Requisition Number:  4846


The Project:

The project site is the U.S. Army Garrison Hospital, located on the atolls of Kwajalein and Roi-Namur in the Republic of the Marshall Islands, a scenic chain of Islands equidistant from Hawaii, Australia, and the Philippines. It is one of the largest outsourced medical facilities in support of the Department of Defense. Since 2018 International SOS Government Medical Services, has been subcontracted to manage the 10-bed Critical Access Kwajalein Hospital, dental clinic, veterinary clinic, and a medical clinic on Roi-Namur. Kwajalein is a 6.5 square mile atoll where bikes are the primary mode of transportation. The more than 1,500 residents include military personnel, Army Civilians, contractors, and their family members.  Kwajalein is home to one of the world’s largest coral atolls and lagoons. The year-round warm and sunny weather supports a variety of activities, such as scuba diving, sport fishing, sailing, and wind surfing.  The military base also boasts a movie theater, bowling alley, gym, golf course, ceramics studio, and small shopping areas.


The Certified Registered Nurse Anesthetist is responsible for the administration of anesthetics to patients undergoing surgical procedures (both medical and dental), accurately measuring and monitoring anesthesia is administration while monitoring patient vital signs to ensure safety. In addition, the CRNA may be required to perform additional tasks during the surgical procedure including, stabilization and evacuation as well as managing the day to day utilization of the Quality/Risk Management team.

Duties Include:

•    Conducting all pre-anesthetic screenings, including physical evaluations, patient interviews, and documenting all results.
•    Creating, recommending, and implementing standard operating instructions and practices pertaining to the administration and management of anesthetics that ensure client safety, and privacy in timely fashion in accordance with confidentiality protocol.
•    Selecting and preparing equipment, monitors, supplies, or drugs for the administration of anesthetics. Calibrating and testing all equipment.
•    Prescribing and administering post-anesthesia medications or treatments to patients including, medications or fluids to support patient’s cardiovascular system.
•    Monitoring and evaluating patient’s post-surgical or post-anesthesia responses and reactions, taking appropriate corrective actions or requesting consultation if complications occur.
•    Deciding, ordering, and or administering pre-anesthetic medications, anesthetics, adjuvant drugs, accessory drugs, fluids or blood products as required.
•    Performing and evaluating the results of diagnostic tests such as radiographs (X-Rays)
•    and electrocardiograms (EKGs).
•    Inserting arterial catheters or arterial punctures to obtain arterial blood samples and peripheral or central intravenous catheters.
•    Maintaining patient’s airway or pulmonary status using techniques such as endotracheal intubation, mechanical ventilation, pharmacological support, respiratory therapy, and extubation.
•    Monitoring patients' responses, including skin color, pupil dilation, pulse, heart rate, blood pressure, respiration, ventilation, or urine output, using invasive and noninvasive techniques.
•    Discharging patients from post-anesthesia care.
•    Educating staff on topics such as anesthetic techniques, pain management and emergency responses.
•    Routinely performing safety tests on anesthesia equipment and requesting repairs or adjustments as needed. Active participation in day to day office activities, including a variety of meetings and task force groups to improve procedural processes, obtain approvals, and remain abreast of new developments and policy requirements and regulations.
•    Active participation in Mass Casualty exercises and events.
•    Being the subject matter expert of the Quality/Risk Management team on Kwajalein, managing the day to day utilization of the program 
•    Other duties as assigned 


•    Baccalaureate degree (BSN) from an accredited program.
•    Must have a minimum of five (5) years of experience as a Nurse Anesthetist.
•    Master’s Degree in Nurse Anesthesia from an accredited program in the United States.
•    Possession of a current unrestricted US (State) license as a Certified Registered Nurse Anesthetist.
•    Possess and maintain current certification from the National Board of Certification and Recertification for Nurse Anesthetists.
•    Must have a minimum of 36 months post-training experience in the delivery of and monitoring of all types of anesthesia (general, neuraxial, regional, and Monitored Anesthesia Care).
•    Current Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS) and Neonatal Resuscitation Program (NRP) certification from the American Heart Association 
•    Certification by the American Heart Association - Advanced Trauma Life Support (ATLS) is preferred
•    Proficiency in English both in reading and writing.

Additional Requirements:

  • Must be able to read, write & speak English to effectively communicate
  • This position is unaccompanied.
  • US Citizen or Permanent Resident Card is required. 
  • US DOD NACI or the ability to obtain one is required.
  • Must be able to relocate to the United States Army Garrison - Kwajalein Atoll.
  • A valid passport is required and must be in your possession prior to relocation. You must maintain a current passport during your stay on Kwajalein Atoll.

Physical Requirements:

  • Work is normally performed in a typical interior/office work environment.
  • Work involves sitting and standing for prolonged periods of time.
  • May require bending, stooping and lifting up to 15 lbs.

Covid 19 Vaccine Policy

International SOS Government Services Inc. requires its employees to be fully vaccinated against COVID-19, where allowable under the law, unless the employee is approved for a reasonable accommodation based on medical conditions or a sincerely held religious belief that prevents the employee from being vaccinated.
•    If you are vaccinated, you are required to provide proof of your vaccination status within the first 30 days of your employment. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment.
•    Additionally, if you are unable to be fully vaccinated due to a medical condition or sincerely held religious belief, you will be required to apply for and receive a reasonable accommodation as a condition of employment. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated.  If your accommodation request is granted, you will undergo weekly COVID testing, if working in one of our offices. If your request for an accommodation is not approved, then your employment will be terminated.

International SOS is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with applicable federal, state and local laws.


This job description outlines the types of responsibilities the incumbent is required to perform.The incumbent may be required to perform job related tasks other than those specifically presented in this job description. This job description is subject to regular review.