Last Name | |
---|---|
First Name |
1 Please provide your California RN license number. |
|
2 Please indicate if you possess a Bachelor's degree in one of the following fields/disciplines: |
Nursing (BSN) |
Health Science |
Closely related field (please clearly identify the field in the Education section of the application) |
I do not possess a Bachelor's degree |
3 Please identify the number of years of full-time (40 hours per week) paid RN experience in an acute care hospital. Please note: Acute care is a level of care where patients are treated for a brief acute episode of illness, for conditions that are the results of a disease or trauma, and during recovery from surgery. Acute care is generally only provided in hospitals where all of the following medical units/services are provided:
|
less than 6 months |
more than 6 months but less than 1 year |
more than 1 year but less than 3 years |
more than 3 years |
I do not possess any RN experience in an acute care hospital. |
3a Please describe your journey level nursing experience in an acute care hospital operating room. Include the following information:
|
|
4 Do you possess current state, national, or other certification in case management? (If yes, submit a copy(ies) of certification to msneed@sjgh.org or fax to 209-468-6271.) |
Yes No |
5 Do you possess experience with case management/utilization management software systems? |
Yes No |
5a If yes, please identify the software or programs for which you possess experience. (If none, indicate "N/A") |
|