7:30am-4:00pm888882000500$58.91$29,455.00
E8622IGZ43401 W. Washington StreetSuite 301PhoenixAZPhysician (Clinical)Jan LuomaStacie PetrashFFSNo more than 224 hours per year.22456$146.11$8,182.16
E8622IGZ43401 W. Washington StreetSuite 301PhoenixAZStaff Nurse, RNJan LuomaStacie PetrashFFS17 hours per week as needed for FFS work only.884221$58.15$12,851.15
E8622IEZ47920 W. Riverside AvenueRoom 481SpokaneWANurse Coordinator, RNStacie PetrashFSA(W-F) 8:00am-2:30pm666936234$71.52$16,735.68
E8622IGZ47920 W. Riverside AvenueRoom 481SpokaneWAPhysician (Clinical)Stacie PetrashFFSNo more than 208 hours per year.20852$157.58$8,194.16
E8622IGZ47920 W. Riverside AvenueRoom 481SpokaneWAStaff Nurse, RNStacie PetrashFFS8 hours per week as needed for FFS work only.416104$69.85$7,264.40
E8622IEZ4J222 W. 7th Avenue, #42Room 532AnchorageAKNurse Coordinator, RNJan LuomaStacie PetrashFSA(M-TH) 7:30am-4:00pm88881664416$70.40$29,286.40
E8622IGZ4J222 W. 7th Avenue, #42Room 532AnchorageAKNurse Coordinator, RNJan LuomaStacie PetrashFFS(F) 7:30am-4:00pm. 8 hours per week as needed for FFS work only.8832208$70.40$14,643.20
E8622IGZ4J222 W. 7th Avenue, #42Room 532AnchorageAKPhysician (Clinical)Jan LuomaStacie PetrashFFSNo more than 204 hours per year.20451$137.60$7,017.60
E8622IGZ4J222 W. 7th Avenue, #42Room 532AnchorageAKStaff Nurse, RNJan LuomaStacie PetrashFFS20 hours per week as needed for FFS work only.1040260$70.55$18,343.00
E8622IEZ5634 Civic Center Plaza3rd FloorSanta AnaCANurse Coordinator, RNJan LuomaStacie PetrashFSA(M-F) 7:00am-3:30pm888481872468$72.47$33,915.96
E8622IGZ5634 Civic Center Plaza3rd FloorSanta AnaCANurse Coordinator, RNJan LuomaStacie PetrashFFS4 hours per week as needed for FFS work.420852$72.47$3,768.44
E8622IGZ5634 Civic Center Plaza3rd FloorSanta AnaCAPhysician (Clinical)Jan LuomaStacie PetrashFFSNo more than 80 hours per year.8020$153.94$3,078.80
E8622IGZ5634 Civic Center Plaza3rd FloorSanta AnaCAStaff Nurse, RNJan LuomaStacie PetrashFFS - Exams/Outreach20 hours per week as needed for FFS work only.1040260$70.94$18,444.40
E8622IEZ57880 Front StreetRoom B217San DiegoCANurse Coordinator II, RNJan LuomaStacie PetrashFSA(M-F) 7:30am-4:00pm888882000500$69.45$34,725.00
E8622IGZ57880 Front StreetRoom B217San DiegoCAPhysician (Clinical)Jan LuomaStacie PetrashFFSNo more than 108 hours per year.10827$162.45$4,386.15
E8622IGZ57880 Front StreetRoom B217San DiegoCAStaff Nurse, RNJan LuomaStacie PetrashFFS30 hours per week as needed for FFS work only.1560390$66.40$25,896.00
E8622IEZ596230 Van Nuys Blvd.Room 2005Van NuysCANurse Coordinator, RNCasey GannonStacie PetrashFSA(T-TH) 7:30am-4:00pm88832208$67.95$14,133.60
E8622IGZ596230 Van Nuys Blvd.Room 2005Van NuysCAPhysician (Clinical)Casey GannonStacie PetrashFFSNo more than 56 hours per year.5614$149.93$2,099.02
E8622IGZ596230 Van Nuys Blvd.Room 2005Van NuysCAStaff Nurse, RNCasey GannonStacie PetrashFFS5 hours per week as needed for FFS work only.26065$66.40$4,316.00
E8622IBZ5N7600 Sand Point Way, NENOAA BIN C-15700SeattleWANurse Coordinator, RNStacie PetrashOperational site.(M-F) 7:30am-4:00pm888882000500$78.12$39,060.00
E8622IBZ5N7600 Sand Point Way, NENOAA BIN C-15700SeattleWAStaff Nurse, RNStacie PetrashOperational site.No more than 36 hours per year.369$74.80$673.20
E8622IEZ5S11000 Wilshire BlvdRoom 7218Los AngelesCANurse Coordinator, RNJan LuomaStacie PetrashFSA(TU,W, TH) 7:30am-4:00pm8881248312$72.47$22,610.64
E8622IGZ5S11000 Wilshire BlvdRoom 7218Los AngelesCAPhysician (Clinical)Jan LuomaStacie PetrashFFSNo more than 320 hours per year.32080$159.88$12,790.40
E8622IGZ5S11000 Wilshire BlvdRoom 7218Los AngelesCAStaff Nurse, RNJan LuomaStacie PetrashFFS - Exams/Outreach36 hours per week as needed for FFS work only.1872468$79.24$37,084.32
E8622IEZ98101 12th Street, Box 21Room B 36FairbanksAKNurse Coordinator, RNStacie PetrashFSA(M-W) 7:30am-4:00pm,
(TH) 7:30am-2:00pm88861560390$68.13$26,570.70
E8622IGZ98101 12th Street, Box 21Room B 36FairbanksAKNurse Coordinator, RNStacie PetrashFFS2 hours per week as needed for FFS work only.10426$68.13$1,771.38
E8622IGZ98101 12th Street, Box 21Room B 36FairbanksAKPhysician (Clinical)Stacie PetrashFFSNo more than 10 hours per year.102.5$150.14$375.35
102,06025,515$1,979,529.65

Sheet1 Draft Clinical West Site Staffing Plan Attachment J.2

CANCost CenterSiteStreet AddressRoom LocationCityStateFOH Labor CategoryClinic
Hours of OperationMonTueWedThuFriSatSunTotal Estimated Hours, 12 Month TotalNotes
IEOP509A1C855 M StreetStop 163FresnoCAStaff Nurse, RN (Evening)2nd & 3rd W 5:00p-8:00p3156
IEOP509A1C855 M StreetStop 163FresnoCANurse Coordinator, RNM/W/F 8:00a-4:30p, T/Th 9:00a-5:30p888882008
IEOP509A3B1974 North Rulon White BlvdMS 1526 Twin Rivers ComplexOgdenUTStaff Nurse, RN (Evening)(M,W,F) 7:30am-3:30pm

(T,TH) 9:00am-5:30pm

1st Wednesday of the month 7:30am-7:30pm48
IEOP509A3B1973 North Rulon White BlvdMS 1526 Twin Rivers ComplexOgdenUTStaff Nurse, RN(M,W,F) 7:30am-3:30pm

(T,TH) 9:00am-5:30pm

1st Wednesday of the month 7:30am-7:30pm5260
IEOP509A3B1973 North Rulon White BlvdMS 1526 Twin Rivers ComplexOgdenUTNurse Coordinator, RN(M,W,F) 7:30am-3:30pm

(T,TH) 9:00am-5:30pm

1st Wednesday of the month 7:30am-7:30pm7.587.587.52002
IEOP509A3C1325 BroadwayStop 164FresnoCANurse Coordinator, RNM/W/F 7:30a-3p, T/Th 9a-4:30p777771820
P8OP519A3D700 Stewart Street, Suite 6201Room 6201SeattleWAStaff Nurse, RNM-Th 7:30a-4p10Decrease from 10 to 2 per Jan 26' review
IEOP509A3D700 Stewart Street, Suite 6201Room 6201SeattleWANurse Coordinator, RNM-Th 7:30a-4p88881664
IEOP509A4A3211 S. Northpointe DriveNorthpointe Campus; Stop 16FresnoCANurse Coordinator, RNM-F 8a-3:30p888882008
P8OP519A6M1301 Clay Street3rd Floor, North TowerOaklandCAPhysician (Clinical)M-F 8:00a-4:30p74Decrease from 74 to 58 per Jan 26' review
P8OP519A6M1301 Clay Street3rd Floor, North TowerOaklandCAStaff Nurse, RNM-F 8:00a-4:30p220Decrease from 220 to 155 per Jan 26' review
IEOP509A6M1301 Clay Street3rd Floor, North TowerOaklandCANurse Coordinator, RNM-F 8:00a-4:30p888882008
P8OP519A70300 Ala Moana Blvd., Box 50032Room 5-204HonoluluHIPhysician (Clinical)M/W 7:30a-4p, F 7:30a-11:30a70Decrease from 70 to 39 per Jan 26' review
P8OP519A70300 Ala Moana Blvd., Box 50032Room 5-204HonoluluHIStaff Nurse, RNM/W 7:30a-4p, F 7:30a-11:30a240Decrease from 240 to 123 per Jan 26' review
IEOP509A70300 Ala Moana Blvd., Box 50032Room 5-204HonoluluHIStaff Nurse, RNM/W 7:30a-4p, F 7:30a-11:30a7.5390
IEOP509A70300 Ala Moana Blvd., Box 50032Room 5-204HonoluluHINurse Coordinator, RNM/W 7:30a-4p, F 7:30a-11:30a8841040
IEOP509A7G90 Seventh StreetRoom 300, 2nd floorSan FranciscoCANurse Coordinator, RNM-F 8:00a-4:30p888882008
IEOP509A7L1973 N. Rulon White BlvdMS 1527OgdenUTStaff Nurse, RN (Evening)(M,W,F) 7:00am-2:30pm;

(T,TH) 9:30am-5:30pm;

DEC-MAY:(3rd Monday each month only)

(M-F) 7:00am-7:30pm24
IEOP509A7L1973 N. Rulon White BlvdMS 1527OgdenUTNurse Coordinator, RN(M,W,F) 7:00am-2:30pm;

(T,TH) 9:30am-5:30pm;

DEC-MAY:(3rd Monday each month only)

(M-F) 7:00am-7:30pm77.577.571872
P9OP520A7S200 E. Griggs Ave.138Las CrucesNMNurse Coordinator, RNT-Th 7:30a-4:00p8881248
P8OP519A881160 West 1200 SouthMS-1525OgdenUTStaff Nurse, RN(M-F) 6:00am-7:30pm819
IEOP509A881160 West 1200 SouthMS-1525OgdenUTStaff Nurse, RN (Evening)M-F 6:00a-7:30p555551300
IEOP509A881160 West 1200 SouthMS-1525OgdenUTNurse Coordinator II, RNM-F 6:00a-7:30p888882008
IEOP509A881160 West 1200 SouthMS-1525OgdenUTStaff Nurse, RNM-F 6:00a-7:30p888882008
P9OP520A8M155 Hermann StRoom 302San FranciscoCANurse Coordinator, RNM-Th 7:00a-3:30p88881664
P8OP519A9C230 North 1st AvePhoenixAZStaff Nurse, RNT-Th 8:30a-5:00p30Decrease from 30 to 7 per jan 26' review
IEOP509A9C230 North 1st AvePhoenixAZNurse Coordinator, RNT-Th 8:30a-5:00p8881248
P8OP519Z18350 W. 1st StreetSuite 2405Los AngelesCAPhysician (Clinical)M-F 7:30a-4:00p60

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