Fiscal Year

2020

Case Number

A-19322-84533

Case Status

Certified

Received Date

2019-11-25

Decision Date

2020-04-16

Refile

N

Original File Date

2020-01-01 08:18:23

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Johnston Memorial Hospital Authority

Employer Name Slug

johnston-memorial-hospital-authority

Employer Address 1

509 N Brightleaf Blvd.

Employer Address 2

P.O. Box 1376

Employer City

Smithfield

Employer City Slug

smithfield

Employer State

NORTH CAROLINA

Employer State Slug

north-carolina

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

27577

Employer Phone

919-934-8171

Employer Number of Employees

1738

Employer Year Commenced Business

1951

NAICS Code

621111

FW Ownership Interest

N

Employer Contact Name

Timothy A Hays

Employer Contact Address 1

509 N Brightleaf Blvd.

Employer Contact Address 2

P.O. Box 1376

Employer Contact City

Smithfield

Employer Contact State/Province

NORTH CAROLINA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

27577

Employer Contact Phone

919-934-8171

Employer Contact Email

timothy.hays@unchealth.unc.edu

Agent Attorney Name

Hayes C Stover

Agent Attorney Firm Name

KL Gates LLP

Agent Attorney Phone

4123556476

Agent Attorney Address 1

KL Gates Center, 210 6th Avenue

Agent Attorney Address 2

Floor 11

Agent Attorney City

Pittsburgh

Agent Attorney State/Province

PENNSYLVANIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

15222

Agent Attorney Email

sutunya.kanarat@klgates.com

PW Track Number

P10019121346996

PW SOC Code

29-1071

PW SOC Title

Physician Assistants

PW Skill Level

Level II

PW Wage

96699.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-08-29

PW Expiration Date

2020-06-30

Wage Offer From

100000.00

Wage Offer To

100000.00

Average Salary

100000.00

Wage Unit of Pay

Year

Worksite Address 1

166 Springbrook Avenue

Worksite Address 2

Suite 101

Worksite City

Clayton

Worksite City Slug

clayton

Worksite State

NORTH CAROLINA

Worksite Postal Code

27520

Job Title

Physician Assistant

Job Title Slug

physician-assistant

Minimum Education

Master's

Major Field of Study

Health Sciences wa completion of an accredited Physician Assistant program

Required Training

N

Required Experience

Y

Required Experience Months

60

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

N

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

N

Foreign Language Required

N

Specific Skills

1. Masters degree in Health and Sciences with a completion of an accredited Physician Assistant program.br 2. Five 5 years of clinical experience practicing as a Physician Assistant in the field of Orthopaedics including all of the following skillsbr o Smalllarge joint injections and aspirations,br o Closed reduction of fractures and dislocations,br o Splinting and casting,br o Annual preseason sports physicals,br o Sideline coverage for local high school sports teams,br o Hospital rounding,br o Weekday, weekend and holiday call coverage,br o Recommending DMEs,br o Interpreting radiology test results, within the scope of orthopaedic conditions, and preoperative workup and postoperative followups.br 3. Five 5 years of operating room experience practicing as a Physician Assistant in the field of Orthopaedics including all the following skills as a First Assist at surgeries includingbr o Total Knee Arthroplasty,br o Total Hip Arthroplasty,br o Total and Reverse Shoulder Arthroplasty,br o Arthroscopic knee surgeries including ACL Reconstruction,br o MFFL reconstruction,br o Shoulder surgeries including Arthroscopic and Open Rotator Cuff repairs,br o Open Distal Clavicle resections,br o ORIF of hip, humerus, wrist, tibia and ankle fractures,br o Trigger finger and carpal tunnel release,br o Ulnar Nerve Transposition.br 4. Work experience with Smith and Nephew, Arthrex and Stryker surgical systems.br 5. Work experience with EPIC electronic medical record.br 6. Work experience collecting, interpreting and presenting data patient information and care in medical record and maintain department statistical database for presentations and publications.br 7. National Commission on the Certification of Physician Assistant NCCPA Certification.br 8. North Carolina Physician Assistant license.br 9. Basic Cardiac Life Support certification BCLS.br 10. Advanced Cardiac life Support certification ACLS.br 11. Ability for weekday, weekend and holiday call coverage on rotation basis.br br Required to travel to three 3 work locationsbr br 166 Springbrook Avenue, Suite 101, Clayton, NC 27520 Johnston Countybr 2138 North Carolina Highway 42 W, Clayton, NC 27520 Johnston Countybr 509 North Brightleaf Boulevard, Smithfield, NC 27577 Johnston Countybr br br Employment subject to normal screeningtesting and hospital allied health privileging process.

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

Y

Application for College/University Teacher

N

SWA Job Order Start Date

2019-09-09

SWA Job Order End Date

2019-10-08

Sunday Edition Newspaper

Y

First Newspaper Name

The News Observer

First Advertisement Start Date

2019-09-15

Second Newspaper Ad Name

The News Observer

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-09-22

Employer Website From Date

2019-09-05

Employer Website To Date

2019-10-08

Professional Organization Ad From Date

2020-01-01 08:18:23

Professional Organization Advertisement To Date

2020-01-01 08:18:23

Job Search Website From Date

2019-09-15

Job Search Website To Date

2019-10-08

Employee Referral Program From Date

2020-01-01 08:18:23

Employee Referral Program To Date

2020-01-01 08:18:23

Local Ethnic Paper From Date

2019-09-19

Local Ethnic Paper To Date

2019-09-19

Radio/TV Ad From Date

2020-01-01 08:18:23

Radio/TV Ad To Date

2020-01-01 08:18:23

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

INDIA

Foreign Worker Birth Country

INDIA

Class of Admission

H-1B

Foreign Worker Education

Master's

Foreign Worker Information: Major

HEALTH AND SCIENCES DEGREE WA COMPLETION OF PHYSICIAN ASSISTANT PROGRAM

Foreign Worker Years of Education Completed

2013

Foreign Worker Institution of Education

DUKE UNIVERSITY

Foreign Worker Education Institution Address 1

DUMC 3951

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

DURHAM

Foreign Worker Education Institution State/Province

NC

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

27710

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

Hayes C Stover

Preparer Title

Attorney

Preparer Email

sutunya.kanarat@klgates.com

Employer Information Declaration Name

Timothy Hays

Employer Information Declaration Title

VP, Human Resources