Technical Exhibit 5 - Contract Worker Standard Qualifications 9 Feb 2026 IDIQ 3 Nursing Services.pdf

Exhibit 5, Version 1.0 (9 Feb 2026)

Exhibit 5 – IDIQ #3 Nursing Services

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 Nursing Assistant

Minimum Qualifications:

• Degree: Certificate.

• Education: Completion of a certified nursing assistant program.

• Certification: Possess and maintain certification as a certified nursing assistant.

• Experience: One year of experience within the last two years as a certified nursing assistant.

Core Duties:

• Prepare examination rooms prior to patient's arrival.

• Assist with patient check-ins, admissions, discharges, and transfers as directed.

• Check patient's vital signs, to include temperature, respiration, pulse, weight and blood pressure.

• Obtain and document patient's current medical history, drug history, chief complaints, allergies and vital signs on the correct form.

• Perform diagnostic procedures when ordered.

• Maintain examination room stock levels and perform routine maintenance of examination rooms.

• Complete lab and x-ray requisitions in accordance with clinic policies.

• Enter demographic data into the computer upon patient check-in; enter diagnosis and departing time when patient is released.

Certified Nurse Midwife

• Degree: Master's degree in nursing from an accredited institution.

• Education: Graduate from a certified nurse midwife education program accredited by the

American College of Nurse Midwives (ACNM).

• Certification: Certified by the American Midwifery Certification Board. Current Neonatal

Resuscitation Program (NRP) certification.

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

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

Core Duties:

• Provide comprehensive primary care to women from menarche through menopause. Plan and manage prenatal, postpartum, well woman gynecologic, family planning and pre-conceptual care.

• Participate in the care of women with medical complications.

• Consultation, collaboration and referral with Obstetricians-Gynecologists.

• Manage the care of normal antepartum women to include teaching, counseling and support.

• Take a health history and perform and record the obstetrical physical evaluation. Collect, document, and evaluate patient data.

• Assess patient needs, formulate, and implement a plan of care for each patient consistent with established guidelines.

• Manage antepartum, intrapartum and postpartum care.

• Perform the following: manage and control normal spontaneous deliveries; record the labor and delivery.

• Perform and record physical evaluation of newborns.

• Manage the care of normal newborn including nutrition, elimination and activity.

• Maintain all required patient records and report pertinent information.

• Prescribe medications, as required, in accordance with MTF privileges.

Certified Registered Nurse Anesthetist (CRNA)

• Degree: Master's degree in nursing.

• Education: Graduate from an academic program, approved by the Council on

Accreditation of Nurse Anesthesia Programs (COA).

• Certification: Certified as a Registered Nurse Anesthetist from the American Association of Nurse Anesthetists (AANA) or the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA).

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

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

• Manage patient anesthesia experience, perform preoperative evaluations and preparations, administer monitored anesthesia care, regional and general anesthesia, monitor and manage patient reactions to anesthesia and surgery, manage fluid therapy, perform and manage invasive monitoring, and perform post-operative evaluations within the defined scope of awarded privileges granted by the MTF.

• Perform a pre-anesthetic assessment and evaluation of the patient. This includes obtaining an informed consent from the patient, requesting consultations and/or diagnostic studies and ordering pre-anesthetic medications.

• Develop and implement an anesthetic plan of care.

• Perform an assessment immediately prior to induction of anesthesia of the patient. This shall include a review of the medical record with regard to completeness, pertinent laboratory data, time of administration and dosage of pre-anesthesia medication, together with an appraisal of any changes in the patient's condition from that noted on previous visits. This note shall include any previous anesthetic experiences and complications thereof noted in the medical record.

• Maintain the patient's physiologic homeostasis and corrects abnormal responses to the anesthesia and/or surgery.

• Collect and interpret patient physiological data by selecting, applying or inserting noninvasive monitoring modalities.

• Manage the patient's airway and pulmonary status.

• Manage the patient's emergence and recovery from anesthesia by maintaining homeostasis, providing relief from pain and anesthesia side effects and preventing and managing complications through selecting, obtaining, ordering and administrating medications, fluids or ventilator support.

• Record all pertinent events taking place during the introduction of, maintenance of and emergence from anesthesia, including the dosage and duration of all anesthetic agents, other drugs, intravenous fluids and blood or blood components on all patients that have received anesthesia care.

• Record post-anesthetic visits, including at least one note describing the presence or absence of anesthesia related complications of the procedure.

Clinical Nurse Specialist

Includes, but not limited to: Certified Clinical Nurse Specialist in the following areas: Adult

Health; Adult-Gerontology; Adult Psychiatric-Mental Health; Advanced Diabetes Management;

Gerontology; Home Health; Pediatric; Public/Community 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.

Licensed Practical Nurse – Referral Management Center

• 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: Current experience requirement is one year in the last two years as a practical or vocational nurse.

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

• Reviews referrals for administrative, clinical completeness and appropriateness.

Validates requested medical service, and authorizes surgery/medical procedures, laboratory, radiology, pharmacy, and general hospital procedures and regulations.

Collaborates with TRICARE Regional Office Clinical Liaison Nurse and MTF

Liaison to address any process issues or concerns.

• Schedules referral appointments in accordance with required Access to Care Standards within the direct care system or outside the MTF with network/non-network providers for

90% of all referrals.

• Provides timely, descriptive feedback regarding utilization review issues.

• Reviews and enters first right of refusal referrals into CHCS and database within one (1) business day of the date of the referral.

• Submits referrals to non-network providers to TRICARE Service Center (TSC) for processing.

• Receives and makes patient telephone calls and computer/written correspondence regarding specialty clinic appointments and referrals.

• Tracks referral reports; obtain referral results within the required timelines and follow up with as necessary. Documents that paper referral results are properly filed in patient’s health record.

Nurse Practitioner (Advanced Practice Nurse) [Qualification for APN requirement under Ancillary Market Segment]

Includes, but not limited to: Nurse Practitioner in the following areas: Acute Care; Adult;

Adult-Gerontology- Acute Care; Adult-Gerontology-Primary Care; Family Practice; Flight

Medicine; Gerontology; Neonatal; Pediatric; Psychiatric-Mental Health; Psychiatric Primary

Care; Women's 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 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: Ambulatory Care; Apheresis; Behavioral Health; Breast Health;

Burn Unit; Cardiac Care Unit; Cardiac Cath Lab; Cardiac Rehabilitation; Charge Nurse;

Community Health; Critical Care; Deployment Health; Dermatology; Diabetes; Discharge

Planning; Disease Management; Emergency Medicine; Endoscopy; Family Practice;

Gastroenterology; General Surgery; Genetics; Health Educator; Health Promotion; Hematology;

Hemodialysis; Infection Control; Inpatient; Intensive Care; Internal Medicine; Labor and

Delivery (L&D); Lactation Consultant; Maternal Child; Medical/Surgical; Neonatal Intensive

Care; Nephrology; Neurology; OB/GYN; Occupational Medicine; Operating Room;

Ophthalmology; Orthopedics; Pain Management; Post Anesthesia Care Unit (PACU); Pediatrics;

Plastic Surgery; Pulmonary; Psychiatric/Mental Health; Radiology; Rheumatology; Sleep

Medicine; Special Care Unit; Special Needs; Urgent Care; Urology; Vascular; Women's Health

• 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

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.

• 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

• 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.

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

Core Duties:

• 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.

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

• 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.