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CONTACT US
OR Nurses- a Source One Company
901.682.2900
[email protected]
901.425.1628
Anita Getter
VP MidSouth Operations/
Clinical Liaison
Division Liaison
[email protected]
901.425.1631
Carol Weakley
Scheduling Specialist
[email protected]
901.425.1629
Nico Dailey
Scheduling & Recruitment
Specialist
On-Call Coordinator
[email protected]
901.425.1617
[email protected]
901.415.5916
Cristina Duncan, RN, BSN
FAX:
Jamie Carson
Credentialing/Operations Department
Fax: 901.507.4155
Jessica Bordwell
VP, Staffing Operations
[email protected]
901.425.1622
Holly Jacks
Compliance Specialist
[email protected]
901.425.1626
Rachel Bramlett
Compliance Liaison
[email protected]
901.682.2900
Payroll
Timesheets due Monday by
9:00AM
Fax: 901.682.1777
Payroll/Billing Associates
Source One Recruitment Department
[email protected]
901.682.2900
Lori Coates
Senior VP, Recruitment
[email protected]
901.425.1620
Patrick Graham
Recruitment Specialist
[email protected]
901.254.8789
Regional PRN and Contract Staffing Offices
Allied Health Source- A Division National Travel Contract and
of Source One
PRN Staffing for all Allied
Health Professionals
Source One National Travel
Staffing Contract Positions
Department
Across the United States
9037 Poplar Ave Suite 103A
Germantown, TN 38138
9037 Poplar Ave Suite 103A
Germantown, TN 38138
Main Phone: 877.682.2901
Website:
alliedhealthsource.com
Main Phone: 877.682.2901
sourceonetravel.com
Metz&Baum- A Source One
Company
Dallas/Ft. Worth/North Texas
PRN and Contract Staffing
TexMed Staffing- A Source One
Company
Houston/Galveston/South
Texas
PRN and Contract Staffing
722 South Denton Tap Road,
Suite 200
Coppell, TX 75019
3 Sugar Creek Center, Suite
100
Sugar Land, TX 77478
Main Phone: 972.471.7100
Fax: 972.745.9180
metzbaum.com
Main Phone: 713.777.4776
Fax: 713.777.4778
texmednurses.com
Source One Healthcare Professionals ~ 9037 Poplar Ave Suite 103A, Germantown, TN 38138 ~ 901.682.2900 ~ sourceonenation.com
Website
and
Temp
Access
Information
Website: ornursesinc. com
Source One Healthcare Professionals ~ 9037 Poplar Ave Suite 103A, Germantown, TN 38138 ~ 877.682.2901 ~ sourceonenation.com
Source One Credentialing Checklist
ප Application(completedonline)Ͳmustshow7fullyearsofworkhistory
ප 2ProfessionalReferences
ප ProfessionalLicense(s)andallprofessionalcertifications
ප 2formsofgovernmentissuedID(driver'slicense,socialsecuritycard,passport,etc.)
ප CPRCardͲBLSforHealthcareProvidersͲmustbeissuedbytheAmericanHeartAssociation(AHA)and
signed
ප ACLSand/orPALSasrequiredbyspecialtyͲmustbeissuedbytheAmericanHeartAssociation(AHA)and
signed
ප NRPasrequiredbyspecialty(mustbesigned)
ප MMR:Proofof2vaccinesoraPositiveTiterresultforallthree
ප VaricellaProofof2vaccines,PositiveTiter,ordocumentedhxofdiseasesignedbyaphysician
ප HepatitisB:Copyof3shotvaccineseries,positivetiter,orsigneddeclinationform
ප AnnualPhysician’sclearancetowork(mustbedatedwithin1year)Diagnosticphysicals(thosecontaining
onlystatssuchcholesterol,bloodpressure,etc.)arenotacceptedinlieuofaphysician'sstatementofhealth
attestingyouare"ingoodphysicalandmedicalcondition,freeofanycommunicablediseases,andableto
functionwithoutphysicallimitationsasahealthcareprofessional".
ප NegativeTBskintestresult(currentinthelastyear)orNegativeCXRinthepast2years;IfnegativeCXRis
provided,youmustalsoprovideproofofpositiveTBskintest
ප VoidedCheckorformalletteronbankletter(ifyouwantdirectdeposit)
ප DrugTestͲyourComplianceSpecialistwillscheduleyourdrugtestatthelabnearesttoyou
ප BackgroundCheckͲauthorizedonlineviaasecurelinkyourS1ComplianceSpecialistwillsendyou
ප OnlinetestingandemploymentdocumentsͲsubmittedelectronicallyviaonlineaccountͲLinktoLogIn:
https://agencyrecruiting.apihealthcare.com/People20_sourceone/candidate.cfm
AdditionalCredentialingRequirementsvarybyfacility,butmayinclude:
ප 2stepTB
ප TBMaskFitTest
ප Fluvaccination(ordeclination)
ප Tdap
ප Fingerprinting
ප AdvancedCertifications(AWHONN,CCRN,CNOR,NALS,OCN,PEARS&TNCC)
SENDTO:
Email:
Mail:
[email protected] TollFreeFax:
LocalFax:
SourceOneHealthcareProfessionals,Inc.ͲATTN:Credentialing
9037PoplarAve.Suite103A
Germantown,TN38138
(866)790Ͳ6658
(901)507Ͳ4155 Candidate/Associate:
Date:
PROFESSIONAL REFERENCE/ CLIENT PERFORMANCE EVALUATION
Reference Name:
Title:
Facility/Hospital:
City/State:
Primary Unit/Specialty:
Eligible for Rehire?
Position: Nursing
Yes
Phone:
Dates Worked: From:
To:
No
Allied (ex. SLP, PT, OT)
CNA
ORT
Other
Type of Patients (Example: Cardio, Ortho, Peds vs. Adults)
# of Beds
Exceeds
Expectations
Areas of Assessment
Meets
Expectations
Does Not Meet
Expectations
Patient Assessment – Assesses patients in a timely, thorough and
individualized manner according to patient need and expected
knowledge level.
Teamwork/Collaboration – Works collaboratively with other
members of the team to develop an individualized plan of patient
care.
Clinical/Technical Competency – Performs interventions in a timely,
accurate and safe manner.
Accurate Documentation – Documents the patient care process
accurately and timely. Documents correctly in computerized
systems.
Age Specific Competency – Demonstrates competency appropriate
for assigned patient population including adaptations for age
specific care.
Communication Skills – Communicates respectfully and effectively
with patients, families, visitors and all facility staff and physicians.
Policies and Procedures – Adheres to facility policies and
procedures.
Reliability/Attendance – Reports to work on time as scheduled.
Notifies immediate supervisor if unable to work or tardy.
Professionalism – Exhibits a high level of professionalism. Presents
professionally.
Flexibility/Adaptability – Exhibits flexibility and adaptability. Able
to handle stress load of assigned activities.
Overall quality of work, interest and enthusiasm.
Additional Comments:
By:
_____________________________________________________________________________
Date:
Time:
Information Technology Solutions
R.N.R.
Your Rest n’ Relaxation
Sheet
Here at O.R. Nurses we want to make sure that after a hard day’s/
night’s work you have a great place to rest your head.

Methodist Dorm — Barbara 901-516-8886 Cell 901-786-3114 $10 a night

Four Point Sheraton / Poplar and 240 — 901-767-6300

Extended Stay / Poplar and Quail Hollow — 901-685-7575

Homestead Studio Suites (has kitchen) / Poplar — 901-767-5522

Hampton Inn / Walnut Grove and 240 — 901-747-3700

Hyatt Place / Primacy Parkway — 901-680-9700
**Please let the place you choose know that you are with O.R.
Nurses so you can receive your discounted rate.**
If for any reason you do not receive your discounted rate please email Bryan:
[email protected].
Pay Range- Referral Bonus Form
DATE: _______________
I, _______________________________________ acknowledge I have been informed the pay range for an
☐RN
☐LPN
☐CNA
☐ORT/CST
☐IRT
☐FA
is: $_______________ to $______________. **EXCEPTION** Orientation Pay: $___________
I understand that while on an individual contract, my pay/benefits will be negotiated on an individual basis, which may or
may not include per diem dollars.
I have also been informed of the Referral Bonus that Source One Healthcare Professionals offers including all terms and
conditions outlined below:


The Referred Employee must list the Referring Employee's name as the referral source on their initial application.
The Referred Employee must successfully work at least 80 hours within the first 45 days of employment,
excluding orientation and on‐call hours.
 To be classified as an "Active" Employee, you must have worked at least 3 shifts (36 hours) within the last 60
days.
Tier 1 Referrals
Active Employee Bonus
Non-Active Employee Bonus
RN (All Specialties), PT, OT, SLP,
MT, & Pharmacist
1st Referral
$500
$250
2nd Referral
$500
$250
rd
3 Referral
Free iPad!!
$250
Tier 2 Referrals
Active Employee Bonus
Non-Active Employee Bonus
LPN, ORT/CST , COTA, PTA, MLT,
Rad Tech, RRT, & Pharmacist Tech
1st Referral
$250
$125
2nd Referral
$250
$125
3rd Referral
Free iPod!!
$125
___________________________________
Employee Name
____________________________________
Employee Signature
____________________________________
Recruitment Specialist/ Interviewer Name
____________________________________
Recruitment Specialist/ Interviewer Signature
PHONE 901.682.2900
FAX 901.682.1777
Source One Healthcare Professionals, Inc. has earned the Joint Commission’s Gold Seal of Approval