Apply for Quality and Compliance Manager

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Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Summary
Title:	Quality and Compliance Manager
ID:	3698
State:	Ohio
County:	N/A
Program Type:	N/A
Position Type:	Full Time
Department:	Administrative

Resume
* Resume:	Supported formats: Word, PDF, RTF, Text, and HTML.

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Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:
* County of Residence:
Licensure:
Application Information
* Source:
If Referral, provide Name:
If other, explain:
* County of Residence:
Opt-In Confirmation
	By submitting this application, I consent to receive SMS updates from CareStar, Inc. at 8444791158 regarding my employment application. My information will not be shared or used for any other purposes. This application is powered by ApplicantStack on behalf of CareStar, Inc.. SMS messages will only be sent by CareStar, Inc. and are used exclusively for hiring-related communications when you have subscribed to receive SMS communications.
Attachments
Cover Letter:	You can type in a Cover Letter or Copy/Paste from an existing document.

Application (V2)

PERSONAL INFORMATION

* Are you legally eligible to be employed in the United States? (Proof of identity and eligibility will be required upon employment):

Yes No

* Are you at least 18 years or older? (If no, you may be required to provide authorization to work):

Yes No

* Do you have reliable transportation?

Yes No

* Have you ever worked for this Company before?:

Yes No

If Yes, please provide details (Where/When/Job Title):

* Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?:

Yes No

If no, please explain:

EMPLOYMENT DESIRED

* When would you be available to begin work?:

* Type of employment desired:

Full-Time
Part Time

* Hourly rate/salary earned at last position.:

EDUCATION

Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.

School Name & Location	Did you Graduate?	Degree Received	Subjects Studied/Major
	Yes No
	Yes No
	Yes No

If you have completed any special courses, seminars and/or training that would help you to perform the position for which you are applying, please describe:

AUTHORIZATION

In consideration for my being considered for employment, I agree to conform to the policies and procedures of CareStar. I understand that by accepting this application, CareStar is in no way obligated to offer me employment and that I am not obligated to accept employment if offered. Furthermore, if CareStar employs me, I understand that my employment will be “at will,” which means that CareStar or I may terminate employment at any time with or without cause.

I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that any falsified statement or omission of fact on this application or during the pre-employment process will result in my application being rejected, or, if I am hired, in my employment being terminated.

I also understand that any offer of employment is conditioned on pre-employment procedures, my performance on written tests that assess skills and content pertinent to the job, Bureau of Criminal Identification and Investigation (BCII) Criminal Background investigation (including fingerprint impressions), and documentation such as proof of residency and eligibility to work in the United States. I will, upon request, sign all necessary consent forms. I also authorize any current or previous employers, schools or educational institutions, individuals, and representatives of the foregoing, to give any information regarding my employment, qualifications, and character. I hereby expressly release said current or previous employers, schools or educational institutions, individuals, and their representatives from any and all liability for any damage that may result from their issuing or disclosing any information or knowledge to CareStar. I have read and understand the contents of this employment application and am fully able and competent to complete it. I understand that I am required to abide by all rules and regulations of the company.

* Signature (type name):

* Date:

Conflict of Interest Questionnaire

Immediate family member is defined as spouse; natural or adoptive parent, child or sibling; step-parent, step-child, step-brother, or step-sister; father-in-law, mother-in-law, son-in-law, daughter-in-law, brother-in-law, or sister-in-law; grandparent or grandchild; or spouse of a grandparent or a grandchild.

* Are you or is any member of your immediate family or household a current consumer of Ohio Home Care Program (OHCP) services or an applicant for services under the non-OHCP contract?

	Yes
	No

* If you are responsible for work under any CareStar contract other than the OHCP contract, are your or is any member of your immediate family or household a current client, consumer or applicant for services under the non-OHCP contract?

	Yes
	No
	Not Applicable

* Do you hold an ownership interest in any business?

	Yes
	No

If yes, name of Company.

What service or product is provided by this company?

* Are you self-employed or employed by any individual, business venture, or organization other than CareStar?

	Yes
	No

If yes, name of other employer.

What service or product does the other employer provide?

What hours are you scheduled to work?

For applicants, do you plan to continue other employment if offered employment with CareStar?

	Yes
	No
	Not Applicable

* Do you participate in ANY activities not related to CareStar business during the hours of 8:00 am to 5:00 pm weekdays? (ie:classes, volunteer work, home business activities, etc.)

	Yes
	No

If yes, what is the activity?

When is the activity scheduled?

How would you anticipate responding to urgent calls during this time?

* Are you a Medicaid Non-Agency Provider (formerly known as an Independent Provider)?

	Yes
	No

If yes, in what program?

What is your provider number?

* Is any member of your immediate family or household employed by a Home Care Agency, long term care facility, medical equipment supplier or any waiver service provider?

	Yes
	No

If yes, the immediate family or household member's name.

Their relationship to you

Their employer

Their position

* Does any member of your immediate family or household provide services or supplies as a Medicaid Non-Agency Provider (formerly known as an Independent Provider) or contractor?

	Yes
	No

If yes, family or household member's name

Their relationship to you

What services do they provide?

What is the service area?

What is their provider number?

Are there any other activities, relationships, investments or other interests that you would like to bring to our attention in an effort to clarify the possibility of a conflict of interest?

FCRA Release V2

Please read and sign the following release form. Your signature authorizes CareStar to perform a review of prior employment and additional consumer and investigative consumer reports as part of the hiring process. CareStar may utilize a third party to complete this review process.

In conjunction with my application for employment (including contract services) my prospective employer I understand that you intend to hire third parties to obtain Consumer Reports and /or Investigative Consumer Reports (hereinafter called "Reports") about me as defined in the Fair Credit Reporting Act (FCRA). These "Reports" may include information concerning my credit worthiness, credit standing, credit capacity, character, academic background, credentials, work habits, work performance, work experience, reasons for work termination, general reputation, personal characteristic or mode of living. You also may seek information concerning my employment history, workers' compensation history, motor vehicle record, education background, civil litigation history and/or criminal record.

* Have you lived in the state the position is located in for 5 or more years?

	Yes
	No

* If yes, do you have documentation to prove your residency for at least 5 years?

	Yes
	No
	N/A

Acceptable Use Policy

Please review the attached Acceptable Use Policy (also found in the policies on the ADP library) and complete the questions below.

* CareStar has provided the Acceptable Use Policy to me which explains need to efficiently utilize technology for the greatest business benefit, comply with HIPAA Regulations, and protect the confidentiality and integrity of sensitive medical information as required by law and professional ethics.

	Yes
	No

* I agree to maintain consumer and company confidentiality according to CareStar Policies.

	Yes
	No

* I am aware that the CareStar Acceptable Use Policy is available to all employees in the CareStar ADP library or by contracting the Human Resource Department.

	Yes
	No

* Name

* Date

After-Hours Coordinator Questions

* Are you available for weeknight shift (M-TH) 5 p.m. to 8 a.m.? Indicate availability below.

	Monday 5 p.m. to Tuesday 8 a.m.
	Tuesday 5 p.m. to Wednesday 8 a.m.
	Wednesday 5 p.m. to Thursday 8 a.m.
	Thursday 5 p.m. to Friday 8 a.m.

* Are you available for weekend shifts Friday 5 p.m. - Monday 8 a.m.?

	Yes
	No

* Do you have a home office with high speed internet service (either available or installed)?

	Yes
	No

AHC Phone Screen Questions

Please complete the attached questions and return as quickly as possible.

* What is your level of experience navigating internet databases and web-based email?

	None
	Some experience
	Proficient
	Advanced

* Do you have a working knowledge of medical terminology?

	Yes
	No

* What do you like least about your current (or most recent) position?

* Describe a situation where you started your day/project then were contacted by you Supervisor with new/different instructions that completely changed your task - how did you manage the abrupt change?

* Tell me about a time with you have had to tell a client something that they did not want to hear.

* Provide an example of a mistake that you made and what you did to resolve it.

I agree that this form may be electronically signed and agree that my typed signature is the same as a handwritten signature for the purposes of validity, enforceability, and admissibility.

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