Application form




8 hour shifts, Day

Previous Experience Required

Registered Nurse (RN) preferred; minimum of two (2) years’ experience in the medical field; CPSI experience preferred.

Specialized or Technical Education Required

Certification in applicable EMR application(s) or other software or must complete training and obtain such certification(s) in timeframes scheduled and required by Hood Memorial Hospital; proficient in Microsoft application, including strong Excel skills; high aptitude for review and comprehension of technical information; excellent communication skills (e.g. public speaking, meeting facilitation and presentations); excellent customer service and interpersonal skills with ability to work effectively at all levels in a collaborative team environment; must be able to multi-task and handle multiple projects simultaneously; excellent analytical and problem-solving skills; and thorough understanding of HIPAA and other applicable regulatory requirements.

Manual or Physical Skill Required


Physical Effort Required

Must possess good physical health. Required to stand for long periods of time. Lifting and transporting of patients is required. Motor coordination and manual dexterity are necessary. Strength: Medium; Push: Occasionally; Pull: Occasionally; Carry: Occasionally; Lift: Occasionally; Sit: Occasionally; Stand: Frequently; Walk: Frequently

Personal Information

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Referral Information

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Placement Information

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High School

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Graduate School

Vocational School/ Other

Certifications / Licenses

License 1

License 2

License 3

License 4

Skills & Qualifications

Employment History

Current Employer

Previous Employer 1

Previous Employer 2


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Reference 1

Reference 2

Reference 3

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