Fiscal Year

2020

Case Number

A-19350-95915

Case Status

Certified

Received Date

2020-01-06

Decision Date

2020-05-13

Refile

N

Original File Date

2020-01-01 08:24:50

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

ELLIOT PHYSICIANS NETWORK, INC.

Employer Name Slug

elliot-physicians-network-inc

Employer Address 1

1 ELLIOT WAY

Employer Address 2

Employer City

MANCHESTER

Employer City Slug

manchester

Employer State

NEW HAMPSHIRE

Employer State Slug

new-hampshire

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

3103

Employer Phone

603-669-5300

Employer Number of Employees

3600

Employer Year Commenced Business

1880

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

Janelle Chapdelaine

Employer Contact Address 1

1070 Holt Ave

Employer Contact Address 2

Suite 2100

Employer Contact City

Manchester

Employer Contact State/Province

NEW HAMPSHIRE

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

3109

Employer Contact Phone

603-663-4973

Employer Contact Email

jchapdelaine@elliot-hs.org

Agent Attorney Name

John R Wilson

Agent Attorney Firm Name

Goff Wilson, P.A.

Agent Attorney Phone

603-228-1277

Agent Attorney Address 1

PO Box 1000

Agent Attorney Address 2

Agent Attorney City

Manchester

Agent Attorney State/Province

NEW HAMPSHIRE

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

03105-1000

Agent Attorney Email

jwilson@goffwilson.com

PW Track Number

P10019155441859

PW SOC Code

29-1062

PW SOC Title

Family and General Practicioners

PW Skill Level

Level I

PW Wage

169874.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-09-25

PW Expiration Date

2020-06-30

Wage Offer From

200000.00

Wage Offer To

0.00

Average Salary

200000.00

Wage Unit of Pay

Year

Worksite Address 1

One Elliot Way

Worksite Address 2

Worksite City

Manchester

Worksite City Slug

manchester

Worksite State

NEW HAMPSHIRE

Worksite Postal Code

3103

Job Title

Primary Care (Family Medicine) Physician

Job Title Slug

primary-care-family-medicine-physician

Minimum Education

Other

Major Field of Study

Medicine or Osteopathic Medicine

Required Training

Y

Required Experience

N

Required Experience Months

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

Requires accredited MD or DO degree, and a full NH medical license or eligibility. A minimum of three years post degree family medicine residency and board certified in family medicine. Hours are MonFri8am5pm and a practice shared rotation on weekends. Will work at Elliot Hospital, One Elliot Way, Manchester, NH, 03103 and Elliot Family Medicine at Bedford, 25 Leavy Drive, Bedford, NH 03110.

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

2019-10-21

SWA Job Order End Date

2019-11-25

Sunday Edition Newspaper

Y

First Newspaper Name

Union LeaderNH Sunday Times

First Advertisement Start Date

2019-10-20

Second Newspaper Ad Name

Union LeaderNH Sunday Times

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-10-27

Employer Website From Date

2019-11-13

Employer Website To Date

2019-11-27

Professional Organization Ad From Date

2020-01-01 08:24:50

Professional Organization Advertisement To Date

2020-01-01 08:24:50

Job Search Website From Date

2019-10-16

Job Search Website To Date

2019-11-07

Employee Referral Program From Date

2019-11-13

Employee Referral Program To Date

2019-11-27

Local Ethnic Paper From Date

2020-01-01 08:24:50

Local Ethnic Paper To Date

2020-01-01 08:24:50

Radio/TV Ad From Date

2020-01-01 08:24:50

Radio/TV Ad To Date

2020-01-01 08:24:50

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

SOUTH KOREA

Foreign Worker Birth Country

SOUTH KOREA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2009

Foreign Worker Institution of Education

CHUNG ANG UNIVERSITY, COLLEGE OF MEDICINE

Foreign Worker Education Institution Address 1

84 HEUKSEOUKRO, DONGJAKGU

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

SEOUL

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

SOUTH KOREA

Foreign Worker Education Institution Postal Code

156861

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

John R Wilson

Preparer Title

Attorney

Preparer Email

jwilson@goffwilson.com

Employer Information Declaration Name

Janelle S Chapdelaine

Employer Information Declaration Title

Provider Contracting Specialist