Massachusetts - Potential Strike
Submit Request
Home Care - Occupational Therapist - Allied
Requirements
:
Massachusetts Occupational Therapy License
BLS (preferred)
-- please complete this submission form honestly and accurately --
First Name
*
Last Name
*
Email
*
Phone
*
Do you have BLS certification?
*
No
Yes
Do you have a Massachusetts Occupational Therapy license?
*
No
Yes
Do you have the COVID Vaccination?
*
No - Requesting Exemption
Yes - Vaccinated
Yes - Vaccinated with Booster
Typically for strike assignments: 5x12/hr shifts (60/hrs week) Are you ok with this?
*
No
Yes
Can you work a Day shift?
*
No
Yes
Can you work a Mid shift?
*
No
Yes
Can you work a Night shift?
*
No
Yes
What is your Primary Shift preference?
*
Day
Mid
Night
100% Flexible
How many years Home Health experience do you have?
*
None
6 Months or less
1 Year
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
More than 10 Years
Do you have experience with Oasis documentation?
*
No
Yes
How many years experience do you have as an Occupational Therapist?
*
None
6 Months or less
1 Year
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
More than 10 Years
Have you worked as an Occupational Therapist in the past year?
*
No
Yes
At what facility have you worked as an Occupational Therapist most recently?
*
Do you have experience with Medicare/MedicAid?
*
No
Yes
Are you able to complete relevant insurance documentations?
*
No
Yes
Do you have experience with private insurance?
*
No
Yes
Can you lift 50-100lbs?
*
No
Yes
Do you have Post-Op experience?
*
No
Yes
Do you have Orthopedic and Total Joint experience?
*
No
Yes
Behavior Health Experience?
*
No
Yes
Do you have experience with admitted patient?
*
No
Yes
Are you proficient in discharge planning for Occupational Therapy?
*
No
Yes
Are you comfortable providing training and education for the patient and their loved ones?
*
No
Yes
Are you comfortable driving to home care visits on your own?
*
No
Yes
Are you comfortable using ride-share services like Uber for transportation to and from visits?
*
No
Yes
Please supply an Emergency Contact name and phone number:
*
