Required Documents
First documents you will need to upload prior to completing your profile and uploading state specific requirements:
When signing up to work with ShiftMed in the app you will then be prompted to enter your
Proof of Identification (DL, Photo ID, Passport, etc.)
Social Security Number
Professional License (Pharm - with 1+ years of experience: Pharm Tech with - 6+ months of experience)
You can upload multiple Professional Licenses and any Specialties if applicable.
Please Note: You must be professionally licensed to practice in this State.
Required Forms
Documents that must be signed in the ShiftMed App before you can start uploading credentials:
Training Manual: Complete directly within the app using the tap to sign feature
Company Handbook: Complete directly within the app using the tap to sign feature
TB Baseline Risk Agreement Form
Arbitration Agreement
Required Credentials
Documents that must be uploaded into the ShiftMed App before you can start claiming shifts:
National Provider Identifier (NPI) (Pharm Only)
Immunization Certification (Pharm Only)
Unlock Credentials
Please note that specific facility credentials could be asked of you when attempting to claim a shift These are NOT required for you to be hired by ShiftMed. These are special requirements that some of our partner facilities require. For more information on Facility Specific Credentials, CLICK HERE.
Note: New York City requires titers showing that you are immune to Measles, Mumps and Rubella. Other locations in New York will accept proof of MMR Vaccines
Annual Physical Exam: Completed within the last year.
1-step PPD, 2-step PPD or TB Blood Test: PPD must be completed within the last year. Chest X-Ray must be completed within the last 5 years.
COVID-19 Vaccine: Some partner facilities will require either a COVID-19 Vaccination (1 or 2 doses) or a Booster.
Varicella: Some of our partner facilities require this credential before claiming a shift.
TDAP: Some of our partner facilities require this credential before claiming a shift.
Flu Shot: Some of our partner facilities require this credential during flu season.
References: Some of our partner facilities require this credential before claiming a shift. Add your references directly in the app.
Specialties: Some of our partner facilities frequently seek clinical support from healthcare professionals with specialized skills. If you're certified in a specialty area of practice, you want this credential on file with us.
Items that ShiftMed will Verify
Active NY Pharmacist or Pharm Tech Professional License
National Provider Identifier (NPI) (Pharmacist Only)
Clear record on the Office of Inspector General (OIG) Exclusion Check
Clear record on the Office of the Medicaid Inspector General (OMIG) Exclusion Check
Clear record on the System for Award Management (SAM) Exclusion Check
Clear record on the NY SORA Exclusion Check
Pharmacists and Pharm Techs in New York are required to attend Facility Orientations.
Upload your credentials in the ShiftMed app.
New York Pharm/Pharm Tech State Credentialing Checklist
Completed in the ShiftMed App |
Completed in the ShiftMed App | ShiftMed Credentialing Team will complete internally (Not visible in app) |
ShiftMed Required Credentials | Unlock Credentials (May be required at specific facilities) |
ShiftMed Required Checks |
☐ Proof of Identification (State ID, DL, Passport, etc.) ☐ SSN ☐ Form I9 ☐ Resume ☐ National Provider Identifier (NPI) (Pharm Only) ☐ Immunization Certification (Pharm Only)
Consent Forms: ☐ Completed Form 102 CHRC Form ☐ National Provider Identifier (NPI) Entry Form (Pharm Only) ☐ TB Baseline Risk Agreement Form ☐ Training Manual ☐ Company Handbook ☐ Arbitration Agreement | Credentials: ☐ MMR ☐ TB Test ☐ TDAP ☐ Flu Shot
| Background & Registry Checks: ☐ National Provider Identifier (NPI) (Pharmacist Only) ☐ Office of Inspector General (OIG) Check ☐ Office of the Medicaid Inspector General (OMIG) Check ☐ System for Award Management (SAM) Exclusion Check ☐ NY Sexual Predator Check (NY SORA Results) |
Questions?
If you have any questions, reach out to us in chat by going into the ShiftMed App > Menu > Help Center > Chat & Help Articles > Ask a Question!