Thank you for your interest in ShiftMed. Here is a Checklist of requirements for LPNs and RNs that are interested in working through ShiftMed in Connecticut.
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 (6+ months 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
Forms 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:
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.
Background Check: Complete Checkr Consent Form to start a Criminal Background Check.
Complete directly within the app using the tab to sign feature. Additional Consent Forms include:
Connecticut Consent and Disclosure Form
Connecticut Fingerprinting Authorization For
TB Test (PPD, Blood Test or Chest X-Ray)
Annual Physical Exam: Completed within the last year.
Resume: Can be uploaded or completed directly in the app using our Resume Builder.
CPR: Some ShiftMed facility partners require specific CPR, depending on your Specialty.
MMR: Some ShiftMed facility partners require healthcare professionals to show proof of MMR vaccination or a titer test.
Flu Shot: Some of our partner facilities in the area do require a flu shot during flu season.
Varicella: Some ShiftMed facility partners require healthcare professionals to show proof of completing the Varicella vaccination or a positive titer test.
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.
Hepatitis B Vaccine: Some ShiftMed facility partners require healthcare professionals to show proof of completing the hepatitis B vaccination series or a titer test.
TDAP Vaccine: Some ShiftMed facility partners require healthcare professionals to show proof of receiving the Tdap vaccination or completing a titer test.
Crisis Prevention Training (CPI): Some ShiftMed facility partners require CPI Training certification.
NIH Stroke Scale Course: The NIH Stroke Scale (NIHSS) is a critical component of acute stroke assessment and may be required for certain Specialties.
Online Learning Certification - We have partnered with some of our Acute Health Systems to provide learning modules for our RNs, CNAs, and RTs. These modules vary based on specialty, location, and previous experience with the facility. You must complete these modules to be able to claim shifts at the facility.
TNCC: The Trauma Nurse Core Course (TNCC) equips emergency nurses with essential trauma knowledge and skills to provide life-saving care.
Items that ShiftMed will Verify
Active LPN or RN Connecticut Professional License
Clear record on the Office of Inspector General (OIG) Exclusion Check
Clear record on the System for Award Management (SAM) Exclusion Check
Upload your credentials in the ShiftMed app.
Connecticut LPN/RN 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 |
Credentials: ☐ Connecticut LPN or RN Professional License ☐ Proof of Identification (State ID, DL, Passport, etc.) ☐ SSN ☐ Form I9
Consent Forms: ☐ TB Baseline Risk Agreement Form ☐ Training Manual ☐ Company Handbook ☐ Arbitration Agreement | Credentials: ☐ TB Test (PPD, Blood Test or Chest X-Ray) ☐ Resume ☐ MMR ☐ Flu Shot ☐ TNCC | Background & Registry Checks: ☐ Criminal Background Check through Checkr ☐ Clear record on the Office of Inspector General (OIG) Exclusion Check ☐ Clear record on the System for Award Management (SAM) Exclusion Check
Consent Forms: ☐ Checkr Consent Form ☐ Connecticut Fingerprinting Authorization Form ☐ Connecticut Consent and Disclosure Form |
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!