Fiscal Year

2021

Case Number

A-20234-91061

Case Status

Certified

Received Date

2020-08-25

Decision Date

2021-07-23

Refile

N

Original File Date

2021-01-01 09:52:47

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

THE QUEENS MEDICAL CENTER

Employer Name Slug

the-queens-medical-center

Employer Address 1

1301 PUNCHBOWL STREET

Employer Address 2

Employer City

HONOLULU

Employer City Slug

honolulu

Employer State

HAWAII

Employer State Slug

hawaii

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

96813

Employer Phone

808-538-9011

Employer Number of Employees

5391

Employer Year Commenced Business

1859

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

Jerrie F Balsai

Employer Contact Address 1

1301 Punchbowl Street

Employer Contact Address 2

Employer Contact City

Honolulu

Employer Contact State/Province

HAWAII

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

96813

Employer Contact Phone

808-547-4627

Employer Contact Email

jbalsai@queens.org

Agent Attorney Name

Robert A Ueoka

Agent Attorney Firm Name

Bishop Street Law Group

Agent Attorney Phone

8085373500

Agent Attorney Address 1

1000 Bishop Street, Suite 503

Agent Attorney Address 2

Agent Attorney City

Honolulu

Agent Attorney State/Province

HAWAII

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

96813

Agent Attorney Email

robert@bishopstreetlaw.com

PW Track Number

P10019272065140

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

Level I

PW Wage

128461.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-01-30

PW Expiration Date

2020-06-30

Wage Offer From

177000.00

Wage Offer To

0.00

Average Salary

177000.00

Wage Unit of Pay

Year

Worksite Address 1

1301 PUNCHBOWL STREET

Worksite Address 2

Worksite City

HONOLULU

Worksite City Slug

honolulu

Worksite State

HAWAII

Worksite Postal Code

96813

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

DOCTOR OF MEDICINE DEGREE OR EDUCATIONAL COMMISSION FOR FOREIGN MEDICAL GRADUATES ECFMG CERTIFICATION; BOARD CERTIFIED OR BOARD QUALIFIED IN INTERNAL MEDICINE BY THE AMERICAN BOARD OF INTERNAL MEDICINE; CURRENT LICENSE TO PRACTICE MEDICINE IN THE STATE OF HAWAII; PREVIOUS CERTIFICATION IN BASIC LIFE SUPPORT BLS; AND PREVIOUS CERTIFICATION IN ADVANCED CARDIOVASCULAR LIFE SUPPORT ACLS

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

2020-03-26

SWA Job Order End Date

2020-04-27

Sunday Edition Newspaper

Y

First Newspaper Name

HONOLULU STARADVERTISER

First Advertisement Start Date

2020-03-22

Second Newspaper Ad Name

HONOLULU STARADVERTISER

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-03-29

Employer Website From Date

2020-03-30

Employer Website To Date

2020-04-28

Professional Organization Ad From Date

2021-01-01 09:52:47

Professional Organization Advertisement To Date

2021-01-01 09:52:47

Job Search Website From Date

2021-01-01 09:52:47

Job Search Website To Date

2021-01-01 09:52:47

Employee Referral Program From Date

2021-01-01 09:52:47

Employee Referral Program To Date

2021-01-01 09:52:47

Local Ethnic Paper From Date

2020-03-25

Local Ethnic Paper To Date

2020-03-25

Radio/TV Ad From Date

2020-03-26

Radio/TV Ad To Date

2020-03-26

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

JAPAN

Foreign Worker Birth Country

JAPAN

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2002

Foreign Worker Institution of Education

UNIVERSITY OF TSUKUBA

Foreign Worker Education Institution Address 1

111 TENNODAI

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

TSUKUBA

Foreign Worker Education Institution State/Province

IBARAKI

Foreign Worker Education Institution Country

JAPAN

Foreign Worker Education Institution Postal Code

305-8577

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

ROBERT A UEOKA

Preparer Title

ATTORNEY

Preparer Email

ROBERT@BISHOPSTREETLAW.COM

Employer Information Declaration Name

JERRIE F BALSAI

Employer Information Declaration Title

SUPERVISOR, HUMAN RESOURCES SERVICE CENTER