Rio Home Care - Rio Grande Valley Home Health Care


		We make things easier for every one. Our doctors
	can now send an order via the internet over a secured form.

Rio Home Care is now accepting applications for the following positions:

Public Relations Representatives Rio Home Care is now hiring experienced Public Relations Representatives. Our PR Reps will work with Physician’s Offices to bring needed home care to elderly resident of the Valley.

Registered Nurses needed to provide skilled care to patients in the home setting. Applicants must have one year experience in an acute care setting.

Licensed Vocational Nurse needed to provide skilled care to patients in the home setting. Applicants must have one year experience in an acute care setting. We are currently seeking to fill positions Valley wide.

Physical Therapist Assistant needed to provide therapeutic treatments to patients in the home setting. We are currently seeking to fill positions Valley wide.

For more information regarding these positions, availability, duties and responsibilities, please contact us at 1-866-661-8999.

Application For Employment

Name
Email
Address
City
State
Zip
Home Phone
Work Phone
Cell Phone
Other Phone
Social Security Number
Referred By




Desired Position:
Job Title
Available Start Date
Salary Requirements

Are you currently employed?


May we contact your present employer?


Have you worked for Rio Home Care before?


If yes, when, what position?


Have you EVER been convicted of a misdemeanor or felony or have been on probation or deferred adjudication for or are you now awaiting trail for, on probation for or on deferred adjudication?


If YES, Explain:


Have you EVER been sanctioned by Medicare?


Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? (Proof of citizenship or immigration status will be required upon employment).


Date available for work:


Are you available to work

Education

School	Name/Location	Graduated?	Dates	Diploma/Degree
High School
College
Other Schools

Professional Licensure/Certifications:
What licenses/certifications do you currently hold?

Licensure/Certification	Number	Expires

What other skills are you competent in?

Employment History

Name of Employer
Address
City/State/Zip
Phone
Fax
Position Held
Dates of Service	to
PPV/Hourly Salary
Reason for Leaving
May we contact?

Name of Employer
Address
City/State/Zip
Phone
Fax
Position Held
Dates of Service	to
PPV/Hourly Salary
Reason for Leaving
May we contact?

Name of Employer
Address
City/State/Zip
Phone
Fax
Position Held
Dates of Service	to
PPV/Hourly Salary
Reason for Leaving
May we contact?

Name of Employer
Address
City/State/Zip
Phone
Fax
Position Held
Dates of Service	to
PPV/Hourly Salary
Reason for Leaving
May we contact?

List Other Employment

	Name	City	Phone
1
2
3

References:
Please list 3 references who can share information regarding your work and your ability to perform your duties.

	Name	Phone Number	Relationship
1
2
3

Notification In Case of Emergency
If employed, whom shall we call in case of emergency?

Name
Phone Number
Alternate Number
Relationship

APPLICANT NOTICE:

This facility obtains Criminal History Checks on all individuals hired. Convictions will not necessarily disqualify an applicant from employment. All factors and circumstances will be considered for all or any convictions.

Employee Acknowledgement and Release of Information:
Please read and acknowledge the information below before you sign the application.

1. I hereby declare that I have accounted for all of my work experience and training; and to the best of my knowledge, all the information I have provided on this application is true, complete and accurate. I understand that any false information or omission of information on this and other employment information will be sufficient in reason not to consider me for employment or terminate me immediately if the same is discovered after employment with Rio Home Care.

2. I understand that as a part of the procedure for processing this application, Rio Home Care may check all the references listed, including both work related, and personal. I hereby authorize personnel from my past employers, my personal references, and persons inquired about me, to release any information and previous employee evaluations about my work skills, work habits, ability, personal character and reputation. I release them from any and all liability for doing so. I acknowledge that I will not hold Rio Home Care liable in any capacity for the release of information.

3. I understand that pursuant to Human Resource Code, Title 6, Chapter 106, and the rules adopted by the State of Texas Department of Human Services under 40 TAC 75.1001 et. Seq., the agency may conduct a Criminal History Check for individuals seeking employment in a position whose duties will/could involve direct contact with a consumer of home health services. I hereby release the agency from any and all potential liability resulting from the investigation and any release of information learned during this process, including any damage of my reputation. I also understand that my driving record may be reviewed if the job for which I am considered involves or could involve the driving of company owned or leased vehicles. I further understand that I may not be hired if either of these checks results in unfavorable information and understand that I may be terminated immediately after subsequent checks reveal any unfavorable information.

4. I understand and agree that, if I am offered employment with Rio Home Care, I will be an “At Will” employee only. I understand that this means that if employed, such employment is for an indefinite period and is subject to be terminated, changed, change in wages, conditions of employment, benefits, and operating policies with or without cause and with or without any prior notice. I understand that no contract of any kind is being offered. Furthermore, I understand that no company representative, other than the Administrator/CEO or his designee (in writing) has the authority to enter into any agreement for employment for any specified period time or to make any agreement contrary to the foregoing. This period, any and all conditions of employment, including benefits and compensation, may be changed or terminated at any time, for any reason, with or without cause by either myself, or by Rio Home Care.

5. I understand that Rio Home Care does not have Workers Compensation Insurance coverage to protect its employees from damages due to work related illness or injury.

I have read all of the above information. I fully understand that by signing my name below, I am agreeing to the terms of all of these statements.

Statement of Employability

By execution of this document, I acknowledge that I have been informed by Rio Home Care, LLC., and agree that the Agency may conduct a state of Texas Criminal History Check and search the Nurse Aide Registry and the Employee Misconduct Registry to determine if I have a criminal conviction or have committed certain conduct that will bar me from employment with this Agency.

Criminal History Check
I have informed this agency of all names (i.e., maiden, aliases) that I have used in the past. I understand that I have been employed on an emergency basis and that my employment is temporary pending the results of the criminal history check.

CONVICTIONS BARRING EMPLOYMENT.

(A) A person for whom the facility is entitled to obtain criminal history record information may not be employed in a facility if the person has been convicted of an offense listed in this subsection:
A offense under Chapter 19, Penal Code (criminal homicide);
A offense under Chapter 20, Penal Code (kidnapping and unlawful restraint);
A offense under Section 21.02, Penal Code (continuous sexual abuse of a young child or children);
A offense under Section 21.08, Penal Code (Indecent exposure);
A offense under Section 21.11, Penal Code (indecency with a child);
A offense under Section 22.12 Penal Code (improper relationship between educator and student);
A offense under Section 21.15 Penal Code (improper photo A offense under Section 21.0graphy or visual recording);
A offense under Section 22.011 Penal Code (sexual assault);
A offense under Section 22.02, Penal Code (aggravated assault);
A offense under Section 22.021 Penal Code (aggravated sexual assault);
A offense under Section 22.04, Penal Code (injury to a child, elderly individual, or a disabled individual);
A offense under Section 22.041, Penal Code (abandoning or endangering a child);
A offense under Section 22.05 Penal Code (deadly conduct);
A offense under Section 22.07 Penal Code (terroristic threat);
A offense under Section 22.08, Penal Code (aiding suicide);
A offense under Section 25.031, Penal Code (agreement to abduct from custody);
A offense under Section 25.11, Penal Code (sale or purchase of a child);
A offense under Section 28.02, Penal Code (arson);
A offense under Section 29.02, Penal Code (robbery);
A offense under Section 29.03, Penal Code (aggravated robbery);
A offense under Section 33.021, Penal Code (online solicitation of a minor);
A offense under Section 34.02, Penal Code (money laundering);
A offense under Section 35A.02 Penal Code (Medicaid fraud);
A offense under Section 42.09, Penal Code (cruelty to animals); or
A conviction under the laws of another state, federal law, or the Uniform Code of Military Justice for an offense containing elements that are substantially similar to the elements of an offense listed by this subsection.
An offense the Agency determines to be contraindicated to employment with the consumers the Agency serves.

(B) A person may also be barred from employment the duties of which involve direct contact with a client in a facility if convicted of any of the following crimes within the past 5 years:
An offense under Section 22.01.,Penal Code (assault punishable as a Class A misdemeanor or as a felony);
An offense under Section 30.02, Penal Code (burglary);
An offense under Chapter 31, Penal Code (theft that is punishable as a felony);
An offense under Section 32.45, Penal Code (misapplication of fiduciary property or property of a financial institution), that is punishable as a Class A misdemeanor or a felony; or
An offense under Section 32.46, Penal Code (securing execution of a document by deception punishable as a Class A misdemeanor or a felony);
An offense under Section 42.01 (a) (7), (8), or (9), Penal Code (disorderly conduct).

(C) In addition to the prohibitions on employment prescribed by Subsections (A) and (B), a person for whom a facility licensed under Chapter 242 or 247 is entitled to obtain criminal history record information my not be employed in a facility licensed under Chapter 242 or 247 if the person has been convicted:
Of an offense under Section 30.02, Penal Code (burglary); or
Under the laws of anther state, federal law, or the Uniform Code of Military Justice for an offense containing elements that are substantially similar to the elements of an offense under Section 30.02, Penal Code.

(D) In addition to the prohibitions on employment prescribed by Subsections (A), (B) and (C), a nurse aide listed as unemployable per amendment to TAC 40, §94.10(I) and §94.11(d) (d) and is listed on the NAR or EMR stating a finding of abuse, neglect or misappropriation will not be recertified therefore, is unemployable.

(E) For purposes of this section, a person who is placed on deferred adjudication community supervision for an offense listed in this section, successfully completes the period of deferred adjudication community supervision, and receives a dismissal and discharge in accordance with Section 5©, Article 42.12, Code of Criminal procedure, is not considered convicted of the offense for which the person received deferred adjudication community supervision.

I acknowledge that if I am found to have been convicted of any other offense(s), that these offenses may also bar my employment. I understand that all information obtained by this agency regarding any criminal history will remain confidential.

I certify that the information on this form contains no willful misrepresentation and that the information given is true and complete to the best of my knowledge.

I acknowledge that if I am found to have been convicted of any other offense(s), that these offenses may also bar my employment.

I understand that all information obtained by this agency regarding any criminal history will remain confidential.

I certify that the information on this form contains no willful misrepresentation and that the information given is true and complete to the best of my knowledge.

Confidential Reference Letter

To
Employer Name
Attention
Address
City, State, Zip
Phone
Fax
Re: Applicant Name
Dates Employed With Above Employer	to
Title/Position
Applicants Current Status

Information requested of current/former employer: (To be completed by current/former employer)

Are the above dates correct?

If no, please list the correct dates:

If employee is no longer employed, would you rehire?

If former employee resigned, did employee give proper notice?

Anything we should know about current/former employee when making a hiring decision?

Please rate below information:

Quality
Quality of Work
Job Knowledge
Judgment
Ability to Work Well With Others

Request & Acknowledgment for criminal history & sex offender conviction background check

DADS requires that all unlicensed persons have a criminal history and sex offender conviction background check prior to offer of employment.

List A. AUTOMATIC BAR FROM EMPLOYMENT: I understand that, I will Not be eligible for employment, upon the agency’s inquiry and receipt of a criminal history record that reflects any of the following convictions:

Please check if applicable.

Injury to a Child, Elderly or Disabled Individual	Indecency with a Child	Criminal Homicide
Sale/Purchase of a Child	Aggravated Assault	Robbery
Abandoning Or Endangering Child	Rape/Sexual Assault	Aiding Suicide
Agreement to Abduct from Custody	Aggravated Robbery	Arson
Theft	Assault	Burglary
Securing execution of a document by deception	Kidnapping/False Imprisonment	Misapplication of fiduciary property or property of a financial institution

*As of 9-1-01, a person convicted of THEFT, that is punishable as a felony, may not be employed, unless the conviction is 5 years or older.

*As of September 1, 2003,, a person convicted of assault ; burglary; misapplication of fiduciary property or property of a financial institution; or securing execution of a document by deception, may not be employed if the offense was punishable as a Class A misdemeanor or as a felony, unless the conviction is at least five years old.

I was convicted: (Explain)

List B. SUSPENSION CATEGORY: If I do have a criminal history record with one of the following conviction(s) on my record, I understand that I may not be hired.

Please check if applicable.

Burglary/Criminal Trespass	Illegal Weapons	Public Intoxication
Public Lewdness	Controlled Substances	DWI
Indecent Exposure	Public Indecency	Assault cause bodily harm
Fraud	Theft ( more than 5 yrs)	Securing execution of a document by deception (more than 5 yrs)
Burglary (more than 5 yrs)	Misapplication of fiduciary property or property of a financial institution (more than 5 yrs)	Assault (more than 5 yrs)

List C. CONTRAINDICATED TO EMPLOYMENT: If a conviction that the agency determines is a contraindication to employment, appear on my record; I understand that, I will not be eligible for hire.

I hereby state and affirm that I have been convicted of any offense listed above on List A or List B. If I was convicted for any of the offenses listed on List B, I understand that I may still be eligible for employment. However, I understand that it will be my responsibility to request special consideration for employment by completing and submitting all the documentation the agency requires for can Administrative Review in writing for the List B category. I also understand that I have ten (10) days to make that request and provide the agency all the information regarding the conviction. Should I not respond or provide the agency all the information by the 10th day, the agency may consider this a non-request for administrative review and a self disqualification from consideration of employment. I further understand that the Administrative Review Panel is the final authority regarding my employability.