Company Name | ||
Company internal Job ID Number for this position | ||
CRNA's Name (Preferred Name in parenthesis if desired) |
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Contact Name |
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Contact Email | ||
Contact Street Address 1 |
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Contact City |
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Contact State |
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Contact Zip Code |
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Contact Country |
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Contact Voice Phone |
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Preferred Contact Method |
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Brief Description of Candidate |
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States where clinician wants to work |
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Check any Position Durations you would consider: |
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Does CRNA want a Chief CRNA position? |
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Does CRNA want a job that leads to partnership? |
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How often the CRNA wants to do the following: |
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Does the CRNA want to be Medically Directed by an Anesthesiologist? |
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What is the CRNA's preference regarding CRNAs in a job situation doing Operative Cases that are not Medically Directed by an Anesthesiologist? |
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Does the CRNA want a job where there is an Approved Physician Anesthesia residency program? |
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Does the CRNA want a job where there is Anesthesia training for Physician house staff? |
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Does the CRNA want a job where there is a CRNA training program? |
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Does the CRNA want a job where there is an Anesthesiologist's Assistant training program? |
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What practice setting(s) does the CRNA have experience? |
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Employment Status Desired: Employee (IRS form W-2) or Independent Contractor (IRS form 1099). |
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How often Does the CRNA want to be on call? |
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States where CRNA is licensed |
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CRNA's Degree |
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CRNA's Nurse School |
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CRNA's Anesthesia School |
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Is CRNA Certified by the NBCRNA? NBCRNA = National Board on Certification and Recertification of Nurse Anesthetists |
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Year of Primary Certification |
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Comments about CRNA's NBCRNA Certification NBCRNA = National Board on Certification and Recertification of Nurse Anesthetists |
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Has CRNA completed Subspecialty Extra training |
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Does CRNA have Subspecialty Expertise but has not completed extra training? |
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If CRNA has Subspecialty expertise or has completed extra training, which one(s)? |
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Check which Life Support cards you currently have: |
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Is CRNA a New Graduate? |
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Current Employer Name |
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Date Posted | 07/21/22 11:25am |
Last Updated | 04/08/24 05:22am |
Posted By | [email protected] |
Reference # | 2790 |
Priority | General Posting |
Section | CRNA |
Form Type | CV |
User Type | Individual: CRNA |