Shine Home Healthcare LLC invites qualified applicants to complete their registration for providing trusted home health care in Columbus, Ohio. Please review the required forms and documents listed below to proceed.
Main Agency Forms
- Job Application
- Addendum
- Temporary Job Absence Form
- Timesheet Policies and Procedures
- Reference Check Form 1
- Confidentiality and Non-Compete Agreement
- HIPAA Confidentiality and Non-Disclosure Agreement
- Employee Code of Ethics
- TB Screening Form
- Hepatitis B Form
- Orientation Checklist
- Employee Handbook
- Job Description
- Initial Competency Checklist
- EVV Acknowledgement Memo
- Employment Attestation and Background Review Form
- Medicaid Fraud Acknowledgement
- Workplace Violence and Abuse Policy
- Competency Test
- Performance Appraisal
- Annual On-Site Competency Assessment (HHA)
- Fingerprinting Background Check
Government Forms
Competency/Certifications
- CPR/ First Aid
- HHA Training
- BCI/FBI Background Check
- 7 Web Background Check
- Out of State Registry Check
Acceptable Two Forms of Government ID (Please Check Two)
- Driver’s License / State ID
- Social Security
- Permanent Resident Card
- US Passport
Please ensure all forms and documents are completed and submitted as part of your application process.
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