This institution does not discriminate in hiring or any other decision on the basis of race, color, sex, citizenship,national origin, ancestry,
Vietnam, era veteran status, or on the basis of age or physical or mental disabilliy unrelated to abillity to perform the work required. No Question
on this application is intended to secure information to be use for such discrimination.
I voluntarily give this institution the right to make a thorough investigation of my past employment and activities, agree to cooperate in such investigation and release from all
liability or responsibillity all persons, companies or corporations supplying such information. I consent to take the physical examination, and such future physical examinations as my be required by this institution at such times and places as the institution shall designate. I understand that an offer of employment may be contingent on passing the physical examination which relases to the essential duties I would be required to perform.
I understand that my employment is at will, and that either party is free to terminate the employment relationship at any time without cause.I also understand that my employment may be terminated for any misstatement or omission of fact appearing on this application.
If employed, I will be required to complete an Employment Veriffication Form (I-9) and within three days show satisfactory evidence of identity and eligibility for employment.
I understand that emergency conditions may require me to temporarily work shifts other than the one for which I am applying and agree to such scheduling change as directed by my department head or administrator of this institution.
Federal and some state laws impose obligations on health care providers to investigate the background of potential employees and, in some cases, preclude providers from hiring individuals found to have committed certain offenses. It is the policy of Maranatha Village, Inc. to undertake background checks of all employees to the fullest extent required and/or permitted by applicable law and available sources and to retain on file applicable records of current employees regarding such investigations.
Note: Federal law requires that nursing facilities investigate the background of certified nurse assistants seeking employment with the facility by checking with the state’s nurse assistant registry. Likewise, laws in many states contain provisions requiring investigations into potential employees’ backgrounds. In addition, federal law precludes providers from contracting with vendors, suppliers, and other health care providers that have been excluded from the Medicare and/or Medicaid program.
At a minimum, Maranatha Village, Inc. will:
- Check with Missouri nurse assistant registry.
- Check with all applicable licensing and certification authorities to ensure that employees hold the requisite license and/or certification status to perform their job functions; and
- Check the OIG Exclusion listing provided by Health and Human Services Office of Inspector General for current employees on a semi-annual basis.
Maranatha Village, Inc. also will require that all potential employees certify as part of the employment application process that they:
- Have not been convicted of an offense or otherwise been found under applicable local, state, or federal law to have committed an offense that would preclude employment in a nursing facility; and
- Have not been excluded from participation in any state or federal health care program, including Medicaid and Medicare.
- Maranatha Village, Inc. also will check available public sources.
It is the ongoing and continuous obligation of all employees of Maranatha Village, Inc. to alert Maranatha Village, Inc.’s Human Resources Department of any conviction or finding that would disqualify them from continued employment under state or federal law.