Fiscal Year

2024

Case Number

A-22174-76855

Case Status

Denied

Received Date

2022-06-27

Decision Date

2024-05-15

Refile

N

Original File Date

2024-01-01 01:21:51

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

StayWell Saipan, Inc.

Employer Name Slug

staywell-saipan-inc

Employer Address 1

RJ Corporation Building, Suite 2

Employer Address 2

Employer City

Saipan

Employer City Slug

saipan

Employer State

NORTHERN MARIANA ISLANDS

Employer State Slug

northern-mariana-islands

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

96950

Employer Phone

6703234260

Employer Number of Employees

6

Employer Year Commenced Business

1992

NAICS Code

524210

FW Ownership Interest

N

Employer Contact Name

Audre Xiong

Employer Contact Address 1

520 Route 8

Employer Contact Address 2

Employer Contact City

Maite

Employer Contact State/Province

GUAM

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

96910

Employer Contact Phone

6714775091 1221

Employer Contact Email

amxiong@staywellguam.com

Agent Attorney Name

BRUCE L MAILMAN

Agent Attorney Firm Name

MAILMAN KARA LLC

Agent Attorney Phone

6702330081

Agent Attorney Address 1

PMB 238 BOX 10000

Agent Attorney Address 2

Agent Attorney City

SAIPAN

Agent Attorney State/Province

NORTHERN MARIANA ISLANDS

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

969508900

Agent Attorney Email

bmailman@lexmarianas.com

PW Track Number

P10021245560503

PW SOC Code

13-2053

PW SOC Title

INSURANCE UNDERWRITERS

PW Skill Level

N/A

PW Wage

10.74

PW Unit of Pay

Hour

PW Wage Source

Other

PW Determination Date

2022-04-01

PW Expiration Date

2022-06-30

Wage Offer From

10.74

Wage Offer To

17.05

Average Salary

13.90

Wage Unit of Pay

Hour

Worksite Address 1

RJ CORPORATION BLDG., SUITE 2

Worksite Address 2

P.O. BOX 502050

Worksite City

SAIPAN

Worksite City Slug

saipan

Worksite State

NORTHERN MARIANA ISLANDS

Worksite Postal Code

96950

Job Title

UTILIZATION MANAGEMENT COORDINATOR

Job Title Slug

utilization-management-coordinator

Minimum Education

Associate's

Major Field of Study

NURSING OR MEDICINE-RELATED FIELD

Required Training

N

Required Experience

Y

Required Experience Months

24

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

N

Accept Alternative Combination Education

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

Minimum of two 2 years experience in Nursing or Medical Case Management Underwriting; and must be proficient with the Milliman Care Guidelinesbr MCGMedical Society Guidelines.

Combination Occupation

N

Offered to Applicant Foreign Worker

Y

Foreign Worker Live on Premises

N

Foreign Worker Live in Domestic Service

N

Foreign Worker Live in Domestic Service Count

Professional Occupation

N

Application for College/University Teacher

N

SWA Job Order Start Date

2022-04-08

SWA Job Order End Date

2022-05-08

Sunday Edition Newspaper

N

First Newspaper Name

SAIPAN TRIBUNE

First Advertisement Start Date

2022-04-29

Second Newspaper Ad Name

MARIANAS VARIETY NEWS VIEWS

Second Advertisement Type

Newspaper

Second Ad Start Date

2022-04-08

Employer Website From Date

2024-01-01 01:21:51

Employer Website To Date

2024-01-01 01:21:51

Professional Organization Ad From Date

2024-01-01 01:21:51

Professional Organization Advertisement To Date

2024-01-01 01:21:51

Job Search Website From Date

2024-01-01 01:21:51

Job Search Website To Date

2024-01-01 01:21:51

Employee Referral Program From Date

2024-01-01 01:21:51

Employee Referral Program To Date

2024-01-01 01:21:51

Local Ethnic Paper From Date

2024-01-01 01:21:51

Local Ethnic Paper To Date

2024-01-01 01:21:51

Radio/TV Ad From Date

2024-01-01 01:21:51

Radio/TV Ad To Date

2024-01-01 01:21:51

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

PHILIPPINES

Foreign Worker Birth Country

PHILIPPINES

Class of Admission

CW-1

Foreign Worker Education

Bachelor's

Foreign Worker Information: Major

BACHELOR OF SCIENCE IN NURSING

Foreign Worker Years of Education Completed

2008

Foreign Worker Institution of Education

UNIVERSITY OF ILOILO

Foreign Worker Education Institution Address 1

RIZAL ST, ILOILO CITY PROPER

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

ILOILO CITY

Foreign Worker Education Institution State/Province

ILOILO

Foreign Worker Education Institution Country

PHILIPPINES

Foreign Worker Education Institution Postal Code

5000

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

BRUCE L MAILMAN

Preparer Title

ATTORNEY

Preparer Email

BMAILMAN@LEXMARIANAS.COM

Employer Information Declaration Name

AUDRE XIONG

Employer Information Declaration Title

HUMAN RESOURCES OFFICER