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First name *

Last name *

Email *

Phone *

Password *

Credential *

Home ZIP code *

Certification number *

Certification expiry date *

Maximum commute I will accept: *

You will only be matched to cases within this driving distance from your home ZIP code.

Which days are you available to work? *

What hours are you available to work? *

Shift 1

From

To

Add a second shift if you work split hours (e.g. mornings and evenings). Minimum 1 hour per shift.

How many active cases can you handle at once? *

3

Employment Preference *

Your preferred hourly rate ($)

$

Languages Spoken

EnglishSpanishMandarinOther

Age Groups You Work With

Toddler 2-3Early Childhood 4-6School Age 7-12Teen 13-17Adult

Specializations

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Early InterventionSchool-AgeAdolescentsAdultsVerbal BehaviorSocial SkillsFeeding DisordersCrisis Intervention

Insurance Billing Experience

MedicaidBlueCross BlueShieldAetnaUnited HealthcarePrivate Pay

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