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.
Drug Screen
NOTE : Proof that drug screen has been collected needs to be uploaded within 48 hours of candidate's acceptance. Please provide a 10-panel drug screen collected within thirty (30) days of start date; required annually.
Physical
Completed within one (1) year of start date; required annually. Must be signed by MD, DO, NP, or PA. Will not accept signature from DC.
MMR
Shown by proof of two (2) MMR vaccinations or positive IGG titers. Decline form accepted for low / equivocal titers, Affiliate form acceptable.
Varicella
Shown by proof of two (2) vaccinations, positive IGG titer, or provider verified history. Decline form accepted for low / equivocal titers, Affiliate form acceptable.
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 during times classified as "flu outbreaks" in the facility.
Tdap
Administered within ten (10) years of start date. Decline form accepted, Affiliate form acceptable
TB
Documentation of TB skin test, TB QuantiFeron, or T-Spot completed within one (1) year of 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.
Background Check
Confirmation that the background has been ordered need to be uploaded to Triage Plus within 48 hours of candidate acceptance. Please follow these guidelines : Completed thirty (30) days prior to start date. National Criminal Check, FACIS Level III, National Sex Offender, NEBRASKA Sex Offender, all counties lived and worked within past 7 years, including for any aliases. SSN Address Trace required. NE Sex Offender can be ran through the state website and uploaded with the background report.
OIG (Office of Inspector General)
OIG completed within thirty (30) days of start date, and at time of extension. Must be run for all alias names that appear on the SSN address trace
Nebraska DHHS Child / Adult Abuse and Neglect Central Registry Background Check
Completed within thirty (30) days of start date
Specialty Competency Exam
Completed within one (1) year of start date for the specialty corresponding to the CP s Assignment; required annually. An 80% or passing score is required.
Joint Commission - Core I, II, III Modules
Completed within one (1) year of start date; 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.
SAM (System for Award Management)
SAM completed within thirty (30) days of start date, and at time of extension. Must be run for all alias names that appear on the SSN address trace.
Covid-19
Proof of vaccination. For those that do not have the vaccine, provide a decline form.
York General Traveler Attendance Policy
BLS - Basic Life Support (American Heart Association)
Lpn Long Term Care • York, NE, US