Online Interview

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Employment History

Current Employer:
Current Position:
Previous Employer:
Previous Position:

Education:

Do you have a valid State Registered Nurse license? Yes No

Are you certified in CPR? Yes No

Do you have a certification in Advanced Cardiac Life Support (ACLS) and/or Pediatric Advanced Life Support (PALS)? Yes No

How many years of education have you completed? Four-year college degree Master's degree

Experience:

How many years experience do you have in the position for which you are interested? No experience Less than one year At least 1 to 3 years At least 4 to 6 years At least 7 to 9 years Ten or more years

What type of setting best describes your work experience? Hospital Clinic/Private Office Health Department Home Healthcare/Long-Term care Insurance Academia/Research Other

Which area of care is your primary focus? Family Pediatric Adult Geriatric Women's Health Care/Midwives Neonatal/Acute Care Occupational Health Anesthetist Other

Do you have experience in providing care in a rural setting? Yes No

Within the State Licensing guidelines, do you have experience prescribing a limited formulary of medications? Yes No

Do you have experience in providing workshops, seminars and presentations to medical professionals? Yes No

Do you have experience advising patients on health and illness prevention? Yes No

Do you have experience triaging patient telephone calls and providing consultation? Yes No

Do you have experience working with insurance companies and third party payers? Yes No

Do you have experience with using software to help manage patient care? Yes No

Work/Salary:

Would you be interested in temporary assignments or on-call work? Yes No

What is your shift preference? Days Afternoons Evenings Midnights Any shift

Are you able to work weekends and holidays? Yes No

Are you available to rotate your schedule? Yes No

General:

If the position requires traveling, do you have a valid driver's license and proof of automobile insurance? Yes No

Are you interested in working full time or part time? Full time Part time

Are you currently employed? Yes No

How many miles from your home are you willing to travel to work? Up to 5 miles Up to 10 miles Up to 20 miles Over 20 miles

Would you relocate to another state? Yes No

Are you at least 18 years of age and eligible to work in the United States? Yes No

Are you bi-lingual or multi-lingual? Yes No

In addition to English, in which language are you most fluent? Spanish French Italian German Russian Chinese Japanese Other None

Would you consent to pre-commencement testing, if required, including drug screening, medical testing and/or skill-related testing? Yes No

Would you consent to pre-employment background checks, if required, including past employment information, education verification, and/or reference checks? Yes No

Are you now or have you been a member of the United States Military, National Guard or Reserves? No I am a Veteran of the United States military I am currently a member of the United States military I am currently a member of the National Guard or Reserves I was a member of the National Guard or Reserves

Please take a moment to briefly share any additional information about yourself that you feel a prospective employer would like to know. We do not recommend pasting of resumes or cover letters.
Additional Info:

Terms of Service: By completing this Online Interview and clicking the "Submit" button, you give CAJobs permission to release the information contained in the Online Interview, including contact information and employment history, to employers who may be interested in hiring you.