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Source One Healthcare Professionals ~ 9037 Poplar Ave Suite 103A, Germantown, TN 38138 ~ 901.682.2900 ~ sourceonenation.com
CONTACT US
OR Nurses- a Source One Company 901.682.2900
FAX: Cristina Duncan, RN, BSN VP MidSouth Operations/
Clinical Liaison
[email protected] 901.425.1628
Anita Getter Division Liaison [email protected] 901.425.1631
Carol Weakley Scheduling Specialist [email protected] 901.425.1629
Nico Dailey Scheduling & Recruitment
Specialist [email protected] 901.425.1617
Jamie Carson On-Call Coordinator [email protected] 901.415.5916
Credentialing/Operations Department Fax: 901.507.4155 Holly Jacks Compliance Specialist [email protected] 901.425.1626
Melanie Pegues Compliance Specialist [email protected] 901.682.2900
Rachel Bramlett Compliance Liaison [email protected] 901.682.2900
Payroll Fax: 901.682.1777 Timesheets due Monday by
9:00AM
Payroll/Billing Associates [email protected] 901.682.2900
Regional PRN and Contract Staffing Offices
Allied Health Source- A Division
of Source One
National Travel Contract and
PRN Staffing for all Allied
Health Professionals
9037 Poplar Ave Suite 103A
Germantown, TN 38138
Main Phone: 877.682.2901
Website:
alliedhealthsource.com
Source One National Travel
Department
Staffing Contract Positions
Across the United States
9037 Poplar Ave Suite 103A
Germantown, TN 38138
Main Phone: 877.682.2901
sourceonetravel.com
Metz&Baum- A Source One
Company
Dallas/Ft. Worth/North Texas
PRN and Contract Staffing
722 South Denton Tap Road,
Suite 200
Coppell, TX 75019
Main Phone: 972.471.7100
Fax: 972.745.9180
metzbaum.com
TexMed Staffing- A Source One
Company
Houston/Galveston/South
Texas
PRN and Contract Staffing
3 Sugar Creek Center, Suite
100
Sugar Land, TX 77478
Main Phone: 713.777.4776
Fax: 713.777.4778
texmednurses.com
Source One Recruitment Department Lori Coates Senior VP, Recruitment [email protected] 901.425.1620
Patrick Graham Recruitment Specialist [email protected] 901.254.8789
Source One Healthcare Professionals ~ 9037 Poplar Ave Suite 103A, Germantown, TN 38138 ~ 877.682.2901 ~ sourceonenation.com
Website and Temp Access I nformati on Our Website: ornursesinc.com Visit www.ornursesinc.com/welcome-packet to find more valuable information. Password: ORRN
MON 4/25 FLORENCE NIGHTENGALE RN ICU 6:45 15:15 30 MIN (filled in by client) (get signature from unit
supervisor)
(PRINT) Name of Facility (Hospital) You Are Working At
Please write legibly
Write facility/client name on line next to ‘Facility’
Timesheets must be approved by facility/client
One timesheet per facility/client
Email timesheets at the end of your last shift to
[email protected] OR fax to 901-682-1777
8 HOURS
SIGN YOUR NAME MM/DD/YYYY
Source One Credentialing Checklist
SEND TO:Email: [email protected] Toll Free Fax: (866) 790 6658
Local Fax: (901) 507 4155Mail: Source One Healthcare Professionals, Inc. ATTN: Credentialing
9037 Poplar Ave. Suite 103 AGermantown, TN 38138
Application (completed online) must show 7 full years of work history
2 Professional References
Professional License(s) and all professional certifications
2 forms of government issued ID (driver's license, social security card, passport, etc.)
CPR Card BLS for Healthcare Providers must be issued by the American Heart Association (AHA) andsigned
ACLS and/or PALS as required by specialty must be issued by the American Heart Association (AHA) andsigned
NRP as required by specialty (must be signed)
MMR: Proof of 2 vaccines or a Positive Titer result for all three
Varicella Proof of 2 vaccines, Positive Titer, or documented hx of disease signed by a physician
Hepatitis B: Copy of 3 shot vaccine series, positive titer, or signed declination form
Annual Physician’s clearance to work (must be dated within 1 year) Diagnostic physicals (those containingonly stats such cholesterol, blood pressure, etc.) are not accepted in lieu of a physician's statement of healthattesting you are "in good physical and medical condition, free of any communicable diseases, and able tofunction without physical limitations as a healthcare professional".
Negative TB skin test result (current in the last year) or Negative CXR in the past 2 years; If negative CXR isprovided, you must also provide proof of positive TB skin test
Voided Check or formal letter on bank letter (if you want direct deposit)
Drug Test your Compliance Specialist will schedule your drug test at the lab nearest to you
Background Check authorized online via a secure link your S1 Compliance Specialist will send you
Online testing and employment documents submitted electronically via online account Link to Log In:https://agencyrecruiting.apihealthcare.com/People20_sourceone/candidate.cfm
Additional Credentialing Requirements vary by facility, but may include:2 step TBTB Mask Fit TestFlu vaccination (or declination)TdapFingerprintingAdvanced Certifications (AWHONN, CCRN, CNOR, NALS, OCN, PEARS & TNCC)
Candidate/Associate: Date:
PROFESSIONAL REFERENCE/ CLIENT PERFORMANCE EVALUATION Reference Name: Title: Phone: Facility/Hospital: City/State: Primary Unit/Specialty: Dates Worked: From: To: Eligible for Rehire? Yes No Position: Nursing Allied (ex. SLP, PT, OT) CNA ORT Other Type of Patients (Example: Cardio, Ortho, Peds vs. Adults) # of Beds
Areas of Assessment Exceeds
Expectations Meets
Expectations Does Not Meet
Expectations
Patient Assessment – Assesses patients in a timely, thorough and individualized manner according to patient need and expected knowledge level.
Teamwork/Collaboration – Works collaboratively with other members of the team to develop an individualized plan of patient care.
Clinical/Technical Competency – Performs interventions in a timely, accurate and safe manner.
Accurate Documentation – Documents the patient care process accurately and timely. Documents correctly in computerized systems.
Age Specific Competency – Demonstrates competency appropriate for assigned patient population including adaptations for age specific care.
Communication Skills – Communicates respectfully and effectively with patients, families, visitors and all facility staff and physicians.
Policies and Procedures – Adheres to facility policies and procedures.
Reliability/Attendance – Reports to work on time as scheduled. Notifies immediate supervisor if unable to work or tardy.
Professionalism – Exhibits a high level of professionalism. Presents professionally.
Flexibility/Adaptability – Exhibits flexibility and adaptability. Able to handle stress load of assigned activities.
Overall quality of work, interest and enthusiasm.
Additional Comments: _____________________________________________________________________________
By: Date: Time:
Source One Healthcare Professionals, Inc. has earned the Joint Commission’s Gold Seal of Approval
Pay Range- Referral Bonus Form
DATE: _______________
I, _______________________________________ acknowledge I have been informed the pay range for an
☐RN ☐LPN ☐CNA ☐ORT/CST ☐IRT ☐FA
is: $_______________ to $______________. **EXCEPTION** Orientation Pay: $___________
I understand that while on an individual contract, my pay/benefits will be negotiated on an individual basis, which may or
may not include per diem dollars.
I have also been informed of the Referral Bonus that Source One Healthcare Professionals offers including all terms and
conditions outlined below:
The Referred Employee must list the Referring Employee's name as the referral source on their initial application.
The Referred Employee must successfully work at least 80 hours within the first 45 days of employment,
excluding orientation and on‐call hours.
To be classified as an "Active" Employee, you must have worked at least 3 shifts (36 hours) within the last 60
days.
Tier 1 Referrals
RN (All Specialties), PT, OT, SLP,
MT, & Pharmacist
Active Employee Bonus Non-Active Employee Bonus
1st Referral $500 $250
2nd
Referral $500 $250
3rd
Referral Free iPad!! $250
Tier 2 Referrals
LPN, ORT/CST , COTA, PTA, MLT,
Rad Tech, RRT, & Pharmacist Tech
Active Employee Bonus Non-Active Employee Bonus
1st Referral $250 $125
2nd
Referral $250 $125
3rd
Referral Free iPod!! $125
___________________________________ ____________________________________
Employee Name Employee Signature
____________________________________ ____________________________________
Recruitment Specialist/ Interviewer Name Recruitment Specialist/ Interviewer Signature
PHONE 901.682.2900
FAX 901.682.1777
Studio Plus (Cordova) 8110 Cordova Center Drive,38016 901-754-4030 Fax 901-752-6272 Extended Stay America (Poplar and Quail Hollow) 6325 Quail Hollow,38120 901-685-7575 Fax 901-685-5641 Rate: $61.00 Extended Stay America (near Mt. Moriah & Ridgeway) 6085 Apple Tree Drive, 38115 901-360-1114 Fax 901360-0841
Hotels in Memphis
Hyatt Place (East Memphis – near St. Francis) 1200 Primacy Parkway 901-680-9700 Fax 901-681-0102 Rate: $99.00 Hampton Inn (East Memphis/near Baptist East/Walnut Grove & 240) 33 Humphrey’s Center, 38120 901-747-3700 Fax901-747-3800 Rate: $82.00 Four Point Sheraton (East Memphis – near 240 & Poplar) 5877 Poplar Avenue 901-767-6300 Rate: $69.00 Extended Stay America (East Memphis – near Poplar & Ridgeway) 6500 Poplar Avenue, 38119 901-767-5200 Fax 901-767-4739 Rate: $64.00 Extended Stay America (Airport) 2541 Corporate Ave. E, 38132 901-344-0010 Fax 901-344-0011 Extended Stay Deluxe (Wolfchase Galleria – Cordova) 2520 Horizon Lake Drive,38133 901-380-1524 Fax 901-380-2706
Wilson Hall Methodist Dorm Accommodations
Reservations are made on a first come/first call basis.
Contact person: Barbara Brumley [email protected] Office: 901-516-8886 Main Desk: 901-516-8515 Hours: 6:00am-4:30pm After Hours University Administrative Supervisor Office: 901-516-8428 Main: 901-516-7600
Rules for the Dorm
The Dorms are First come first serve
Please call ahead of time to stay in the Dorms
There is always a position for a roommate
Please take your belongs with you DO NOT leave them in the dorms
You cannot stay in the dorm if you are not working.
Please take your belongings to your car (do not leave them there till the end of your shift)