Thank you for your interest in ShiftMed. Here is a Checklist of requirements for CNAs that are interested in working through ShiftMed in Kentucky.
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.
Please NOTE that you must have a Professional License through the state of Kentucky.
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 Form: Complete directly within the app using the tap to sign feature.
Kentucky OIG Disclosure
Kentucky OIG Waiver
Kentucky Pre Screening Form
Required Credentials:
Documents that must be uploaded into the ShiftMed App before you can start claiming shifts:
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: 1-step PPD is the minimum testing requirement, however specific facilities may have additional TB testing requirements at their discretion.
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.
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.
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.
MMR: 2 dose vaccination series or titer.
Flu Shot: Some of our partner facilities in the area do require a flu shot during flu season.
Varicella: 2 dose vaccination series or titer.
Resume: Can be uploaded or completed directly in the app using our Resume Builder.
References: Please enter their mobile number into 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.
Annual Physical Exam: An annual physical can be a full physical exam or a statement of health from your doctor clearing you to work.
Items that ShiftMed will Verify:
Active Professional Kentucky CNA License
Clear record on the Office of Inspector General (OIG) Exclusion Check
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!
Kentucky 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: ☐ Kentucky CNA Professional License ☐ Proof of Identification (State ID, DL, Passport, etc.) ☐ SSN ☐ Form I9 ☐ TB Test
Consent Forms: ☐ Training Manual ☐ Company Handbook ☐ TB Baseline Risk Agreement Form ☐ Kentucky OIG Disclosure ☐ Kentucky OIG Waiver ☐ Kentucky Pre Screening Form | Credentials: ☐ MMR ☐ Flu Shot ☐ Resume | Background & Registry Checks: ☐ Office of Inspector General (OIG) Check
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