Nest Health - Physician Assistant (In Home Family Care)

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Nest Healthcare

Authorized Employee Status Questions

Are you legally authorized and eligible for employment in the United States?✱
- Yes
- No
Will you now or in the future require sponsorship to work in the U.S.?✱
- Yes
- No

Source

How did you hear about this position at Nest?✱
If you heard about us through internal referral, who referred you to Nest? (enter N/A if nonreferral)✱

Medicaid APP-AZ

Do you currently have a Medicaid provider ID?✱
- Yes
- No
Are you able to practice independently without a collaborative practice agreement?✱
- Yes
- No

Care Program Eligibility

Have you ever been excluded from participating in Medicare, Medicaid, or any other federal or state health care program or otherwise had your billing privileges for any federal or state health care program revoked, restricted or suspended?✱
- Yes
- No

Language Skills

Fluency in both English and Spanish is preferred for this position. Are you bilingual?✱
- Yes
- No

Additional information

U.S. Equal Employment Opportunity information (Completion is voluntary and will not subject you to adverse treatment)

Our company values diversity. To ensure that we comply with reporting requirements and to learn more about how we can increase diversity in our candidate pool, we invite you to voluntarily provide demographic information in a confidential survey at the end of this application. Providing this information is optional. It will not be accessible or used in the hiring process, and has no effect on your opportunity for employment.

Gender

Race

Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
Black or African American (Not Hispanic or Latino)
A person having origins in any of the black racial groups of Africa.
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
Asian (Not Hispanic or Latino)
A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment.
Two or More Races (Not Hispanic or Latino)
All persons who identify with more than one of the above five races.

Veteran status