Fiscal Year

2021

Case Number

A-20175-68458

Case Status

Certified-Expired

Received Date

2020-07-29

Decision Date

2021-03-09

Refile

N

Original File Date

2021-01-01 09:05:29

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

THE HOSPITAL OF CENTRAL CONNECTICUT

Employer Name Slug

the-hospital-of-central-connecticut

Employer Address 1

100 GRAND STREET

Employer Address 2

Employer City

NEW BRITAIN

Employer City Slug

new-britain

Employer State

CONNECTICUT

Employer State Slug

connecticut

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

6050

Employer Phone

860-224-5775

Employer Number of Employees

2065

Employer Year Commenced Business

1899

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

Jessica M DiMichele

Employer Contact Address 1

100 Grand Street

Employer Contact Address 2

Human Resources

Employer Contact City

New Britain

Employer Contact State/Province

CONNECTICUT

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

6050

Employer Contact Phone

860-224-5775

Employer Contact Email

Jessica.DiMichele@hhchealth.org

Agent Attorney Name

Michael L Kim

Agent Attorney Firm Name

Hall, Render, Killian, Heath Lyman, P.C.

Agent Attorney Phone

3179771418

Agent Attorney Address 1

500 North Meridian Street

Agent Attorney Address 2

Suite 400

Agent Attorney City

Indianapolis

Agent Attorney State/Province

INDIANA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

46204

Agent Attorney Email

mkim@hallrender.com

PW Track Number

P10019087826377

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

N/A

PW Wage

208000.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-07-15

PW Expiration Date

2020-06-30

Wage Offer From

208000.00

Wage Offer To

346000.00

Average Salary

277000.00

Wage Unit of Pay

Year

Worksite Address 1

100 Grand Street

Worksite Address 2

Worksite City

New Britain

Worksite City Slug

new-britain

Worksite State

CONNECTICUT

Worksite Postal Code

6050

Job Title

Physician (Hospitalist)

Job Title Slug

physician-hospitalist

Minimum Education

Other

Major Field of Study

Medicine

Required Training

N

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

Position requires M.D. or D.O. or foreign equivalent of M.D. or D.O.; Completion of Medical Residency in Internal Medicine; Board Eligibility or Board Certification in Internal Medicine; and Connecticut Physician License.br br Applicant will also provide services at 81 Meriden Avenue, Southington, CT 06489 and 435 Lewis Avenue, Meriden, CT 06451.

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

2020-04-15

SWA Job Order End Date

2020-05-18

Sunday Edition Newspaper

Y

First Newspaper Name

The Hartford Courant

First Advertisement Start Date

2020-04-19

Second Newspaper Ad Name

The Hartford Courant

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-04-26

Employer Website From Date

2021-01-01 09:05:29

Employer Website To Date

2021-01-01 09:05:29

Professional Organization Ad From Date

2020-05-12

Professional Organization Advertisement To Date

2020-05-12

Job Search Website From Date

2021-01-01 09:05:29

Job Search Website To Date

2021-01-01 09:05:29

Employee Referral Program From Date

2021-01-01 09:05:29

Employee Referral Program To Date

2021-01-01 09:05:29

Local Ethnic Paper From Date

2020-04-19

Local Ethnic Paper To Date

2020-04-20

Radio/TV Ad From Date

2020-04-21

Radio/TV Ad To Date

2020-04-23

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

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2010

Foreign Worker Institution of Education

DR. NTR UNIVERSITY OF HEALTH SCIENCES, NARAYANA MEDICAL COLLEGE, NELL

Foreign Worker Education Institution Address 1

CHINTAREDDY PALEM

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

NELLORE

Foreign Worker Education Institution State/Province

ANDHRA PRADESH

Foreign Worker Education Institution Country

INDIA

Foreign Worker Education Institution Postal Code

524003

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

Michael L Kim

Preparer Title

Attorney

Preparer Email

mkim@hallrender.com

Employer Information Declaration Name

Gary Havican

Employer Information Declaration Title

Hartford HealthCare Sr VP Central Region Pres.