Technical Exhibit 5 - Contract Worker Standard Qualifications 9 Feb 2026 IDIQ 2 Mental Health.pdf

Exhibit 5, Version 1.0 (9 Feb 2026)

Exhibit 5 – IDIQ #2 Mental Health

Contract Worker Standard Qualifications

The standard qualifications listed in this exhibit are the labor category standard qualifications.

Task Order Contracting Officers (TOCOs) shall use the minimum qualifications as minimum requirements, but may modify the core duties in the Task Order Performance Work Statement

(PWS) to meet their specific requirements. Bullets under the “Minimum Qualifications” section of each labor category will NOT be modified to a lesser degree than the requirements outlined in the DHA PM 6025.13, vol. 4 or Service-specific requirements where the DHA PM is silent.

Service specific guidelines may apply in areas where the DHA PM is silent. Bullets under the

“Core Duties” section of each labor category may be modified in the Task Order PWS.

LABOR CATEGORIES

Certified Drug and Substance Counselor

Minimum Qualifications:

• Degree: Certificate required for non-privileged counselors. If there is a gap in the

DHAPM 6025.13 vol.4, refer to Service-specific guidelines.

• Education: Graduate from a behavioral science program with specialized training in substance abuse and chemical dependency treatment.

• Certification: Maintain a national certification credential by the National Association of

Alcohol and Drug Abuse Counselors or National Board of Certification Counselors or

International Certification & Reciprocity Consortium/Alcohol and Other Drug Abuse.

• Experience: One year of experience within the last two years as a Certified Drug and

Substance Counselor.

• License: Current, full, active, and unrestricted license to practice as a Certified Drug and

Substance Addictions Counselor.

Core Duties:

• Perform a full range of Certified Addiction Counselor duties, in accordance with assignment and consistent with the scope of practice for profession, including but not limited to, medical care treatment and patient education in a knowledgeable, skillful, consistent, and continuous manner.

• Obtain or provide relevant information that will facilitate treatment and assist in developing programs.

• Provide assessment of substance abuse and addiction.

• Identify and document medical consequences of alcohol and other substance use, including withdrawal and detoxification.

• Facilitate the placement and management of patients in appropriate levels of care within the continuum of care model of the treatment of addictive disorders

Clinical Psychologist

Minimum Qualifications:

• Degree: Doctor of Philosophy (PhD) or Doctor of Psychology (PsyD).

• Education: Graduate from an American Psychology Association accredited college or university with a doctoral degree in clinical or counseling psychology. Additional training is required for psychology specialties. Refer to the DHA PM 6025.13, vol. 4 for requirements.

• Internship/Residency: Successful completion from an internship in psychology accredited by the American Psychological Association.

• Experience: As required to meet clinical competency requirements specified in the credentialing instruction.

• Licensure: As required to meet clinical competency requirements specified in the credentialing instruction.

Core Duties:

• Practice within the guidelines of their state licensing board, American Psychological

Association Ethical Principles and Code of Conduct, and MTF privileges.

• Conduct psychological evaluations utilizing information from clinical interviews, psychological testing, and collateral sources, as appropriate.

• Establish psychiatric diagnoses according to the American Psychiatric Association

Diagnostic and Statistical Manual of Disorders.

• Provide psychological treatment for individuals and groups; help medical and surgical patients deal with illnesses or injuries.

• Assist in rehabilitation of patients.

Marriage and Family Counselor

• Degree: Master’s Degree.

• Education: Graduation from a marriage and family therapy accredited by the

Commission on Accreditation for Marriage and Family Therapy Education (COAMFTE) or a qualifying degree in an allied mental health field from a regionally accredited education institution in conjunction with a program of marriage and family therapy study that is equivalent to the COAMFTE standards, as defined by the American Association of

Marriage and Family Therapy (AAMFT).

• Certification: Possess and maintain a current Clinical Membership as a Marriage and

Family Therapist from the American Association of Marriage and Family Therapy

(AAMFT).

• Experience One year of experience within the last two years as a marriage and family counselor.

• Licensure: Possess a license for independent practice from a U.S. state, territory, or district to practice as a Marriage and Family Therapist.

Core Duties:

• Perform assessment, counseling, psychotherapy, education, and referral services to individuals, couples and families. With the patient, conducts a relevant social, developmental and historical assessment to develop a treatment plan that encompasses relevant information for family education, counseling and referrals. The education services would include workshops on family dynamics and the impact of substance abuse disorders on families.

• As a member of the inter-disciplinary treatment team, provide effective interface with team members regarding identification of treatment concerns, appropriate interventions and referrals as related to family dynamics and past/current history of abuse.

• Integrate, initiate and effectively introduce patient and family members (as indicated) into an education/counseling process. Individual, couples and family dynamics are identified as related to their treatment process and entry into early recovery, from a systems perspective (except where contraindicated such as psychological stability or history of violence).

• Assess for and report spouse, child and elder abuse where indicated by state and federal laws while accessing appropriate services.

• Use family program assessments to develop individualized treatment plans for families and make recommendations for services for after care in coordination with the clinical

(civilian and military) community and patient family.

• Facilitate couple and/or spouse education workshops for patients and their spouses where alcohol/drug dependency may impact the family through the use of films, communication exercises and didactic presentations, facilitates discussions and education of patients and their families.

Psychiatric Technician

• Degree: Certificate.

• Education: Graduation from an accredited Psychiatric Technician Program; or completion of an equivalent education and experience that meets the requirement of the

American Association of Psychiatric Technicians or completion of education and experience as a behavioral science specialist/technician in the United States military and proof of having completed an Armed Forces course involving psychiatric technician training.

• Experience: One year of experience within the last two years as a Psychiatric

Technician.

Core Duties:

• Conduct or assist in treatment and rehabilitation of patients. Perform initial basic assessment procedures including standardized psychological testing, clinical interviewing, mental status examinations, substance abuse evaluations, and psychological assessments.

• Provide patient education in coordination with the mental health and nursing diagnosis.

• Observe, monitor, record, and report patient's progress.

• Conduct or assist in conducting group and individual counseling, therapeutic community, and other related milieu activities.

• Institute precautionary measures to prevent patient injury or suicide.

• Assist patients with nutritional, hygiene, and comfort measures.

• Obtain and record vital signs.

• Coordinate with other agencies regarding specified care, treatment, prevention, rehabilitation, and administrative functions. Contact military and community agencies to obtain collateral information. Explain and interpret mental health services to patients or others.

• Assist in, or arrange patient referral to public, private, and military community agencies.

• Prepare and maintain records and reports pertaining to specialty services.

• Assist with care of individuals experiencing acute and post-traumatic stress reactions.

• Prepare and maintain treatment records.

Physician Assistant

Includes, but not limited to: Psychiatry

Minimum Qualifications:

• Degree: Bachelor's degree.

• Education: Graduate from an accredited college or university certified by the

Accreditation Review Commission on Education of the Physician Assistant (ARC-PA).

In addition to the education requirements listed in the DHA-PM for PAs, specialty PAs must complete residency or fellowship training of 12 months or more in a medical specialty program acceptable to the DHA.

• Certification: Certified by the National Commission on Certification of Physician’s

Assistants (NCCPA).

• Experience: As required to meet clinical competency requirements specified in the credentialing instruction.

• Licensure: Current, full, active, and unrestricted license to practice as a Physician

Assistant.

Core Duties:

• Provide a full range of Physician Assistant services in primary and specialty medical care within the limits of their training and privileges granted by the MTF (e.g., supervise and provide general screening and medical care and examinations of patients for routine, acute and chronic conditions involving any and all organ systems; provide immunizations; diagnose, treat, and counsel patients as indicated).

• Technically direct and provide care for a variety of diseases and types of injuries (i.e., acute, chronic and minor trauma), and the skills to recognize emergency conditions in order to diagnose, prescribe for and treat diseases, disorders and injuries, and refer the more complex cases and serious conditions to qualified medical personnel and perform designated treatment.

• Technically direct and teach other staff, provide educational lectures and participate in in-service training to staff members.

• Promote preventive care and health maintenance including annual physicals, positive health behaviors and self-care through both formal and individual education and counseling.

• Prescribe in accordance with approved treatment protocols and the Pharmacy and

Therapeutics Committee approved medications and immunizations.

• Identify a medical problem and determine appropriate action to meet the problem, including referral to a physician.

• Perform specific diagnostic and therapeutic practices and procedures in accordance with scope of practice.

• Establish collaborative rapport with physician, nursing and others in order to promote and facilitate primary care services.

• Teach patients and family member's healthy regimen and responsibility for achieving wellness.

• Attend staff meetings to provide case discussion, continuing education, and continuous quality improvement.

Psychometrist

• Degree: Bachelor's Degree.

• Education: Graduate from a formal program in Psychology, Sociology, or in a behavioral science related field from an accredited college or university

• Certification: Certified by Board of Certified Psychometrists (BCP).

• Experience: One year of experience within the last two years in the performance of psychological and/or neuropsychological testing and test scoring.

Core Duties:

• Perform assigned assessment procedures under the direct supervision of a credentialed privileged psychologist or neuropsychologist.

• Utilize therapeutic assessment and interview skills to elicit accurate and concise account of the patient's condition.

• Screen patients to determine presenting problems and priority of appointment. Perform basic assessment procedures, including initial screening evaluation and standardized neuropsychological testing. Assist credentialed providers with identifying mental health diagnosis and treatment strategies, as well as providing patient education.

• Assist in providing specialized treatment and rehabilitation of brain injured and mental health patients. Observe, monitor, report, and record patient interaction during assessment sessions.

• Institute precautionary measures to prevent patient injuries due to suicide, homicide, or elopement.

• Coordinate with other military agencies and MTFs regarding specialized care, treatment, and administrative functions. Contact military or community agencies to obtain collateral information.

• Explain and interpret neuropsychological services and procedures to access care to patients and commands. Assist in or arrange for patient referral to other facilities for alternate level of care.

Recreational Therapist

• Degree: Bachelor's Degree.

• Education: Graduate in therapeutic recreation or recreational therapy from an accredited college or university.

• Certification: Current certification as a Recreational Therapist from the National Council for Therapeutic Recreation Certification (NCTRC).

• Experience: One year of experience within the last two years as a Recreational Therapist.

Core Duties:

• Develop treatment plans designed to restore, remediate and rehabilitate a person’s level of functioning and independence in life activities, to promote health and wellness as well as reduce or eliminate activity limitations and restrictions to participate in life situations caused by an illness or disabling condition.

• Develop and implement individual recreation programs based on assessment results.

• Teach, coach, and support as required.

• Work with multidisciplinary treatment teams to evaluate and review the care provided to patients.

• Provide individual consultation to staff as requested.

• Develop presentations to staff on recreational opportunities.

Registered Art Therapist

• Degree: Master's Degree.

• Education: Graduate from an Art Therapy program accredited by the American Art

Therapy Association (AATA).

• Certification: Current certification as a Registered Art Therapist from the Art Therapy

Credentials Board (ATCB).

• Experience: One year of experience within the last two years as a Registered Art

Therapist.

Core Duties:

• Organize groups according to the patients' capabilities, needs, and interest.

• Be familiar with standard concepts, practices, and procedures within the field of art therapy.

• Analyze data to determine effectiveness of treatments or therapy approaches.

• Analyze or synthesize client data to draw conclusions or make recommendations for art therapy.

• Assess client needs or disorders, using drawing, painting, sculpting, or other artistic processes.

• Conduct art therapy sessions providing guided self-expression experiences to help clients recover from or cope with cognitive, emotional, or physical impairments.

• Confer with other professionals on client’s treatment team to develop, coordinate, or integrate treatment plans.

Clinical Social Worker

Includes, but not limited to: Licensed Clinical Social Worker; Medical Social Worker

Minimum Qualifications:

• Degree: Master's degree in Social Work (MSW).

• Education: Graduate from an Accredited School of Social Work fully accredited by the

Council on Social Work Education (CSWE).

• Experience: Experience in clinical social work, either through a master’s-level practicum or 2 years post-MSW experience, within the last 3 years, in a clinical/treatment setting.

• Licensure: Current, full, active, and unrestricted license to practice as a Licensed Clinical

Social Worker.

Core Duties:

• Coordinate appropriate referrals to community and other Government agencies for services.

• Independently assess the psychosocial functioning and needs of patients and their family members and formulate and implement a treatment plan, identifying the patient’s problems, strengths, weaknesses, coping skills and assistance needed, in collaboration with the patient, family and interdisciplinary treatment team.

• Independently conduct psychosocial assessments and provide psychosocial treatment to a wide variety of individuals from various socio-economic, cultural, ethnic, educational and other diverse backgrounds.

• Use medical and mental health diagnoses, disabilities and treatment procedures. This includes acute, chronic and traumatic illnesses/injuries, common medications and their effects/side effects, and medical terminology.

• Implement treatment modalities in working with individuals, families and groups who are experiencing a variety of psychiatric, medical and social problems to achieve treatment goals.

• Independently provide counseling and/or psychotherapy services to individuals, groups, couples, and families. Must practice within the bounds of the license or certification and the privileges granted by the MTF.

• Provide consultation services to other staff about the psychosocial needs of patients and the impact of psychosocial problems on health care and compliance with treatment.

• Participate in professional peer review case conferences, research studies, or other organizations required at the MTF.

Social Worker, Case Manager

Minimum Qualifications:

• Degree: Master's degree in Social Work (MSW).

• Education: Graduate from a School of Social Work fully accredited by the Council on

Social Work Education (CSWE).

• Certification: Possess certification as a Certified Advanced Social Work Case Manager

(C-ASWCM) by the National Association of Social Workers or a minimum of three years of experience within the preceding four years as a social work case manager in a hospital-based setting performing medical crisis counseling and discharge planning.

• Experience: Possess certification as a Certified Advanced Social Work Case Manager

(C-ASWCM) by the National Association of Social Workers or a minimum of three years of experience within the preceding four years as a social work case manager in a hospital-based setting performing medical crisis counseling and discharge planning.

• Licensure: Current, full, active, and unrestricted license to practice as a Licensed Clinical

Social Worker.

Core Duties:

• Participate in Utilization Management/Case Management meetings to review and identify opportunities to improve treatment provided and recommend corrective action when problems exist.

• Participate in the provision of monthly in-service training for non-healthcare-practitioner members of the clinical and administrative staff on subjects germane to social work and social work CM services.

• Provide patient referrals.

• Interface with the MTF RN Case Manager(s) in the development and implementation of the Case Management Program (CMP).

• Develop local strategies that use the strength and disciplines of both nursing and social work to accomplish case management.

• Provide assistance in the development and implementation of educational programs.

• Additionally, the social work case manager may be required to provide those services identified under Licensed Clinical Social Worker.

Clinical Nurse Specialist

Includes, but not limited to: Adult Psychiatric-Mental Health

Minimum Qualifications:

• Degree: Master's degree in nursing.

• Education: Graduate from an academic program, within the nursing specialty field of study that is accredited by national nursing accrediting agency recognized by the

Accreditation Commission for Education in Nursing (ACEN) or the Commission on

Collegiate Nursing Education (CCNE).

• Certification: Certified in the specialty required by the TO as a Clinical Nurse Specialist by the American Nurses Credentialing Center (ANCC) or the recognized national nursing certification organization for the specialty (for example, oncology, psychiatric, cardiovascular, pulmonary).

• Experience: As required to meet clinical competency requirements specified in the credentialing instructions.

• Licensure: Current, full, active, and unrestricted license as a Registered Nurse.

• Practice independently and collaboratively with other members of the health care team to ensure a comprehensive plan of care for the patient. Technically direct and teach other staff, provide educational lectures and participate in in-service training to staff members.

• Perform developmental assessments and screenings; conducting diagnostic and screening tests; initiating and evaluating treatment regimens that may include prescribing and dispensing medication appropriate to the privileged scope of care.

• Communicate and collaborate with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family and organization.

• Recognize conditions that require isolation and ensure universal precautions are used in all patient encounters.

• Attend staff meetings to provide case discussion, continuing education, and continuous quality improvement.

Licensed Practical/Vocational Nurse

Minimum Qualifications:

• Degree: Certificate.

• Education: Graduation from a State Board of Nursing approved LPN/LVN training program or completion of equivalent military training that permits sitting for the State licensure examination.

• Experience: One year of experience within the last two years as a practical or vocational nurse.

• Licensure: Current, full, active and unrestricted license as a practical or vocational nurse.

Core Duties:

• Initiate, perform and complete assigned duties in providing care to variable patient populations.

• Complete assigned patient care based on the patients’ conditions, use judgment in selecting the appropriate order and sequence of procedures and treatments, and accurately recognize, report and record relevant patient information.

• Observe, identify and respond to the patient’s needs for care, including medication, equipment-assisted care and patient/family education.

• Prepare and administer prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous) and perform treatments according to established policies/procedures.

• Recognize urgent or emergent patient care situations, seek assistance of the RN and/or

MD/DO, and initiate appropriate emergency interventions as directed.

• Perform support duties for complex diagnostic tests and/or specialized practices or procedures, which include preparing the patient, assisting in the diagnostic examination, preparing and handling specialized instruments or other specialized equipment, and monitoring the patient’s condition before, during, and following the procedure.

• Orient peers and ancillary personnel to unit policies and procedures, skills, and standards of practice.

• Integrate healthy work environment principles that result in improved patient healthcare delivery, education of patients and their families and employee satisfaction.

Nurse Practitioner (Advanced Practice Nurse)

Includes, but not limited to: Nurse Practitioner in the following areas: Psychiatric-Mental

Health; Psychiatric Primary Care

Minimum Qualifications:

• Degree: Master's degree in nursing.

• Education: Graduate from an academic program, within the nursing specialty field of study that is accredited by a regional or national nursing accrediting agency recognized by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE).

• Certification: Certified in the specialty required by the TO as a Nurse Practitioner by the

American Nurses Credentialing Center (ANCC), American Academy of Nurse

Practitioners (AANP) or the recognized national nursing certification organization for the specialty area of practice as appropriate (for example, National Certification Board of

Pediatric Nurse Practitioners and Nurses, American Nurses Association, National

Certification Corporation for the Obstetric, Gynecologic and Neonatal Specialties).

• Experience: As required to meet clinical competency requirements specified in the credentialing instructions.

• Licensure: Current, full, active, and unrestricted license as a Registered Nurse.

Core Duties:

• Provide a full range of outcome-based nurse practitioner services in accordance with privileges granted by the MTF (e.g., supervise and provide general screening and medical care and examinations of patients for routine, acute and chronic conditions involving any and all organ systems; provide immunizations; diagnose, treat, and counsel patients as indicated).

• Technically direct and teach other staff, provide evidenced-based educational lectures and participate in in-service training to staff members.

• Diagnose and treat patients with common acute conditions, chronic illnesses, or minor trauma within accepted protocols, clinical practice guidelines, Nurse Practice Acts, and/or in consultation with a physician.

• Promote preventive care and health maintenance including annual physicals, positive health behaviors and self-care through both formal and individual education and counseling.

• Communicate and collaborate with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family and organization.

• Recognize conditions that require isolation and ensure universal precautions are used in all patient encounters.

• Attend staff meetings to provide case discussion, continuing education, and continuous quality improvement and safety.

Registered Nurse

Includes, but not limited to: Psychiatric-Mental Health; Psychiatric Primary Care

• Degree: Associates Degree of Nursing.

• Education: Graduate from a college or university accredited by Accreditation

Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing

Education (CCNE).

• Experience One year of experience within the last two years as a registered nurse.

• Licensure: Current, full, active, and unrestricted license to practice as a Registered Nurse.

• Coordinate patient care in collaboration with a wide array of healthcare professionals.

Facilitate the achievement of optimal outcomes in relation to clinical care, quality and cost effectiveness.

• Ensure compliance with standards of care and practice in accordance with all established policies, procedures, and guidelines used in the MTF.

• Perform physical exam and health histories.

• Provide health promotions, counseling, and education.

• Administer medications, wound care, and numerous other personalized interventions.

• Direct and supervise care provide by other healthcare professionals.

• Accountable for making patient care assignments based on the scope of practice and skill level of assigned personnel.

• Recognize adverse signs and symptoms and quickly react in emergency situations.

• Communicate and collaborate with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family and organization.

• Make referral appointments and arrange specialty care as appropriate.

• Perform nursing services identified in the TO.

• Conduct research in support of improved practice and patient outcomes.

Registered Nurse - Case Manager

• Degree: Associates Degree of Nursing.

• Education: Graduate from a college or university accredited by Accreditation

Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing

Education (CCNE) or as otherwise outlined in the TO.

• Certification: Possess one of the following certifications:

o Commission for Case Manager Certification Certified Case Manager (CCM) o Certification of Disability Management Specialists Commission: Certified

Disability Management Specialist (CDMS) o Association of Rehabilitation Nurses: Certified Rehabilitation Registered Nurse

(CRRN)

o American Board for Occupational Health Nurses Certified Occupational Health

Nurse (COHN) or Certified Occupational Health Nurse-Specialist (COHN-S).

o National Board for Certification in Continuity of Care: Advanced Certification in

Continuity of Care (ACCC) o Commission on Rehabilitation Counselor Certification: Certified Rehabilitation Counselor (CRC) o American Nurses Credentialing Center Nurse Case Manager (RN-NCM) o National Academy of Certified Care Managers: Care Manager Certified (CMC)

• Experience: Current experience requirement is three years of in the last four years as a registered nurse case manager.

• Licensure: Current, full, active, and unrestricted license to practice as a Registered

Nurse.

Core Duties:

• Participate in all phases of the Case Management Program (CMP) and ensure that the

CMP meets established case management (CM) standards of care.

• Provide nursing expertise about the CM process, including assessment, planning, implementation, coordination, and monitoring. Identify opportunities for CM and identify and integrate local CM processes.

• Develop and implement local strategies using inpatient, outpatient, onsite and telephonic

CM

• Develop and implement tools to support case management, such as those used for patient identification and patient assessment, clinical practice guidelines, algorithms, CM software, and databases for community resources.

• Integrate CM and utilization management (UM) and integrating nursing case management with social work case management.

• Maintain liaison with appropriate community agencies and organizations.

• Accurately collect and document patient care data.

• Develop treatment plans including preventive, therapeutic, rehabilitative, psychosocial, and clinical interventions to ensure continuity of care toward the goal of optimal wellness.

• Establish mechanisms to ensure proper implementation of patient treatment plan and follow-up post discharge in ambulatory and community health care settings.

• Provide appropriate health care instruction to patient and/or caregivers based on identified learning needs.

Registered Nurse - Medical Evaluation Board Liaison

Minimum Qualifications:

• Degree: Associates Degree of Nursing.

• Education: Graduate from a college or university accredited by Accreditation

Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing

Education (CCNE).

• Experience: Current experience required is three years within the last four years as a registered nurse.

• Licensure: Current, full, active, and unrestricted license to practice as a registered nurse.

Core Duties:

• Plans and completes necessary MEB process activities from the time of notification of the need to evaluate an active duty member’s fitness for duty until a disposition is made by the Secretary of the Service.

• Track treatment of patients with pending MEBs to ascertain all clinical information is available to the primary care manager. These clinical documents will be reviewed for completeness and accuracy.

• Works closely with the Beneficiary Service Representative (i.e. Physical Evaluation

Board Liaison Officer - PEBLO) and the Medical Evaluation Board Clerk to facilitate expeditious processing of active MEBs.

• Schedules follow-up appointments, ancillary services and meetings as necessary.

• Actively coordinates treatment plans with private and federal sector health care providers; interfacing with the patient, commander and MTF staff.

• Attends Deployment Availability Working Group (DAWG), local MEB meetings and other meetings necessary to job function.

Registered Nurse – Referral Management Center

• Degree: Associates Degree of Nursing.

• Education: Graduate from a college or university accredited by Accreditation

Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing

Education (CCNE).

• Experience: Current experience required is three years within the last four years as a registered nurse.

• Licensure: Current, full, active, and unrestricted license to practice as a registered nurse.

• Conduct reviews for medical necessity, preauthorization, medical appeals, collection and recovery from insurance carriers, and right of first refusal activities.

• Monitors specialty care referrals for appropriateness, covered benefit, and authorized hospital procedures and Access to Care standards for 90% of all referrals.

• Orients and instructs other Referral Management Center (RMC) staff.

• Assists in locating specialty providers in routine or STAT situations.

• Coordinates with SGH for all active, reserve and guard referrals not covered under the TRICARE benefit for approval.

• Reviews and enters first right of refusal referrals into CHCS and database within one (1) business day of the date of the referral for proper processing in attempts to recapture workload from the network to the MTF.

• Ensures summaries for all specialty referrals scheduled within the MTF are closed out in the referral database and given to the requesting provider within 72 hours.

• Processes the TRICARE Regional Office reconciliation report daily, identifies all open referrals and ensures resubmission. Ensures all referrals are reviewed and dispositioned in the appropriate manner (both electronically and manually).

• Prepares and submits monthly reports from encounter forms and ad hoc reports.

• Participates in in-services and continuing education programs. Briefs applicable data/slides to provider staff, executive staff, newcomers, as appropriate.

Registered Nurse – Surgical Case Reviewer

Minimum Qualifications:

• Degree: Associates Degree of Nursing.

• Education: Graduate from a college or university accredited by Accreditation

Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing

Education (CCNE).

• Experience: Current experience required is three years within the last four years as a registered nurse with knowledge of and training in operating room or perioperative nursing.

• Provides a clinical review and administrative support for the DoD’s implementation of the American College of Surgeons (ACS) National Surgical

Quality.

• Identifies surgical patients for inclusion in the program registry through the application of strict program inclusion/exclusion criterion and randomization protocol.

• Performs chart abstraction to collect pre-operative, operative, and post-operative data components for the program through the effective utilization of the hospital medical record system.

• Attends weekly Morbidity & Mortality conferences to ensure reliable data collection of postoperative occurrences.

• Creates and submits the weekly site accrual report on the website; responds to accrual report alerts.

• Contacts patients and/or families via telephone and/or written communications post-operatively for the purpose of identifying possible occurrences associated with surgical procedures performed at the hospital.

Registered Nurse – Utilization Management

• Degree: Associates Degree of Nursing.

• Education: Graduate from a college or university accredited by Accreditation

Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing

Education (CCNE).

• Experience: Current experience required is three years within the last four years as a registered nurse in utilization management.

• Supports a comprehensive MTF Utilization Management plan/program as prescribed in the DoD Medical Management Guide and at the direction of the MTF

Utilization Management Director.

• Actively and retrospectively reviews medical cases to confirm receipt of appropriate care, monitor for patterns/trends and develop action plan for areas requiring improvement.

• Reports on utilization patterns; briefs provider staff and executive staff.

• Maintains reports on which cases have been denied or received reduced third party payments and reports provider profiles to the MTF management for corrective action.

• Participates on multi-disciplinary teams to resolve recurring problems in the healthcare delivery process for care within or outside the MTF including referrals.

Physician - Psychiatry

Includes, but not limited to: Primary care and Specialty care Physicians

Minimum Qualifications:

• Degree: Doctor of Medicine (M.D.) or Doctor of Osteopathy (D.O.).

• Education: Graduation from a medical school in the United States, Canada, or approved by the Liaison Committee on Medical Education of the American Medical Association

(AMA), graduation from a college of osteopathy approved by the American Osteopathic

Association (AOA), or graduation from a medical school with evidence of Educational

Commission for Foreign Medical Graduates (ECFMG) certification.

• Certification: The DoD only recognizes certifications issued by boards that are members of the American Board of Medical Specialties (ABMS) or the AOA Bureau of

Osteopathic Specialists

• Internship/Residency/Fellowship: Completion of an accredited residency approved by the Accreditation Council for Graduate Medical Education (ACGME).

• Experience: As required to meet clinical competency requirements specified in the credentialing instructions.

• Licensure: Current, full, active, and unrestricted license to practice medicine.

Core Duties:

• Perform a full range of physician services in accordance with privileges granted by the

MTF.

• Direct, perform, or assist in the instruction of other health care professionals within the scope of the clinical privileges or responsibilities.

• Examine, diagnose, treat or prescribe courses of treatment within the scope of training, experience, and privileges.

• Provide preventive and health maintenance care, including annual physicals, positive health behaviors, and self-care skills through education and counseling.

• Order diagnostic tests as applicable as well as request consultation or referral with appropriate physicians, clinics, or other health resources as indicated.

• Technically proficient in directing and teaching other medical staff, providing educational lectures and participating in the provision of in-service training to clinic staff members. Such direction and interaction will adhere to Government and professional clinical standards and accepted clinical protocols.