Ophelia - Telehealth Clinician - New York License (Remote)

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- Custom
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Current company

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Prescribing Clinician Application Questions

Please list all states in which you have an active license✱
For how many years have you been prescribing MOUD?✱
Please share a brief description regarding your experience working with underserved populations.✱
What are some of the most rewarding and/or challenging aspects of providing treatment to patients with OUD?✱
Do you have availability on weekends and/or evenings?✱
- Evenings
- Weekends
- Neither
Are you an NP or a PA?✱
- NP
- PA
- Neither
Do you have an active DEA License?✱
- Yes
- No
How did you hear about us?✱
- Word of mouth
- Referral from an Ophelia clinician
- Online ad
- Listserv
- Academic institution
- Other

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