Thank you for your interest in ShiftMed. Below you will find a Checklist of requirements for CNAs that are interested in working through ShiftMed in New York.
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
You can upload multiple Professional Licenses and any Specialties if applicable.
NOTE that you must have a Professional License through the state of New York.
Once uploaded you will be prompted to sign your documents and upload the required credentials for your state. Keep in mind some Facilities may have additional requirements aside from the state specifics. See below for more information on what your state requires.
Required Documents:
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
Required Credentials:
Documents that must be uploaded into the ShiftMed App before you can start claiming shifts:
Annual Physical Exam (Completed within the last year) - some of our partner facilities may require this credential before claiming a shift
1-step PPD, 2-step PPD or TB Blood Test (completed within the last year) or Chest X-Ray (completed within the last 5 years) **Disclaimer - a 1-step PPD is the minimum testing requirement, however specific facilities may have additional TB testing requirements at their discretion.
Professional License Certification - this is a screenshot of your physical license from the state
Additional Credentials:
Please note that additional facility specific 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.
Get 2 References - there are a few partner facilities that require verified references before claiming a shift - please enter mobile numbers for your references
Flu Shot - the majority of our partner facilities in the area do require a flu shot during flu season
Varicella - about 30% of our partner facilities require documentation on your Varicella Titers before claiming a shift
COVID-19 Vaccine - All HCPs must have either a COVID-19 Vaccination or complete a Medical Exemption form in the app. A Religious Exemption is not accepted in the state of NY.
Forms To Complete:
Completed Form 102 CHRC Form - complete directly within the app using the tab to sign feature once you have uploaded your Annual Physical, TB Test, and ID.
Items that ShiftMed will Verify:
Active Professional New York CNA License
If CNA - we will collect information needed to complete the top portion of the Form 102 CHRC Form for the Orientation Shift
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
CNA's in New York are required to attend Facility Orientations.
Upload your credentials in the ShiftMed app.
If you have any questions, reach out to us in chat by going into the ShiftMed App > Menu > Help Center > Help Articles & Chat > Messages > Send Us A Message!
New York CNA 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 | Additional Credentials (May be required at specific facilities) |
ShiftMed Required Checks |
Credentials: ☐ New York CNA Professional License ☐ Proof of Identification (State ID, DL, Passport, etc.) ☐ SSN ☐ TB Test (PPD, Blood Test or Chest X-Ray) ☐ Form I9 ☐ Resume ☐ MMR (Vaccine or Titer)
Consent Forms: ☐ NY CNA Consent Form 102 CHRC ☐ TB Baseline Risk Agreement Form ☐ Training Manual ☐ Company Handbook | Credentials: ☐ Varicella (Vaccine or Titer) ☐ Flu Shot ☐ Covid 19 Vaccine Records/Declination | Background & Registry Checks: ☐ Completed top portion of NY CNA Consent Form 102 CHRC for orientation shift ☐ 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) |