Sites - CASS Staffing

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The goal of the CASS project is to support SRH sites/organizations INCLUDING ABORTION clinics in identifying, recruiting, and retaining the staff they need to maintain access. Please use this form to tell us about your current staffing needs and the CASS support services your site/organization may benefit from. You will be contacted by a CASS team member by email or phone within 2 business days of submitting this form to set up a time to discuss your needs and how CASS can help.

Please note that CASS is not a recruitment or staffing service, and is therefore not responsible for negotiating compensation or incentives, setting schedules, or otherwise brokering relationships between job seekers and abortion providing sites. Additionally, CASS does not warrant the suitability of any applicant or of any workplace. If you have any questions or would like help completing this form, please contact info@CASSstaffing.org.

Site Contact Information

Site contact name*

First Last

Site contact email*

Site contact phone

Site Account Information

Site name*

Site city or town

Site state

Site zip code

Site country

Please select your site type

Please describe your site type

Are you interested in becoming an abortion training site?

What kind of learner would you like to work with?

Medical student

Resident

Medical assistant

Pararprofessional (non-licensed staff)

RN, LPN, LVN

APC (student)

Practicing APC

Practicing Physician

What type of training are you able to provide?

Ultrasound

Nursing

Administrative (site management)

MAB

Procedural up to 20 wga

Patient Education

Overall clinic operations

POC identification

General procedural assistance

Please tell us how you heard about CASS

Please list the conference

Please describe how you heard about CASS

Is your site/organization currently seeking staff to maintain or expand your service delivery?

Please describe

What type of staff is currently needed to maintain or improve abortion access at your organization?

Select all that apply

Licensed abortion provider(s)

Nurse(s)

Non-licensed clinical staff (e.g ultrasound technicians, medical assistants, front desk staff, patient educators, other clinical support staff)

Human Resources

Security

Communications

Finance

Fund Development

Other

Licensed abortion provider(s) (Physicians and APCs)

Type of license required

Are you looking for an abortion provider?

How many abortion provider positions are you seeking to fill at this time?

What type of abortion provider position(s) are you seeking to fill?

Select all that apply

Full time benefits eligible

Part time benefits eligible

Independent contractor (per diem)

Other

How often do you anticipate needing the services of an independent contractor?

Please describe what type of abortion provider position you are seeking to fill

How many years of abortion care experience would you like your provider candidates to have?

Are you open to considering fly in/fly out providers to meet your needs?

What services do you need the provider(s) to be able offer?

Select all that apply

Medication abortion services

Procedural abortion services

To what gestational age do you need the abortion provider(s) to be competent in medical abortion?

To what gestational age do you need the abortion provider(s) to be competent in procedural abortion?

Please describe to what gestational age you need the abortion provider(s) to be competent in procedural abortion

Is there anything else we should know about your provider needs (e.g provider(s) must be board certified, provider(s) must have their own malpractice insurance)?

Nurse(s)

Type of license required

Select all that apply

Registered Nurse (RN)

Licensed Practical Nurse (LPN)

Licensed Vocational Nurse (LVN)

Certified Nurse Anesthetist (CRNA)

Any of the above

Other

Please describe type of license required

How many nursing positions are you seeking to fill at this time?

How many years of experience would you like your nursing candidates to have?

What type of nursing position(s) are you seeking to fill?

Select all that apply

Full time benefits eligible

Part time benefits eligible

Independent contractor (per diem)

Flexible (potential for any of the above)

Other

How often do you anticipate needing the services of an independent contractor?

Please describe what typing of nursing position(s) you are seeking to fill

Is there anything else we should know about your site’s nurse needs (e.g must be able to perform ultrasounds, must be able to administer sedation)?

Non-licensed clinical staff

Non-licensed clinical staff needed

Select all that apply

Ultrasound Technician(s)

Medical Assistants

Front Desk Staff

Patient Educator/Counselor

Social Worker

Manager

Patient Navigator

Other

Ultrasound Technician(s)

How many ultrasound technician roles are you currently seeking to fill at this time?

How many years of experience would you like your ultrasound technician candidates to have?

Is there anything else we should know about your site’s ultrasound technician needs (e.g. must be certified)?

Medical Assistants

How many medical assistant roles are you currently seeking to fill at this time?

How many years of experience would you like your medical assistant candidates to have?

Is there anything else we should know about your site’s medical assistant needs (e.g. must be certified, part time or full time role)?

Front Desk Staff

How many front desk staff roles are you currently seeking to fill at this time?

Is there anything else we should know about your site’s front desk needs (e.g. must be certified)?

Patient Educator/Counselor

How many patient educator/counselor roles are you currently seeking to fill at this time?

Is there anything else we should know about your site’s patient educator/counselor needs (e.g. must be certified)?

Social Worker

How many social worker roles are you currently seeking to fill at this time?

Is there anything else we should know about your site’s social worker needs (e.g. must be certified)?

Manager

How many manager roles are you currently seeking to fill at this time?

Is there anything else we should know about your site’s manager needs (e.g. must be certified)?

Please describe the additional roles you are seeking to fill at this time

Is there anything we should know about your site’s additional staffing needs?

If you have a link to the job description for your position(s), please paste the link or upload the JD(s) below

Job description file(s) upload

Drop files here or

Max. file size: 50 MB.

Of the staffing needs identified above, which positions do you identify as your priority?

Licensed abortion provider(s) (Physicians and APCs)

Nurse(s)

Non-licensed clinical staff

Which non-licensed clinical staff positions do you identify as your priority?

Ultrasound Technician(s)

Medical Assistants

Front Desk Staff

Patient Educator/Counselor

Social Worker

Manager

Other

In addition to helping you promote your open clinical positions and identify candidates, CASS provides a number of other staffing support services. What additional CASS services might your site benefit from (select all that apply)?

Support in identifying the number and/or the type of staff needed to meet demand for abortion services at your site

Support creating a sustainable staffing model to meet demand at your site

Support identifying best practices for staff recruitment at your site

Support developing a retention plan for staff at your site

Support developing an onboarding plan for staff at your site

General consulting services

Please describe what general consulting services your site might benefit from

Terms*

I acknowledge that CASS is not a recruitment or staffing service, and is therefore not responsible for negotiating compensation or incentives, setting schedules, or otherwise brokering relationships between job seekers and potential employers. I also acknowledge that CASS does not warrant the suitability of any applicant. I therefore agree that my site will perform comprehensive reference checks and conduct relevant licensure and certification checks before job seekers introduced to my site through CASS are offered employment.

If you are unable to acknowledge these statements and agree to these terms on behalf of your site for any reason, please contact info@abortionstaffing.org.

I accept the above terms.

Name

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