Licensed Practical Nurse Total number of positions needed:1 All of the info below must be completed before I can open the req. 1. Who will be the DOO approving the contractors time each week? Jerrie Maag RN RDOO 2. What is the iCIMS req # corresponding to this requisition? 2025-35785 1. How long is the contract assignment? 13 weeks is the norm: 13 weeks 2. Schedule of assignment hours? M – F 8am – 5pm? YES 3. Will there be any weekend rotation? If so, how often? no weekends required , but could work by choice if needed. 4. Will there be any on call? If so, how much? No on call required 5. What region are you in? Home health or Hospice? Home Health only 6. What territory this contractor will be asked to cover? Dublin’s normal coverage area and counties 7. What’s creating the request? - work load Ect.. current LPN moving to a location closer to home. 9. Which location will this person report to for their assignment- add info below Full address: Robbi Huddleston Business Office Manager-Gem City Home Health 565 Metro Place North, Dublin Ohio 43017 OU# (location code) 4350 10. About how many miles per week will the contractor travel? 250-450 avg 11. What are the weekly units of productivity expectations? Ex: 25/30 ? 30-35 12. What EMR systems will the consultant be using: Home care Home Base 13. Do you want the candidate to have experience in have home health, hospice or both ? Home Health

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