Physician Family Medicine

Location: Nellis AFB, NV

Work Schedule:Monday – Friday between the hours of 0730-1730, this is not to include a 30 minute or
hour lunch break. Will not exceed 40 hours a week period. Specific days, hours, and shift length will be
scheduled by the designated government representative.

Overage Hours: Overage hours for each labor category are as follows: Will start with 15 hours and will
not exceed 250 hours per FTE.

Position Type: Independent Contractor (1099)

Pay:  170/hr

 Perform a full range of physician services in accordance with privileges granted by the MTF.
 Shall provide full spectrum Family Medicine care encompassing outpatient clinical and
procedural services. This will be provided in a cost-effective manner that focuses on patientcentered evidence-based outcomes. The HCW will collaborate with staff and other clinical
departments within and outside the MTF to facilitate excellent patient care and will be expected
to participate fully as a member of the 99 MDG medical staff.
 Shall include routine general family medicine care which includes preventive medicine, and care
for acute and chronic patient conditions, musculoskeletal conditions, pediatrics, and women’s
health.
 Able to see patients ages 0-99
 Shall see new patients and established follow-up clinic visits. The HCW is expected to participate
in telehealth and virtual encounters as well as respond to telephone consults and secure messages
IAW pertinent AFIs and local policies. The HCW will also consult with other specialty
practitioners for consultative opinions and continuation of care.
 Shall complete all associated documentation and any additional paperwork as required to fully
communicate the patient’s care (work excuse letters, paperwork/profiles for active-duty members,
etc.)
 The HCW’s productivity, in terms of patients seen per clinic day is expected to be comparable to
that of the other civilian and military family physicians assigned to the same facility and
authorized the same scope of practice. Productivity will meet current Medical Group
Management Association (MGMA) standards for Nellis Air Force Base. The MGMA standard is
updated annually on the fiscal year. It is the Contractor’s responsibility to contact Medical
Logistics for an updated copy.
 Shall practice within the guidelines set by the credentialing office of the MTF and or Medical
Director

 Shall adhere to the policies and standards of the Defense Health Agency and Air Force Medical
Service in meeting or exceeding established Air Force standards for access, Preventive Health
Assessment Individual Medical Record (PIMR) and HEDIS measures.
 Shall coordinate patient care with community health agencies and social programs. Will facilitate
continuity of care for patients. Has knowledge of a wide variety of resource agencies available in
the military treatment system to ensure proper and expedient referral of the patient and/or family
member.
 Shall possess sufficient knowledge of current TRICARE standards, population-based health care,
disease management, medically-oriented computer systems, and trends in prevention.
 Familiarization with Department of Defense (DoD), Federal, State, non- profit healthcare systems
and organizations, to include DoD Tri-Service Military Healthcare Systems, TRICARE purchased
care system, Medicare, Medicaid and the Veterans Administration (VA) is highly desired.
 Shall ensure implementation of policies, standards, and programs that support the clinical practice
within ethical and legal boundaries.
 Shall possess knowledge and experience in Patient Advocacy, Patient Privacy, and Customer
Relations.
 Shall function as a patient advocate and mandatory reporter in the medical center.
 Shall possess basic knowledge of emergency procedures in order to react promptly and
appropriately to provide effective care during emergency situations, respiratory or cardiac arrest.
 Shall provide immediate evaluation and management of emergency problems as they occur.
 May provide other health care services not specifically listed for which training/credentials are
held and privileges have been awarded by the MTF Commander.
 Shall consult with medical personnel, legal authorities, and military commanders as required.
 Shall be guided by the MTF formulary for prescriptions. Drugs not appearing on the formulary
must be pre-approved by the Pharmacy and Therapeutics Committee.
 Shall possess basic knowledge of established clinic standards of care and Joint Commission
requirements for clinical and documentation protocols, safety, infection control, performance
improvement, etc., to insure compliance with policies and provide consistent training and
guidance for clinic staff.
 Shall ensure patient and staff safety through safety awareness, proper infection control and
promotion of clean, orderly clinic environment. Recognizes, reports, and corrects potential safety
hazards.
 Documentation. Shall prepare all documentation to meet or exceed established MTF standards, to
include, but not limited to: timeliness, accuracy, content, and signature.
 Shall only use MTF and Air Force-approved abbreviations for documentation in the patient health
records and follow the MTF’s Do Not Use Abbreviation List.
 Shall complete medical records documentation within 72 business hours of the encounter with the
patient.
 Coding. Shall use the proper coding of procedures and treatment and shall maintain coding
accuracy (CPT/E&M/procedure) at the same standard, 90% or higher, as military and civil service
health care providers engaged in comparable work.
 Shall be responsible for creating, maintaining and disposing of only those Government records
which are specified by the 99 MDG.
 Shall only release medical information obtained during the course of this contract to other MTF
staff involved in the care and treatment of that individual patient.
 Shall possess basic knowledge of and ability to demonstrate leadership skills in order to provide
guidance, counseling, training and professional evaluation.
 Shall develop and direct long-term management strategies. Shall provide clinical and
administrative leadership and expertise, managing patient care and coordinating additional subspecialty referrals, answering patient telephone consults (with the assistance of clinic staff),
and refilling prescriptions.
 May be asked to participate in committees, programs or clinical services directly related to area of
clinical responsibility or privileges. May temporarily be assigned clinic medical director duties.
 Shall provide for ongoing education programs to promote, protect and maintain optimum levels
of wellness. Shall provide health counseling to patients and their families and develop a plan for
health maintenance based on individual needs.
 Shall provide instruction, coaching, mentoring, and training for medical residents, physician
assistant students, medical students and/or students of other health care disciplines in the form of
clinical rotations, didactics and outpatient discussions as appropriate.
 Shall direct supporting Government employees assigned to them during the performance of
clinical duties. Guides the performance of assigned personnel. Uses team approach toward staff
and patient management.
 Shall perform administrative duties that may include maintaining statistical records of his or her
clinical workload, participating in medical educations programs, and participating in quality
improvement functions and other duties as prescribed by the Flight Commander or Medical
Director.
 Shall attend and participate in meetings, professional staff conferences and other appropriate
professional activities such as, but not limited to the following: quality improvement meetings,
professional staff meetings, commander's staff meetings, flight meetings, and other meetings
required by applicable regulations, MTF guidance, or as directed by the Flight Commander or
Medical Director.\
 Shall possess basic knowledge of operating a wide variety of medical equipment/non-medical
equipment to ensure patient and staff safety, proper equipment maintenance and accessibility.
 Shall treat patient information, no matter how developed, as privileged information. Patient
information shall not be disclosed or revealed in any way for any use outside the MTF without
adherence to HIPAA and local policies and regulations.
 Shall respect and maintain the basic rights of patients, demonstrating concern for personal dignity
and human relationships. Providers receiving complaints validated by the FRED, COR, Flight
Commander or Chief of the Medical Staff shall be subject to counseling and, depending on the
nature and severity of the complaint, separation from performing services under this contract.
 Shall maintain open and professional communication with members of the MTF staff, MTF
customers, and other HCWs. COR will report valid complaints in writing to the CO for action.
Valid complaints will be considered a performance failure. The contractor shall resolve all
substantiated complaints immediately upon notification of the complaint, and no later than the
suspense date provided by the CO, or designated representative. Substantiated patient/staff
complaints-max 2 per contract/option period.
 Shall seek and maintain interpersonal relationships with clients/families and coworkers which
contribute to mission accomplishment.
 Shall possess basic knowledge of various training methods and interpersonal skills in order to
develop a rapport with the patients, family members, and co-workers during which instructional
and education information is performed.

 Degree/Education (5.2.4): Degree: Doctor of Medicine (M.D.) or Doctor of Osteopathy
(D.O.). • Education: Graduate from an accredited medical school in the United States or
Canada. This degree must have been accredited by the Council on Medical Education of the
American Medical Association; Association of American Medical Colleges; Liaison Committee
on Medical Education; Commission on Osteopathic College Accreditation of the American
Osteopathic Association, or an accrediting body recognized by the U.S. Department of
Education and the Accreditation Council for Graduate Medical Education (ACGME) at the time
the degree was obtained (e.g. Royal College of Physicians and Surgeons of Canada (RCPSC),
College of Family Physicians of Canada (CFPC). A Doctor of Medicine or equivalent degree
from a foreign medical school must provide education and medical knowledge substantially
equivalent to accredited schools in the United States. Evidence of equivalency to accredited
schools in the United States is demonstrated by permanent certification by the Educational
Commission for Foreign Medical Graduates, a fifth pathway certificate for Americans who
completed premedical education in the United States and graduate education in a foreign
country, or successful completion of the U.S. Medical Licensing Examination.
 Certifications in addition to Basic Life Support (5.2.3): In addition to the qualifications
listed in the contract, HCWs shall maintain the following additional certifications: Current
board certification by the American Board of Family Medicine (ABFM) or the American
Osteopathic Board of Family Medicine (AOBFM). The HCW shall hold and maintain Basic
Life Support (BLS), Advanced Cardiac Life Support (ACLS), and Pediatric Advance Life
Support (PALS) certifications using American Heart Association or American Red Cross
guidelines. Members must present proof of current certification(s) through American Heart
Association or American Red Cross. Computer-based training does not constitute fulfilling the
training requirements. Must maintain currency at NO cost to the government. Recertification is
NOT provided by the MTF.
 Experience: As required to meet clinical competency requirements specified in the Servicespecific credentialing instructions. Successful completion of an internship and residency

program (corresponding to the specialty required in the TO) which has been approved by the
Accreditation Council for Graduate Medical Education or the Committee on Postdoctoral
Training of the American Osteopathic Association. Subsequent to obtaining a Doctor of
Medicine or Doctor of Osteopathy degree, a candidate must have had at least 2 years of
experience within the past three years including residency training. For purposes of this
requirement, graduate training programs include only those internship, residency, and
fellowship programs that are approved by accrediting bodies recognized within the United
States or Canada. Descriptions of such programs are described below.
o An internship program involves broadly based clinical practice in which physicians acquire
experience in treating a variety of medical problems under supervision (e.g., internal medicine,
surgery, general practice, obstetrics-gynecology, and pediatrics). Such programs are in hospitals
or other institutions accredited for internship training an appropriate accrediting body.
o A residency program involves training in a specialized field of medicine in a hospital or an
institution accredited for training in the specialty by an appropriate accrediting body.
o A fellowship program involves advanced training (beyond residency training) in a given
medical specialty in either a clinical or research setting in a hospital, or an institution accredited
in the United States for such training.
 Board Certification (5.2.6.4.4): Must have and maintain current board certification.
 Licensure/Registration: Shall have and maintain a current, full, active, and unrestricted
license to practice medicine in any one of the 50 states, the District of Columbia, the
Commonwealth of Puerto Rico, or the U.S. Virgin Islands.

AKAHI ASSOCIATES LLC

AKAHI Associates is a premier provider of healthcare workers to various military treatment facilities across the United States. With a corporate office in Honolulu, Hawaii and recruiting office in San Antonio, Texas we specialize in providing skilled, trained and highly successful healthcare workers, including RNs, CRNAs, Physicians, LPN/LVN, Licensed Social Workers, and many more.

We have a strong focus on providing our government customers with quality and superior service.

Akahi Associates is an equal opportunity employer and Minorities, Females, Veterans, and Disabled persons are encouraged to apply. For further information, please click the link below to view the EEO Is The Law poster.

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.

Only qualified individuals who are being considered will be contacted for an interview.