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Position Profile
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Position Information
Opportunity Name
Organization Name
Site Name
Recruitment Activity Start Date: *The date the recruitment begins for this opportunity
Target Opportunity Fill Date: *The date that the candidate should be commited (i.e. contract signed)
Start Date: *The date that the candidate must begin working
Choose one:
Provider
Not Applicable
Certified Nurse Midwife
Dental Hygenist
Dentistry
Dentistry-Pediatrics
Family Medicine-OB Optional
Family Medicine
Family Medicine-Academic
Family Medicine-with OB
Family Medicine-without OB
Internal Medicine
Internal Medicine-Pediatrics(MED/PEDS)
Nurse Practitioner
Nurse Practitioner-Adult
Nurse Practitioner-Family
Nurse Practitioner-Pediatrics
Obstetrics and Gynecology
Pharmacist
Physician Assistant
Psychiatry,Adult
Psychiatry,Child and Adolescent
Psychiatry,General
Psychologist
Women's Health
Executive
Not Applicable
CEO
CFO
COO
Degree
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MD
DO
DMD
DDS
Masters
Bachelors
Ph.D
CPA
Opportunity Type
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Permanent-Full Time
Permanent-Part Time
Permanent-Open(FT or PT)
Permanent-Other
Locum Tenens-Full Time
Locum Tenens-Part Time
Locum Tenens-Open(FT or PT)
Locum Tenens-Other
Per Diem
Opportunity Priority
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3-6 Months
6-18 Months
18 Months or Longer
Purpose
New Hire
Replacement
Retirement
Other
Reason for Hire: If a replacement, for whom?
Employment Type
Employee
Contractor
How many FTEs are open for this position?
J1/H1B Candidates Accepted?
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Yes
No
H1B Accepted
J1 Accepted
Locum Tenens Approved?
Yes
No
Locum Stop Date
Board Certified
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Required
Eligible
Preferred
Years Out of School/Residency <3
Acceptable
Unacceptable
Preferred
Years Out of School/Residency <5
Acceptable
Unacceptable
Preferred
Years Out of School/Residency >5
Acceptable
Unacceptable
Preferred
Job Offer
Details
Enter the full job description and qualifications as you would like it to read.
(4000 word limit)
Minimum Starting Salary
Max. Starting Salary
Negotiable Based on Experience?
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Yes
No
Other Income Details
Incentive Pay
Signing Bonus
Scholar/Loan Forgiveness Eligibility
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NHSC
State LR
NHSC/State LR
Relocation Paid
Sick Leave
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Yes
No
Vacation, Holidays, etc.
CME
Health Insurance
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Yes
No
Life Insurance
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Yes
No
Dental Insurance
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Yes
No
Optical Insurance
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Yes
No
Retirement and/or Pension?
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Yes
No
Call Coverage
(if none, please type "n/a")
Other Benefits
Site Address
City
State
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Texas
Zip
Geographic Desciptions
Bayou
Border
Central
Coastal
East
North
South
West
Metro
Rural
Suburban
Urban
Hospital Responsibility
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None
Courtesy
Inpatient
Hospital Name & City
(if none, please type "n/a")
Practice Information
Site Name
Practice Description (4000 word limit)
Malpractice Coverage
FTCA
Private Coverage
Year Established
Number of Physicians at Site
Additional Information regarding this practice, site or community which might influence the success of this provider. (4000 word limit)
Contact Name
Contact Email Address
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