Physical Therapist - Ambe Healthcare Staffing

Hospital Employment & Health Requirements Checklist (first-day instructions will not be sent until all items are cleared)

Please note if the traveler accepts this offer, the agency must provide proof of the following Employment and Health Requirements no later than (5) FIVE business days prior to their contract start date.Failure to provide items in their entirety to Human Resources at JCHC could prevent the agency contractor from starting on the agreed-upon contract start date. Jefferson County Health Center Human Resources: Molly Peterman *** Sarah Beasley ***

Resume

Two recent employment references

Online verification of licensure or certification to include expiration date and any disciplinary actions within 30 days of start date

BLS - Copy of both sides of the card through American Heart Association

All copies of applicable certifications, i.e.: ACLS, TNCC, PALS, NRP

Immunizations to include:

oMMR (Mumps, Rubeola & Rubella) either 2 doses or Positive Titers

oVaricella-positive titer or 2 Varicella Vaccines

oPolio

oHepatitis B Series, titer or signed declination

oCurrent TDaP Tetanus, Diphtheria and Pertussis (dated within 10 years of start)

oCOVID-19 vaccine

oFlu vaccination or signed JCHC exemption during Flu Season (Oct 1st March 31st)

oNegative 2-step Mantoux within 1 year of start

If Positive, must provide proof of positive & chest x-ray results

oProof of physical within 1 year of start date

o10 Panel Drug Screen within 1 month of start date

Respiratory Fit Test within 1 year of start date (we can provide RFT if not available)

Criminal Background (All states where they hold a professional license and have lived/worked in the past 7 years) within 30 days of start date

National &/or State Sex Offender

GSA(EPLS) Sam.gov within 30 days of start date

OIG-Date within 30 days of start date

Mandatory Reporter Certificates (Child Abuse & Dependent Adult Abuse)