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Grand Journey Behavioral Health Solutions

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Grand Journey Behavioral Health Solutions

HR AUDIT

Step 1 of 5

20%

Audit Date:(Required)

MM slash DD slash YYYY

Position:(Required)

Staff Reviewed:(Required)

First Last

Hire Date:(Required)

MM slash DD slash YYYY

Employment Status:(Required)

Termination Letter:(Required)

Areas of Audit:(Required)

HR Record

Training

Transportation

Do charts include the following:(Required)

	In Chart (1)	Incomplete (0)	Missing (0)	Expired (0)
Acknow. of Risk
Corrective Action
Dress Code Policy
Elec. Comm. Policy
Emerg. Health Form
Emerg. Plan/Nat. Dis. Policy
Harassment Policy
Health Care Fraud Notification
HIPAA Confidentiality Policy
Non-Retaliation Policy
OIG Exclusion Policy
Probationary Period Policy
Program Standards/Code of Ethics
SAMSHA Opiod Overdose
Substance Abuse Policy
TB Shot
Video- Photograph Release Form

Application:(Required)

Application for Clinical Privledges:(Required)

Resume:(Required)

Official Transcript:(Required)

*NPI:(Required)

Current TB Test:(Required)

Date of Test:(Required)

Offer Letter/Independent Contractor Agreement:(Required)

Intern Agreement:(Required)

Verified References (2-3):(Required)

*Direct Deposit Form:(Required)

CJIS Background Check (State):(Required)

CJIS Background Check (FBI):(Required)

Adam Walsh CPS Background Verification:(Required)

OIG Verification:(Required)

New Hire Orientation:(Required)

Employee Handbook Acknowledgement:(Required)

*Admin Supervision Policy:(Required)

*External Supervision Policy:(Required)

*Notice of Clinical Supervision:(Required)

*Virtual Onboarding Agreement:(Required)

*Sick & Safe Leave Policy:(Required)

*Signed Intern Agreement:(Required)

Advance Directive Policy:(Required)

*Appointment Cancellation Policy:(Required)

*Billing Policy:(Required)

*Case Note Policy:(Required)

*Part-Time Caseload Policy:(Required)

*Client Contact Policy:(Required)

*COMAR Training Policy:(Required)

*Compenstation Policy:(Required)

*FT/PT Policy:(Required)

I-9:(Required)

*Photo ID:(Required)

I-9 Supporting Docs:(Required)

Birth Certificate

SSC

Photo ID

Passport

Other

N/A

Identify:(Required)

*Federal Tax Withholding:(Required)

*MD Tax Withholding:(Required)

90-Day Performance Evaluation:(Required)

Date of Evaluation:(Required)

MM slash DD slash YYYY

Annual Evaluation:(Required)

Date of Evaluation:(Required)

*Board Approved Supervisor License:(Required)

*CDS License:(Required)

Date License Expires:(Required)

*Professional License:(Required)

*DEA License:(Required)

Date License Expires:(Required)

*Liability Policy:(Required)

*Professional Liability Insurance:(Required)

Does this position transport consumers?(Required)

Have annual trainings been completed?(Required)

TRANSPORTATION

Transportation Agreement:(Required)

1st Aid Travel Policy & Material Receipt:(Required)

Child Safety Transportation Policy:(Required)

Emergency Transportation Procedures:(Required)

Driving Record:(Required)

Date of Driving Record:(Required)

Expires after 12 months

Annual Vehicle Inspection:(Required)

Date of Inspection:(Required)

Expires after 12 months

Car Insurance Declaration:(Required)

Date Insurance Expires:(Required)

TRAINING

Training are due annually.

Confidentiality:(Required)

Date Complete(Required)

Corporate Compliance:(Required)

Date Complete(Required)

Critical Incident Report:(Required)

Date Complete(Required)

Cultural Competency:(Required)

Date Complete(Required)

Health and Safety:(Required)

Date Complete(Required)

Infection Control:(Required)

Date Complete(Required)

Person-Centerd Planning:(Required)

Date Complete(Required)

Personal Conduct:(Required)

Date Complete(Required)

Rights of Person Served:(Required)

Date Complete(Required)

Technology & Cybersecurity:(Required)

Date Complete(Required)

Unique Needs of Persons Served:(Required)

Date Complete(Required)

PPE Equipment:(Required)

Date Complete(Required)

Workplace Violence Prevention:(Required)

Date Complete(Required)

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