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Home
About Us
About CRHC
2022 Annual Report
Meet our Team
In the News
Employment
Financials
Contact Us
Press Releases
Membership
Renew or Join
Benefits and Options
Membership List 2023
Programs and Service Offerings
Search
Hospital Support Services
Rural Clinics
CREATE
Information Technology
Policy and Advocacy
Group Purchasing Services
Provider Recruitment
About Colorado Provider Recruitment (CPR)
CPR For Providers
CPR For Employers
CPR Jobs
Sponsors
Organizational Sponsors
Resources
Recruitment and Retention Catalog
COVID-19
Snapshot of Rural Health
Webinar Recordings
Manuals
Coding Resources
Videos & Infographs
Maps
Rural & Frontier Preceptor Tax Credit Certification Form
Events
2024 Forum
Career Fair
2024 Annual Conference
CAH Workshop
Webinars and Workshops
Safety Net Clinic Week & Videos
National Rural Health Day
HIT
Blog
Advertise with us
Donate
CPR: Medical Job Opportunity Form
1. CONTACT INFORMATION
Practice Site Name
*
Hospital or Parent Organization Name (if different)
Practice Site Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Fax Number
Recruitment Contact's Name
*
Contact's Title
*
Phone Number
*
Email Address
*
Contract Contact's Name (e.g. CEO, Owner)
*
Contact's Title
*
Phone Number
*
Email Address
*
2. EMPLOYEE BENEFITS
Medical
*
Yes
No
Dental
*
Yes
No
Vision
*
Yes
No
PTO
*
Yes
No
If PTO is offered, please describe.
Holidays
*
Yes
No
If Holidays are offered, please describe.
401k
*
Yes
No
CME allowance
*
Yes
No
If CME allowance offered, please describe days off and amount offered.
Relocation assistance
*
Yes
No
If relocation assistance offered, please describe.
Malpractice coverage
*
Yes
No
Loan repayment through practice (other than federal, state programs)
Yes
No
Professional fees paid by practice
*
Yes
No
If professional fees paid by practice, please describe.
If other benefits offered, please specify.
Why do provider stay at your facility?
*
3. NEW PROVIDER DETAILS
What type of provider(s) are you recruiting?
*
Family Physician
Internal Medicine Physician
Pediatrician
OB/GYN
Emergency Medicine Physician
General Surgeon
IM/Peds
Medical Director
Physician Assistant/Nurse Practitioner
Certified Nurse Midwife
Dentist
Hygienist
Registered Nurse
1. How many are needed?
*
Please enter a number greater than or equal to
0
.
2. Why is the position open?
*
3. Hire Date
*
MM slash DD slash YYYY
4. Open to residents/students graduating in 2016?
*
Yes
No
5. Open to residents/students graduating in 2017?
*
Yes
No
7. Full-time/Part-time:
If hiring for full-time, will you consider:
Part-time
Temporary
Neither
8. Will you consider J-1 Visa waiver candidates?
*
Yes
No
9. Weekly Schedule - Days and Hours
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:
Sunday:
10. Call Schedule:
*
11. Does this position require ER coverage?
*
Yes
No
Comments:
12. Experience required:
*
Yes
No
How many years of experience required (or additional comments):
13. Salary Range:
*
Does your facility offer a productivity bonus?
Yes
No
Comments:
14. Does this position require OB?
*
Yes
No
If not required, is OB an option?
Yes
No
If practicing OB, are c-section privileges an option?
Yes
No
Salary Range with OB:
Comments:
15. Does the position require pre-natal care?
*
Yes
No
Comments:
16. Will providers travel to satellite clinics?
*
Yes
No
If yes, please include information about satellite clinics:
17. Does this position offer GI endoscopy privileges?
*
Yes
No
Comments:
18. Does this position offer Sports Medicine care?
*
Yes
No
Comments:
Scope of Practice (Duties and Responsibilities)
*
4. PRACTICE DETAILS
1. What type of employer is hiring?
*
Rural hospital
Rural, hospital-based clinic
Rural, private practice
Rural or urban Community Health Center (CHC)
Rural or urban safety-net clinic
2. What is the name of the practice that the provider will primarily work at?
*
3. Number of physicians at practice:
Please enter a number greater than or equal to
0
.
4. Number of PAs/NPs at practice:
Please enter a number greater than or equal to
0
.
5. Are physicians employed by practice or independent contractors?
Does the practice currently use Electronic Medical Records (EMR)?
If so, what type of EMR is used, and how long has it been implemented?
6. Does the practice accept Medicare/Medicaid patients?
*
Yes
No
7. Does the practice accept uninsured patients?
*
Yes
No
8. Does the practice utilize a sliding fee scale for low income and uninsured patients?
*
Yes
No
9. Is the practice designated as a HPSA?
Yes
No
9. Is the practice a non-profit facility?
Yes
No
HPSA Score (if designated):
10. Is the position located within a hospital?
*
Yes
No
11. Information about the hospital or nearest hospital:
a. Name of the hospital:
*
b. Number of beds:
*
Please enter a number greater than or equal to
0
.
c. Distance to the hospital:
*
d. Hospital services:
*
Practice Description:
*
(Please give us a "sense" of what the provider's day to day practice would be like.)
If there is any other information you would like us to use when writing your job description, please attach it here:
Drop files here or
Select files
Accepted file types: doc, txt, pdf, Max. file size: 50 MB, Max. files: 3.
Δ
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