RN - LTC

Submission Documents

Resume

Must include candidate's education (Including month / year of graduation), & complete work history from the last seven (7) years. All work history should include facility worked at, not the agency name.

Skills Checklist

Completed within one (1) year of submittal for specialty where candidate is submitted

Two (2) References

Two (2) references from work history occurring within the past three (3) years. At least (1) one reference must be from a supervisor.

Online verification of professional license or certification

Verified within 30 days of submission. Nursys acceptable.

Placement Documents

Export as PDF

Verification of Professional License or Certification

Online verification of professional license completed within thirty (30) days of start and at time of extension. For RN / LPN verification must be through Nursys.

Background Check

Completed thirty (30) days prior to start date. National Criminal Check, FACIS Level III, National Sex Offender, all counties LIVED and WORKED within past 7 years, including for any aliases. SSN Address Trace required.

Specialty Competency Exam

Completed within one (1) year prior to start date for the specialty corresponding to the CP s Assignment; required annually. An 80% or passing score is required.

Valid state issued Drivers License or ID card

State issued photo ID or state issued Drivers License required to be current at time of start. Photo ID must be submitted to clients for identification verification.

Drug Screen

10-panel drug screen collected within sixty (60) days prior to start date; required annually. The following drugs must be on the panel : Amphetamine to include Methamphetamine, Barbiturates, Benzodiazepines, Cocaine, Marijuana, Methadone, Methaqualone, Propoxyphene, Opioids to include 6-Acetylmorphine, Phencyclidine

Hepatitis B

Shown by proof of vaccination series, positive surface antibody titer, or declination.

Influenza

For Assignments occurring between 10 / 1-3 / 31. Declination is permitted with the understanding that CP will wear a mask at all times while at the facility, with the exception of while eating.

Joint Commission - Core I, II, and III Modules

Completed within one (1) year of start date; required annually. An 80% passing score is required.

MMR

Shown by proof of two (2) MMR vaccinations or positive IGG titers. For low / equivocal titers- One MMR booster is required.

Nebraska DHHS Child / Adult Abuse and Neglect Central Registry Background Check

Completed within thirty (30) days prior to start date.

OIG (Office of Inspector General)

Completed within thirty (30) days of start; required annually and at time of extension.

Physical

Completed within one (1) year prior to start date; required annually. Must be signed by MD, DO, DC, NP, or PA.

SAM (System for Award Management)

Completed within thirty (30) days of start; required annually and at time of extension

TB

Documentation of TB skin test, TB QuantiFERON, or T-Spot completed within one (1) year prior to start date and annually thereafter. Chest X-Ray should only be completed for past positive PPD cases as a result of TB exposure. Chest X-Ray result must indicate that the Chest X-Ray was completed to rule out positive TB results. The Chest X-Ray results are good for 5 years. If providing Chest X-Ray, TB questionnaire is required at time of placement and annually thereafter.

Tdap

Administered within ten (10) years prior to start date.

Varicella

Shown by proof of two (2) vaccinations, positive IGG titer, or provider verified history. For low / equivocal titers- one Varicella booster is required.

WCCH Attendance Policy

Please download the attached client required form and have CP sign and date.

BLS - Basic Life Support (American Heart Association)