Potential Strike - Washington
Submit Request
Case Manager / RN Coordinator - RN
Requirements
:
Washington RN license
BLS
Bachelor of Science in Nursing (preferred)
-- please complete this submission form honestly and accurately --
First Name
*
Last Name
*
Email
*
Phone
*
Do you have an active Washington state RN license?
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No
Yes
If Yes, list your Washington state RN license number:
If No, list your compact state and RN license number:
RN license expiration date:
*
Do you have BLS certification?
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No
Yes
Do you have a Case Management or Utilization Review certifciation?
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No
Yes
Have you earned a Bachelor of Science in Nursing?
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No
Yes
List any other certification you have:
*
What specialties do you float to?
*
Do you have the COVID Vaccination?
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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
Do you have Charge Nurse Experience?
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No
Yes
Can you work a Day shift?
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No
Yes
Can you work a Mid shift?
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No
Yes
Can you work a Night shift?
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No
Yes
What is your Primary Shift preference?
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Day
Mid
Night
100% Flexible
How much recent Case Management experience do you have?
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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
At what facility have you worked Case Management most recently?
*
How much recent utilization review experience do you have?
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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
List any specific specialties you have experience in:
*
How much experience do you have with intraqual?
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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
Which area are you strongest in?
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Case Management
Utilization Review
Discharge Planning
All
Which settings have you worked (check all that apply)?
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Inpatient Hospital
Outpatient
Long Term Care
Home Care
Clinic
Insurance Company
Do you have recent ER case management experience?
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No
Yes
Do you have experience with IVF patients?
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No
Yes
Do you have experience discharging PEDS and NICU patients into home care?
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No
Yes
How much recent Epic experience do you have?
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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
Please supply an Emergency Contact name and phone number:
*
