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Agreement No . 18-666-1
AMENDMENT I TO AGREEMENT
THIS AMENDMENT, hereinafter referred to as "Amendment I", is made and entered into this
~ day of February , 2020, by and between the COUNTY OF FRESNO, a Political Subdivision
of the State of California , hereinafter referred to as "COUNTY", and each CONTRACTOR listed in
Revised Exhibit A "List of Contractors ", and collectively referred to as "CONTRACTORS", and such
CONTRCTOR(S) as may , from time to time during the term of this Agreement , be added by
COUNTY. Reference in this Agreement to "parties " shall be understood to refer to COUNTY and
each individual CONTRACTOR, unless otherwise specified .
WHEREAS the parties entered into that certain Agreement , identified as COUNTY Agreement
No . A-18-666 , effective November 1, 2018 , hereinafter referred to as "Agreement", whereby
CONTRACTORS agreed to provide certain recruiting services for various classifications for
temporary staffing needs to COUNTY 's Department of Behavioral Health (DBH); and
WHEREAS the parties now desire to amend the Agreement regarding changes as stated
below and restate the Agreement in its entirety .
NOW, THEREFORE , in cons ideration of their mutual promises , covenants and conditions ,
hereinafter set forth , the sufficiency of which is hereby acknowledged , the parties agree as follows :
1. That the existing COUNTY Agreement No. 18-666, Page Four (4), beginning with
Section Four (4), Line Twelve (12), with the word "COMPENSATION " and end i ng on Page Six (6),
Line Fourteen (14), with the word "COUNTY" be deleted and the following inserted in its place :
"4. COMPENSATION
COUNTY agrees to pay CONTRACTOR(S) and CONTRACTOR(S) agree to
receive compensation for successful placement of staff in accordance with this Agreement and
Revised Exhibit B , attached hereto and incorporated herein by reference , and in accordance with the
compensation rates identified by each CONTRACTOR(S) within their respective "Services &
Compensation ", as set forth herein as Revised Exhibit C-1 et seq., attached hereto and incorporated
herein by reference.
A. The maximum amount of compensation to be paid to all
CONTRACTORS collectively for rate charges for the first 8-month period of the initial contract term ,
- 1 -COUNTY OF FRESNO
Fresno, CA
COUNTY OF FRESNO
Fresno, CA
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(November 1, 2018 through June 30, 2019) shall not exceed the amount of One Million, Seven
Hundred Thirty-Three Thousand, Three Hundred and Thirty-Three and No/100 Dollars
($1,733,333.00).
The maximum amount of compensation to be paid to all CONTRACTORS
collectively for rate charges for the subsequent 7-month period of the initial contract term, (July 1,
2019 through January 31, 2020) shall not exceed the amount of One Million, Five Hundred
Thousand Sixteen, Six Hundred Sixty-Seven and No/100 Dollars ($1,516,667.00).
The maximum amount of compensation to be paid to all CONTRACTORS
collectively for rate charges for the subsequent 5-month period of the initial contract term, (February
1, 2020 through June 30, 2020) shall not exceed the amount of Twelve Million, Five Hundred Fifty-
Four, One Hundred Sixty and No/100 Dollars ($12,554,160.00).
The maximum amount of compensation to be paid to all CONTRACTORS
collectively for rate charges for the third 12-month period of the initial contract term (July 1, 2020
through June 30, 2021), shall not exceed the amount of Thirty Million, One Hundred Twenty-Nine
Thousand, One Hundred Eighty-Four and No/100 Dollars ($30,129,184.00).
The maximum amount of compensation to be paid to all CONTRACTORS
collectively for rate charges for the first 12-month period of the additional contract term (July 1, 2021
through June 30, 2022), if the contract is extended, shall not exceed the amount of Thirty Million,
One Hundred Twenty-Nine Thousand, One Hundred Eighty-Four and No/100 Dollars
($30,129,184.00).
The maximum amount of compensation to be paid to all CONTRACTORS
collectively for rate charges for the second 12-month period of the additional contract term (July 1,
2022 through June 30, 2023), if the contract is extended, shall not exceed the amount of Thirty
Million, One Hundred Twenty-Nine Thousand, One Hundred Eighty-Four and No/100 Dollars
($30,129,184.00).
In no event shall the total maximum amount for the services provided by
CONTRACTORS collectively under the terms and conditions of this Agreement for the entire five (5)
year term exceed One Hundred Six Million, One Hundred Ninety-Four Thousand, Two Hundred
COUNTY OF FRESNO
Fresno, CA
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Twelve and No/100 Dollars ($106,194,212.00).
It is acknowledged by all parties hereto that the rate(s) specified in each
CONTRACTOR(S)’ “Services & Compensation” may change during the term of this Agreement and
such rate changes must be approved by COUNTY’s DBH Director, or designee, upon receipt of a
written application for such a rate increase. Any such approved rate change shall become a part of
this Agreement. It is also acknowledged that as additional CONTRACTORS are added to this
Agreement, Revised Exhibit C-1 et seq. shall be updated to include the specific “Services &
Compensation” which includes services and rates for each added CONTRACTOR and shall be
effective upon approval and execution by COUNTY’s DBH Director, or designee.
Commencing April 1st of each term of this Agreement, each CONTRACTOR
shall provide to COUNTY’s DBH a new “Services & Compensation” with the updated rates of
services for the following 12-month term of the Agreement (beginning with the new fiscal year). Said
updated “Services & Compensation” shall be reviewed for approval by COUNTY’s DBH Director, or
designee, as set forth in Section 1, Paragraph D of this Agreement.
In the event CONTRACTOR(S) fails to comply with any provisions of this
Agreement, COUNTY shall withhold payment until such time as the non-compliance has been
corrected.
B.Payments shall be made by COUNTY to CONTRACTOR(S) in arrears,
for services provided during the preceding month, within forty-five (45) days after the date of receipt
and approval by COUNTY of the monthly invoicing as described in Section Five (5), INVOICING,
herein.
C.Payments shall be made after receipt and verification of hours worked by
each staff person, as identified in Revised Exhibit C-1 et seq., and shall be documented to COUNTY
on a monthly basis by the tenth (10th) of the month following the month of said expenditures.
D.COUNTY shall not be obligated to make any payments under this
Agreement if the request for payment is received by COUNTY more than sixty (60) days after this
Agreement has terminated or expired.
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COUNTY OF FRESNO
Fresno, CA
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All final claims, including actual cost per unit, shall be submitted by
CONTRACTOR(S) within sixty (60) days following the final month of service for which payment is
claimed. No action shall be taken by COUNTY on claims submitted beyond the sixty (60) day
closeout period. Any compensation which is not expended by CONTRACTOR(S) pursuant to the
terms and conditions of this Agreement shall automatically revert to COUNTY.”
2.That all references in existing COUNTY Agreement No. A-18-666 to “Exhibit B” shall
be changed to read “Revised Exhibit B”, where appropriate, attached hereto and incorporated herein
by reference.
3.That all references in existing COUNTY Agreement No. A-18-666 to “Exhibit C-1, et
seq.” shall be changed to read “Revised Exhibit C-1, et seq.”, where appropriate, attached hereto and
incorporated herein by reference.
4.Except as otherwise provided in this Amendment I, all other provisions of the
Agreement remain unchanged and in full force and effect. This Amendment I shall become effective
February 1, 2020.
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IN WITNESS WHEREOF , the parties hereto have executed this Amendment I to Agreement as
of the day and year first hereinabove written.
CONTRACTORS :
PLEASE SEE ADDITIONAL
SIGNATURE PAGES ATTACHED
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2 5 Organization :
2 6 Account/Program :
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0001/10000
56302007
7295/0
COUNTY OF FRESNO
By~ 560&/~~
Ernest Buddy Mende
Chairman of the Board of Superv isors of the
County of Fresno
Date ---'@_""'--'----L ....... \ ----"-'J._D--=---a;)_'----0 __
ATTEST:
Bernice E. Seidel ,
Clerk of the Board of Supervisors
County of Fresno , State of Californ ia
-5 -COUNTY OF FRESNO
Fresno, CA
COUNTY OF FRESNO
Fresno, CA
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CONTRACTOR:
ALL-N-ONE SERVICES
THIS PAGE IS INTENTIONALLY LEFT BLANK.
PLEASE SEE ADDITIONAL
SIGNATURE PAGES ATTACHED
Mailing Address:
12115 English Brook Circle
Humble, Texas 77346
Phone #: (281) 812-3553
Contact: President/CEO
COUNTY OF FRESNO
Fresno, CA
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CONTRACTOR:
AXION HEALTHCARE, LLC
THIS PAGE IS INTENTIONALLY LEFT BLANK.
PLEASE SEE ADDITIONAL
SIGNATURE PAGES ATTACHED
Mailing Address:
350 Sentry Parkway Building 620 Suite 200
Blue Bell, Pennsylvania 19422
Phone #: (610) 825-2487
Contact: Vice President
COUNTY OF FRESNO
Fresno, CA
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CONTRACTOR:
INFOJINI INC.
By____________________________________
Print Name _____________________________
Title __________________________________
Chairman of the Board, or
President or any Vice President
Date __________________________________
By____________________________________
Print Name _____________________________
Title __________________________________
Secretary of Corporation, or
Any Assistant Secretary, or
Chief Financial Officer, or
Any Assistant Treasurer
Date __________________________________
PLEASE SEE ADDITIONAL
SIGNATURE PAGES ATTACHED
Mailing Address:
10015 Old Columbia Road, Suite B215
Columbia, Maryland 21046
Phone #: (443) 257-0086
Contact: Director
President
Sandeep Harjani
Sandeep Harjani
Officer
01/14/2020
01/14/2020
1 CONTRACTOR:
2 WORLDWIDE TRAVEL STAFFING, LIMITED
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6 Print N ame --=L:.::::e;.:::;o�R.:..:.·-=B:;.:.:la=..:t::iz,L....:.A...:..:·..:.:N:.!..1.1...:.M:.:.,,�S::.:..N�·---
7 Title _...;:C�·::.E :.::.O�.----------
a Chairman of the Board, or
President or any Vice President
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Date _.....:J�a�n::::u�ary�9::..i.,.!=2�02:;0�-----
ay 1°11 LL d3�
Print Name Jane T. Blatz
1 s Title Secretary a nd Vice President
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Secretary of C orporation, or
Any Assistant Secretary, or
Chief Financial Officer, or
Any Assistant Treasurer
Date _..::J:..:::a!!.:n::::.ua:::::ry�9:..a.., =2�02:.:0�-----
Mailing Address:
2829 Sheridan Drive
Tonawanda, New York 14150 Phone #: (866) 633-3700
Contact: Chief Executive Officer
-15 -COUNTY OF FRESNO Fresno, CA
Revised Exhibit A
LIST OF CONTRACTORS
CONTRACTOR NAME EXHIBIT
REFERENCE
1.All-N-One Services, LLC __________
2.All’s Well, Inc.Revised Exhibit C-2
3.Axion Healthcare, LLC __________
4.Cell Staff, LLC Revised Exhibit C-4
5.Diskriter, Inc.Revised Exhibit C-5
6.Infojini, Inc.Revised Exhibit C-6
7.Maxim Healthcare Services, Inc.Revised Exhibit C-7
8.Quality Placement Authority Revised Exhibit C-8
9.Supplemental Health Care Services, Inc.Revised Exhibit C-9
10.Worldwide Travel Staffing, Ltd Revised Exhibit C-10
Revised Exhibit A
CONTRACTORS: ADDRESS AND CONTACT INFORMATION
1.All-N-One Service, LLC
Contact: E. Ann Guliex, President/CEO
12115 English Brook Circle
Humble, Texas 77346
(281) 812-3550 Phone
(281) 812-3553 Fax
annguliex@all-n1.com
2.All’s Well, Inc.
Contact: Carlton G. Bryant, Executive Vice President
16371 Beach Boulevard, Suite 240
Huntington Beach, California 92647
(866) 493-8343 Phone
(714) 596-7798 Fax
govsolutions@allswell.com
3.Axion Healthcare, LLC
Contact: Christine Swan, Vice President
350 Sentry Parkway Building 620, Suite 200
Blue Bell, Pennsylvania 19422
(610) 825-2487 Phone
(610) 771-4136 Fax
cswan@axionllc.com
4.Cell Staff, LLC
Contact: Grant Hargis, Director or Rami Isa, Owner
1715 N. Westshore Boulevard, Suite 410
Tampa, Florida 33607
(855) 561-1715 Phone
(813) 433-5159 Fax
Bids@cellstaff.com
5.Diskriter, Inc.
Contact: Laveena Yadav, Chief Executive Officer
2840 Library Road, Suite 300
Pittsburgh, Pennsylvania 15234
1 (800) 242-1622 Phone
(877) 815-6528 Fax
Laveena.Yadav@Diskriter.com
Revised Exhibit A
6.Infojini, Inc.
Contact: Sandeep Harjani, Director
10015 Old Columbia Road, Suite B215
Columbia, Maryland 21046
(443) 257-0086 Phone
(443) 283-4249 Fax
Statebids@infojiniconsulting.com
7.Maxim Healthcare Services, Inc.
Contact: Rigo Robles, Business Development Manager
6051 N. Fresno Street, Suite 102
Fresno, California 93710
(559) 224-0299 Phone
(800) 318-2074 Fax
rorobles@maxhealth.com
8.Quality Placement Authority
Contact: Deborah Grimes, Branch Manager
1485 Response Road, Suite 108 Sacramento,
California 95815
(916)924-0250 x. 3605 Phone
(916) 924-0255 Fax
DGrimes@qpauthority.com
9.Supplemental Health Care Services, Inc.
Contact: Nadine Perez-Turrietta, Senior Market Manager
1640 W. Redstone Center Drive, Suite 200
Park City, Utah 84098
(866) 268-2411 or (559) 224-6350 Phone
(866) 958-2612 or (559) 261-2612 Fax
fresnooffice@shccares.com
10.Worldwide Travel Staffing, Ltd
Contact: Leo R. Blatz, Chief Executive Officer
2829 Sheridan Drive
Tonawanda, New York 14150
(866) 633-3700 Phone
(877) 375-2450 Fax
LBlatz@worldwidetravelstaffing.com
Revised Exhibit B
Page | 1
SCOPE OF SERVICES
RECRUITING SERVICES FOR TEMPORARY STAFFING
CONTRACTOR(S) are temporary staffing recruiting firms specializing in the recruitment of the
following classifications which will assist in providing services to COUNTY’S DBH clients:
Licensed Mental Health Clinicians:
o Licensed Marriage and Family Therapist (LMFT)
o Licensed Clinical Social Worker (LCSW)
o Licensed Professional Clinical Counselor (LPCC)
Nursing Staffing:
o Licensed Vocational Nurse (LVN)
o Registered Nurse (RN)
o Nurse Practitioner (NP)
Quality Improvement Staffing:
o Quality Improvement Coordinator (QIC)
o Medical Records Coordinator (MRC)
o Registered Health Information Technician (RHIT)
Job specifications for each of these positions is included in this Revised Exhibit B. All candidates
must meet the criteria listed in the job descriptions for the position they are applying for.
Upon request of COUNTY's DBH Director, or designee, CONTRACTOR(S) shall identify and recruit
qualified candidates who satisfy the criteria as established by the COUNTY.
COUNTY’s DBH shall arrange interviews with candidates and provide timely offers, as appropriate.
COUNTY’s DBH Divisions shall be responsible for the interviews and candidate selection process
depending on the area of need.
Temporary Staffing Agency Requirements:
1. Shall have the ability to provide one or more of the identified staff classifications as needed by DBH
for a pre-determined, temporary basis.
2. Refer qualified individuals that meet the specific criteria of their identified classification.
3. Ensure acknowledgment with candidates, that all candidates shall be independent contractors, thus
not employees of the COUNTY, as stated in Section 6 of this Agreement.
Although not employees of the COUNTY, candidates are to abide by all COUNTY rules and
regulations upon commencing work duties with DBH.
4. Provide information regarding number of temporary staff available (by classification) upon request
from DBH.
Since candidates will not be COUNTY employees, staff wages will be paid by the
CONTRACTOR(S), at the rates identified per classification in Revised Exhibit C-1 et sec., which
will be reflected on invoices submitted by CONTRACTOR(S) to DBH.
5. All staff assigned to work with COUNTY’s DBH must be credentialed through DBH’s Managed Care
Division:
Revised Exhibit B
Page | 2
CONTRACTOR(S) will:
o Provide assistance to DBH during the required Managed Care credentialing process.
o Assist the candidates in completing the credentialing packet accurately to be submitted
timely to DBH for Managed Care processing.
o Act as the liaison between DBH and candidates during the entire credentialing process.
If any edits need to be made to the credentialing packet, it is the responsibility
of the CONTRACTOR(S) to partner with candidates to update the credentialing
packet to be returned to DBH in a timely manner.
6. Each candidate shall abide by all Health Insurance Portability and Accountability Act (HIPAA), and all
other confidentiality requirements, as set forth in Section 11 of the Agreement.
7. Each candidate shall remain in compliance with all professional certifications, licenses, and any
credentials required as part of their respective job classification.
8. It is to be understood and acknowledged that DBH has the authority to dismiss any candidate for any
reason including being deemed incapable of performing duties set forth within the specifications of
their respective job classification.
9. It is to be understood and acknowledged that staffing services are to be on a temporary basis. At the
point DBH no longer needs the identified staffing classification services, DBH will notify the
CONTRACTOR(S) immediately that staff will no longer be needed to report moving forward.
CONTRACTOR(S) will be compensated by COUNTY for all staffing costs incurred to the point of
termination of the candidate.
Staff Qualifications:
Prior to interview and/or selection of candidates, CONTRACTOR(S) shall be required to present
credentials, screen all candidates, provide complete background checks, curriculum vitae, and
licensure of candidates to DBH.
CONTRACTOR(S) shall provide qualified candidates licensed to practice in the State of California and
specializing in adult and/or child counseling/nursing and who are not debarred, excluded or
suspended by any local, State, or Federal regulatory agency from practicing or billing for services to
Medi-Cal.
CONTRACTOR(s) shall provide qualified candidates who are immediately available and located within the
County of Fresno.
Once a candidate is chosen, COUNTY staff will notify the CONTRACTOR(S) of a start date for the
candidate.
All temporary staff selected to work with COUNTY’s DBH must abide by the “Guiding Principles of
Care Delivery” as shown in Exhibit G, attached hereto and incorporated herein by this reference.
Revised Exhibit B
Page | 3
Job Specifications:
For the following classifications please reference the attached job specifications (as noted in the
italics):
Licensed Mental Health Clinicians:
For all of the following please see the job specifications under Licensed Mental Health
Clinician
o Licensed Marriage and Family Therapist (LMFT)
o Licensed Clinical Social Worker (LCSW)
o Licensed Professional Clinical Counselor (LPCC)
Nursing Staffing:
o Licensed Vocational Nurse (LVN) – please see job specifications under:
Licensed Vocational Nurse I
Licensed Vocational Nurse II
Licensed Vocational Nurse III
o Registered Nurse (RN)
Mental Health Nurse I
Mental Health Nurse II
o Nurse Practitioner (NP)
Psychiatric Mental Health Nurse Practitioner
Quality Improvement Staffing:
o Quality Improvement Coordinator (QIC)
Quality Improvement Coordinator
o Medical Records Coordinator (MRC)
Medical Records Coordinator
o Registered Health Information Technician (RHIT)
Program Technician I – Confidential
Program Technician II – Confidential
Revised Exhibit C‐2
SERVICES AND COMPENSATION
All’s Well, Inc. will provide temporary medical staffing to the County of Fresno, Department of
Behavioral Health in accordance with the rates listed below.
Compensation
The hourly rate of pay is not to exceed the following for each position identified below:
POSITION RATES
Licensed Marriage & Family Therapist $66.00
Licensed Clinical Social Worker $68.00
Licensed Professional Clinical Counselor $68.00
Licensed Vocational Nurse $46.00
Registered Nurse $69.00
Nurse Practitioner $103.00
QI (Quality Improvement) Coordinator $77.00
Medical Records Coordinator $64.00
Registered Health Information Technician $36.00
Revised Exhibit C‐4
SERVICES AND COMPENSATION
Cell Staff, LLC will provide temporary medical staffing to the County of Fresno, Department of
Behavioral Health in accordance with the rates listed below.
Compensation
The hourly rate of pay is not to exceed the following for each position identified below:
POSITION RATES
Licensed Marriage & Family Therapist $85.00
Licensed Clinical Social Worker $85.00
Licensed Professional Clinical Counselor $85.00
Licensed Vocational Nurse $45.00
Registered Nurse $67.00
Nurse Practitioner $105.00
Quality Improvement Coordinator $85.00
Medical Records Coordinator $65.00
Registered Health Information Technician $45.00
Revised Exhibit C‐5
SERVICES AND COMPENSATION
Diskriter, Inc. will provide temporary medical staffing to the County of Fresno, Department of
Behavioral Health in accordance with the rates listed below.
Compensation
The hourly rate of pay is not to exceed the following for each position identified below:
POSITION RATES
Licensed Marriage & Family Therapist $66.30
Licensed Clinical Social Worker $72.76
Licensed Professional Clinical Counselor $41.99
Licensed Vocational Nurse $38.83
Registered Nurse $66.30
Nurse Practitioner $99.96
Quality Improvement Coordinator $53.07
Medical Records Coordinator $49.14
Registered Health Information Technician $35.79
Revised Exhibit C-6
SERVICES AND COMPENSATION
Infojini, Inc. will provide temporary medical staffing to the County of Fresno, Department of
Behavioral Health in accordance with the rates listed below.
Compensation
The hourly rate of pay is not to exceed the following for each position identified below:
POSITION RATES
Licensed Marriage & Family Therapist $65.00
Licensed Clinical Social Worker $65.00
Licensed Professional Clinical Counselor $60.00
Licensed Vocational Nurse $38.00
Registered Nurse $60.00
Nurse Practitioner $80.00
QI (Quality Improvement) Coordinator $54.00
Medical Records Coordinator $35.00
Registered Health Information Technician $40.00
Revised Exhibit C‐7
SERVICES AND COMPENSATION
Maxim Healthcare Services, Inc. will provide temporary medical staffing to the County of
Fresno, Department of Behavioral Health in accordance with the rates listed below.
Compensation
The hourly rate of pay is not to exceed the following for each position identified below:
POSITION RATES
Licensed Marriage & Family Therapist $90.00
Licensed Clinical Social Worker $90.00
Licensed Professional Clinical Counselor $90.00
Licensed Vocational Nurse $46.00
Registered Nurse $70.00
Mental Health Nurse (RN) $70.00
Nurse Practitioner $105.00
Psychiatric Nurse Practitioner $120.00
Quality Improvement Coordinator $100.00
Medical Records Coordinator $65.00
Program Technician $50.00
Revised Exhibit C‐8
SERVICES AND COMPENSATION
Quality Placement Authority will provide temporary medical staffing to the County of Fresno,
Department of Behavioral Health in accordance with the rates listed below.
Compensation
The hourly bill rate is not to exceed the following for each position identified below:
POSITION RATES
Licensed Marriage & Family Therapist $77.00
Licensed Clinical Social Worker $77.00
Licensed Professional Clinical Counselor $77.00
Licensed Vocational Nurse $45.00
Registered Nurse $66.00
Nurse Practitioner $104.00
Quality Improvement Coordinator $73.60
Medical Records Coordinator $58.56
Registered Health Information Technician $33.07
Revised Exhibit C‐9
SERVICES AND COMPENSATION
Supplemental Health Care Services, Inc. will provide temporary medical staffing to the County
of Fresno, Department of Behavioral Health in accordance with the rates listed below.
Compensation
The hourly rate of pay is not to exceed the following for each position identified below:
POSITION RATES
Licensed Marriage & Family Therapist $85.00
Licensed Clinical Social Worker $75.00
Licensed Professional Clinical Counselor $85.00
Licensed Vocational Nurse $46.00
Registered Nurse $68.00
Nurse Practitioner $120.00
QI (Quality Improvement) Coordinator $60.00
Medical Records Coordinator $35.00
Registered Health Information Technician $50.00
Revised Exhibit C‐10
SERVICES AND COMPENSATION
Worldwide Travel Staffing, Limited will provide temporary medical staffing to the County of
Fresno, Department of Behavioral Health in accordance with the rates listed below.
Compensation
The hourly rate of pay is not to exceed the following for each position identified below:
POSITION RATES
Licensed Marriage & Family Therapist $65.00
Licensed Clinical Social Worker $72.00
Licensed Professional Clinical Counselor $110.00
Licensed Vocational Nurse $55.00
Registered Nurse $75.00
Nurse Practitioner $145.00
QI (Quality Improvement) Coordinator $50.00
Medical Records Coordinator $45.00
Registered Health Information Technician $55.00