**NEW SITE/JO**
Assigned Recruiter: M. GuzmanClient Name & Location: WellStar Kennestone Hospital
677 Church St.Hospital Details :
Reason For Coverage:
Dates & Required Availability:
9/09-9/12
9/23-9/26
9/30-10/4
10/21-10/25
10/28-11/01
11/8 (Friday Only)
12/02-12/06
12/23-12/27
12/30-1/03
1/06-1/10
Credentialing Timeframe: 90 days
Job Details :
Additional Details:
Please prepare your providers for these steps in the privileging process, once accepted:
CV
Please confirm the attached CV is accurate and represents ALL of your work history including locum tenens agency names.
Online Application
Wellstar uses an Online Application. You will receive an email directly and will create a username/password. Please forward me the log in details once created.
Drug Screening
Wellstar requires a drug screen upfront & it must occur within 1 week (all costs covered). Please complete and return the attached “Chain of Custody” forms. Once received, I will send you the drug screen location & the necessary forms.
Wellstar HR Forms
These forms will be sent via Docusign and prompt completion is appreciated.
Supporting Documents
Below is a list of commonly requested supporting documents during the credentialing process. You can disregard any documents that do not apply. Kindly start gathering documents & send either via email or via fax (267-350-9104)
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