DEA Certificate required, Board Certification. NP's must have PACNP Training, NPR- must be through ARC or AHA. Shift times: 4P-8A weekdays / 2P-8A weekend MUST WORK BOTH LOCATIONS Please note that every bid MUST have the following information listed on each bid. -Phone number -Active License Number -Active state DEA Number -Email -Address (provider must be 90 miles from facility) -NP/PA -DOB If your bid is accepted, you must submit the credentialing documents by the deadline given by the onboarding coordinator. All credentialing documents are in the "other documents" tab. ***You can start this process before your bid is accepted*** Provider must be contracted with the agency prior to placing a bid. ***PLEASE NOTE: There will be no OT rate for this assignment request*** Please do not reach out to the MSO directly. Please see your contacts in the bid. **IMPORTANT NOTICE** All providers are required to be credentialed and enrolled prior to the start-date so please refer to the Other Details tab on this Assignment Request for the Facility Checklist. The Checklist is also available under the Help Tab (?) at the top right of the Locumsmart Webpage. Help > Documentation > CHS (Legacy APP) Enrollment Documents Information/Checklist. Please note in addition to the document checklist the CAQH Questionnaire also needs to be completed by all providers. This questionnaire can also be found in CHS (Legacy APP) Enrollment Documents Information/Checklist. Please make sure to utilize the correct facility checklist.
Coverage Details
HCO:Community Health Systems
Facility:Northwest Medical Center NICU-HBP-R5
Specialty:Nurse Practitioner (NP)
Department:
Open
Invoice Rules Effective:
Mar 11 2026Provider Type:Advanced Practice
Reason for Coverage:Scheduling NeedProviders Requested:2
Request Type:Locum Tenens
Coverage Type:No Call
Start Date:06/01/2026
Provider Title:
EMR System: cerner
End Date:Ongoing
Provider Decision Date:
Will Facility Accept Multiple Providers?Yes
Allowed Holidays:New Year's Day, Memorial Day, 4th of July, Labor Day, Thanksgiving Day, Christmas DayPractice Settings:Inpatient
Does Provider require hospital/surgery center privileges?No
Are temporary privileges available?No
Patients Per Shift:4-6
Beds in Department:15
Admissions Required?Yes
Is Hospital Stroke Certified?Yes
Rounding Patients:Assigned Patients
Practice Details
Does your facility require physicians to be board certified?No
What is the license requirement to bid?Licensed in AZ only
Will you reimburse vendor for costs associated with licensing Provider?No
Estimated credentialing timeframe (Days):120
Fellowship:N/A
The following certifications are required:
ABLS:No
ACLS:No
ATLS:No
BLS:No
PALS:No
Other:Yes
Other:see notes, too long
What trauma level is this facility?3
Define the number of support staff to be supplied for the locum coverage:
RNs:0
MAs:0
PA/NPs:1
Office, Staff:0
Insurance provided by:Vendor
What PEDs level is this facility?N/A
Will Provider be required to supervise advance practice Providers?No
Is resident or teaching supervision required?No
Travel Details
Nearest Airport:N/A
Lodging Recommendations:N/A