FCS Job Opportunity Form
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Job Opportunity
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Client Name
City
State
Pop
Contact Name
Position
What type of facility are you?
CMHC
Hospital
Multi spec
NFP
PP
Academic
FP
CHMC and Hosp
Are you an under served area?
Yes
No
Will you support a.....
J1
H1
Other
What do you need?
GA
CA
Geriatric
C&L
Forensic
ECT
Addiction
Psycho Pharmacology
Public Psychiatry
Sleep Disorders
Woman's Disorders
Eating Disorders
Do they need to be......
BC
BE
Will you consider resident?
Yes
No
New Position
Replacement
How urgent is the need to fill this position?
How are you covering the position now?
Are you currently looking at anyone right now?
Information about position:
Is this a staff position?
Medical Directorship
Private Practice
Hrs / Week
On Call During the Week:
/ Weekend
Type of Call:
Phone
Going In
Beeper
Salary
Incentives
Net Income Guarantee
For NIG is there forgiveness
#Psychiatrists in unit
What percent In Patient
Out Patient
IP 100%
What is the length of stay
Total # of beds in facility
#Psych beds
Are the beds :
Adult
Geriatric
Child
How long for med checks
How long for eval
GA What ages
12&up
18&up
CA
What ages
What % of child
(3-12)
What % Adoles (12-18)
Benefits:
Vacation
CME
Holidays
Sick Days
Disability
Retire
Malpract
Life Ins
Hlth/Dent
Reloc exp
Temp Cost of Living
Sign on Bonus
Is there any help with student loans for new resident?
Brief Job Description:
Nearby Cities:
Recreational Activities:
Cultural Activities:
Attractions:
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