Thank you for your interest in ShiftMed. Here is a Checklist of requirements for CNAs, that are interested in working through ShiftMed in Wisconsin.
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
You can upload multiple Professional Licenses and any Specialties if applicable.
Please Note: You must be professionally licensed to practice in this State.
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 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
Arbitration Agreement
Wisconsin Background Check Authorization Form or CheckR Criminal Background Check Consent Form depending on residency.
Required Credentials:
Documents that must be uploaded into the ShiftMed App before you can start claiming shifts:
Physician Statement - A statement of health from your physician is a document that clearly states that you are in good physical and mental health and free of any communicable diseases. This is required if you are in the state of Wisconsin.
1-step PPD, 2-step PPD or TB Blood Test (completed within the last year) or Chest X-Ray (Complete within the last 5 years)
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 depending on residency. Background Check authorization will prompt once individuals attempt to claim a shift at a facility within the ShiftMed app.
Complete directly within the app using the tab to sign feature
COVID-19 Vaccine: All HCPs must have either a COVID-19 Vaccination (1-2 doses or booster) or must complete a Medical or Religious Exemption form in the app.
License Certificate: The Professional License Certificate credential in the app is used to contain a document that a state’s licensing body issues after a healthcare professional has met the state requirements and passed a specific licensing exam for a particular professional license type.
Resume: Can be uploaded or completed directly in the app using our Resume Builder.
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.
Skills Self Evaluation: Some of our partner facilities may be require you to submit a self-evaluation of your nursing skills.
N95 Mask Fit: Some of our partner facilities require a MFT to assess whether you are at risk of harm from wearing a respirator based on your health history and conditions.
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.
Skills Assessment: This checklist is an essential part of our commitment to compliance and auditing with SSM Health.
TNCC: The Trauma Nurse Core Course (TNCC) equips emergency nurses with essential trauma knowledge and skills to provide life-saving care.
Continuing Education 12 Hour Attestation - The Department of Health and Human Services mandates that Nurses, primarily CNAs, have continuing education opportunities that teach the latest nursing protocols, medical advancements, and best practices for providing the highest standard of patient care.
Items that ShiftMed will Verify:
Active Professional Wisconsin CNA License
Criminal Background Check through CheckR or WORCS Criminal Background Check (Dependent on residency, please see special requirements section for more information)
Clear record on the Office of Inspector General (OIG) Exclusion Check
Clear record on the System for Award Management (SAM) Exclusion Check
Special Requirements:
If you have lived outside of Wisconsin for 3+ years
WORCS Criminal Background Check:
If you have lived in Wisconsin for 3+ years
Upload your credentials in the ShiftMed app.
Wisconsin 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 | Unlock Credentials (May be required at specific facilities) | ShiftMed Required Checks |
Credentials: ☐ Wisconsin CNA Professional License ☐ Proof of Identification (State ID, DL, Passport, etc.) ☐ SSN ☐ TB Test (PPD, Blood Test or Chest X-Ray) ☐ Form I9
Consent Forms: ☐ WI Background Check Authorization Form or CheckR Consent Form (prompted to complete once a Healthcare Professional attempts to claim a shift at a WI facility) - Dependent on Residency ☐ TB Baseline Risk Agreement ☐ Training Manual ☐ Company Handbook ☐ Arbitration Agreement | Credentials: ☐ Resume ☐ MMR (Vaccine or Titer) ☐ Flu Shot ☐ Varicella (Vaccine or Titer) ☐ TNCC | Background & Registry Checks: ☐ Office of Inspector General (OIG) Check ☐ System for Award Management (SAM) Exclusion Check |
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!