HEALTH PROFESSIONAL VACANCY UPDATE FORM Please keep us updated on your health professional vacancies. NMHR can be of assistance in referring appropriate candidates but only if we are aware of your needs. If you have more than one site, please indicate which site. Be as specific as you can. New Mexico Health Resources, Inc. (NMHR) Questions contact Melissa Candelaria melissa@nmhr.org 505-259-7993 Name of Facility: * Person Completing Vacancy Form: * Email Address: * Phone Number: * Authorized Signature Date * PHYSICIAN NEEDS/VACANCIES arrowup6 Family Practice Yes No Family Practice with OB Yes No Accept J1 Yes No Total Number of FP Vacancies Location(s) Need Experience Yes No How many years? Internal Medicine Yes No Accept J1 Yes No Total Number of Int. Med. Vacancies Location(s) Need Experience Yes No How many years? OBGYN Yes No Accept J1 Yes No Total Number of OBGYN Vacancies Location(s) Need Experience Yes No How many years? Gynecology Yes No Accept J1 Yes No Total Number of GYN Vacancies Location(s) Need Experience Yes No How many years? Pediatrics Yes No Accept J1 Yes No Total Number of Pediatrics Vacancies Location(s) Need Experience Yes No How many years? Hospitalist Yes No Accept J1 Yes No Total Number of Hospitalist Vacancies Location(s) Need Experience Yes No How many years? Other Physicians Please be specific Comments PHYSICIAN ASSISTANT NEEDS/VACANCIES arrowup6 PA Yes No Total Number PA Vacancies Location(s) Need Experience Yes No How many years? Comments NURSE PRACTIONER NEEDS/VACANCIES arrowup6 Family NP Yes No Total Number FNP Vacancies Location(s) Need Experience Yes No How many years? Pediatric NP Yes No Total Number of Ped. NP Vacancies Location(s) Need Experience Yes No How many years? Psychiatric NP Yes No Total Number of Psy. NP Vacancies Location(s) Need Experience Yes No How many years? Comments DENTAL NEEDS/VACANCIES arrowup6 Dentist Yes No Total Number DDS Vacancies Location(s) Need Experience Yes No How many years? Hygienist Yes No Total Number of Dental Hygienist Vacancies Location(s) Need Experience Yes No How many years? Assistant Yes No Total Number of Dental Assistant Vacancies Location(s) Need Experience Yes No How many years? Comments BEHAVIORAL HEALTH NEEDS/VACANCIES arrowup6 Psychiatrist Yes No Total Number Vacancies Location(s) Need Experience Yes No How many years? Comments Psychologist Yes No Total Number of Vacancies Location(s) Need Experience Yes No How many years? Comments Social Worker Yes No Total Number of Vacancies Location(s) Need Experience Yes No How many years? Comments LCSW Yes No Total Number Vacancies Location(s) Need Experience Yes No How many years? Comments LMSW Yes No Total Number Vacancies Location(s) Need Experience Yes No How many years? Behavioral Health Therapist Yes No Total Number of Vacancies Location(s) Need Experience Yes No How many years? Comments Other Behavioral Health Professional Needs Please be specific Comments REGISTERED NURSE NEEDS/VACANCIES arrowup6 Registered Nurse Yes No Total Number of RN Vacancies Location(s) Need Experience Yes No How many years? Comments LICENSED PRACTICAL NURSE NEEDS/VACANCIES arrowup6 Licensed Practical Nurse Yes No Total Number of LPN Vacancies Location(s) Need Experience Yes No How many years? Comments THERAPIST NEEDS/VACANCIES arrowup6 Physical Therapist Yes No Total Number PT Vacancies Location(s) Need Experience Yes No How many years? Speech Language Pathologist Yes No Total Number of SLP Vacancies Location(s) Need Experience Yes No How many years? Occupational Therapist Yes No Total Number of OT Vacancies Location(s) Need Experience Yes No How many years? Comments PHARMACIST NEEDS/VACANCIES arrowup6 Pharmacist Yes No Total Number of Pharmacist Vacancies PharmD Yes No Total Number PharmD Vacancies Location(s) Need Experience Yes No How many years? Comments OTHER NEEDS/VACANCIES (Please be specific) Submit
