[checklist name= "CM Checklist For Onboarding New Healthcare Clients" mailto="lmorrison@teemagroup.com,credentialing@teemagroup.com" templatedoc="1RgvdGMbu1OK4MtYRLBB8J1FHbob-prAVge_nO_B16pE" templatedrive="1LG9WAg21_L3L-ZkZEChBzrYRhBOjpmcc" savedrive="15FFQjDXxe9nC9FkAAcuxbswGy1hq4sWm" sheetid="1xJkggLvktsyYL6zuIhdO-OURJhJTkWdDKunR11agspw"] [checklistHeading title="CM Checklist For Onboarding New Healthcare Clients"] [/checklistHeading] [checklistInputGroup name="CM Information"] [checklistInput type="text"]Full Name[/checklistInput] [checklistInput type="email"]Your Email[/checklistInput] [checklistInput type="text"]Your phone number[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Company Information"] [checklistInput type="yesno"]Is this an MSP?[/checklistInput] [checklistInput type="text"]What is the name of the MSP?[/checklistInput] [checklistInput type="text"]What is the name of the VMS?[/checklistInput] [checklistInput type="text"]What is the MSP/VMS fee?[/checklistInput] [checklistInput type="text"]What is the name of the end client we are placing providers at?[/checklistInput] [checklistInput type="text"]Location(s)[/checklistInput] [checklistInput type="text"]What is their business?[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Size"] [checklistInput type="text"]# of beds[/checklistInput] [checklistInput type="text"]# of employees[/checklistInput] [checklistInput type="text"]# of contractors[/checklistInput] [checklistInput type="text"]What roles are they asking us to help them with[/checklistInput] [checklistInput type="text"]How many positions would they like us to fill / revenue forecast[/checklistInput] [checklistInput type="yesno"]Clinical[/checklistInput] [checklistInput type="yesno"]Non Clinical[/checklistInput] [checklistInput type="yesno"]Allied Health[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Contract"] [checklistInput type="text"]What is the average length of each contract[/checklistInput] [checklistInput type="text"]What % of the time do these contracts get extended[/checklistInput] [checklistInput type="text"]What % of the time do these get converted to perm/direct hires[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Type"] [checklistInput type="yesno"]Are these Per Diem[/checklistInput] [checklistInput type="yesno"]Are these Local[/checklistInput] [checklistInput type="yesno"]Are these Travel Nurses[/checklistInput] [checklistInput type="yesno"]Are these Locum Tenens[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Insurance/Certifications/Compliance/Credentialing"] [checklistInput type="yesno"]Do they have a vendor agreement they can send us to review/sign[/checklistInput] [checklistInput type="text"]What are their Insurance requirements[/checklistInput] [checklistInput type="yesno"]Do we need any special licenses[/checklistInput] [checklistInput type="yesno"]Do we need to be JCAHO Certified (Joint Commission)[/checklistInput] [checklistInput type="text"]What are their credentialing requirements[/checklistInput] [checklistInput type="text"]Do we need to W2 all our Providers or can we also do 1099 where applicable and eligible[/checklistInput] [checklistInput type="text"]What is their interview process[/checklistInput] [checklistInput type="text"]Orientation hours (paid/unpaid)[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Perm"] [checklistInput type="text"]Please validate they do their own credentialing for all direct hires[/checklistInput] [checklistInput type="text"]What is their fee structure: (must be a minimum of 20% of salary)[/checklistInput] [checklistInput type="text"]What is their interview process for perm[/checklistInput] [/checklistInputGroup] [checklistFooter] [/checklistFooter] [/checklist]