New Hire I.T. Request

New Hire I.T. Request

Please fill out and submit no later than 1 week before onboarding due date.
1. Employee Info
Full Name*

First NameLast Name
If the employee has more than one last name, please indicate the preferred name for their email address. Email will be comprised of first initial + last name with no hyphens or symbols. (ex: pbeasley@cprecovery.com OR pbeasleyhalpert@cprecovery.com)*
Job Title / Credentials:*
Supervisor:*
Onboarding Date:*

MonthDayYear
Date
New Hire Checklist Created?

YesNo
Is the New Hire a Temporary Employee not attending CPR On-Boarding (date indicated above is actual start date):*

YesNo
Location:*

Estrella ClinicTempe ClinicRemote
Department:*

Critical InterventionExtended Evaluations ProgramHospital Rapid ResponseHuman ResourcesLOAInformaticsMigrationMINTPopulation HealthPublic SafetyQuality ManagementSMITCPWellnessOther
Is the new hire a support agent? BHT / MA?*

YesNo
2. Phones

Please write special instructions (Call Center/Call Group/etc) in text box at bottom of section
Phone Type:*

Company Cell PhoneNone
Special Instructions:
3. Computer Needs

Please select the hardware that matches with existing role/department the new employee will be working. If this is a new role, please indicate as such in the text box at the bottom of the section. If this new employee is going to be using an already deployed computer, please enter the CPR asset tag in the text box at the bottom of the section.
Hardware:*

MacBookNoneOther
Asset Tag # for already deployed systems:
Optional Hardware:

MouseKeyboardWebcam1 Monitor2 MonitorsOther
SMI Employee Needs ONLY

Wacom TabletMicrosoft Office
Special Instructions:
4. Email Group Access
PLEASE LIST ALL ADDITIONAL EMAIL ACCOUNTS/GROUPS FOR YOUR NEW HIRE

All CPR staff are automatically given access to the workgroup@ and announcement@ email groups.

***To ensure accuracy, please list the exact name of the email accounts needed, as there are several very similar accounts***

A list of all available email accounts is available here for reference
Email Account Access Needed:*
workgroup@
5. Aura Staff Groups

Please provide the following information regarding the new hire's access to different sections of the Aura EMR. Please select at EACH option that is applicable.
Aura Main Menu - Please select the user role to determine what the new hire will have available on their Aura Main Menu. (Details on main menu access provided per user role are available here for reference):*

AdmissionsBilling EligibilityBilling ManagementBilling SpecialistCETChief Medical OfficerClinic SupportClinical Development ManagerClinical InternsCMCCorresponder CrisisCPR Clinical SupervisorCredentialingCrisis Clinical ManagerCrisis Counselor, TELECrisis CounselorsCrisis DispatchCrisis Operations LeadCrisis Operations ManagerCrisis OutreachCrisis Regional DirectorsCrisis Regional ManagerCrisis SchedulerDelegatorEligibilityEstrella ClinicEstrella Clinic CounselorEstrella Clinic PNPExecutivesFront Desk ReceptionistHuman ResourcesITLabMedical AssistantsMedical RecordsMINTNursing CoordinatorPayrollPNP DirectorPNP Support StaffPNPsPopulation HealthPS Case ManagerPublic Safety CounselorPublic Safety ManagerPublic Safety SupportQuality ManagementSDOH Case ManagerShared Services ManagerSMI CoordinatorSMI EvaluatorSMI ManagementSMI Routine EvaluatorsSMI Urgent EvaluatorsSMI/TCP ClinicianTCP Case ManagerTCP CounselorsTCP DispatchTCP ManagementTCP PNPTempe CinicTempe Clinic CounselorsTempe Clinic PNPWellnessN/A - No Aura account Needed
6. Additional I.T. Managed Accounts:

Please indicate which additional accounts will be needed for the new hire. Any accounts not listed below are not managed by CPR's I.T. department.
I.T. Managed Accounts Needed:*

Aura EHRAccess to send Outgoing e-Faxes in GoToAbrazo email (ex. lohrtabrazo@cprecovery.com)Add Supervision App accessAdd to Doxy.Me Telehealth Meeting RoomAHCCCS (New hire will be provided with instructions for creating their account)AHCCCS QM IAD Portal (please select for all clinical staff)AZ Complete Health (New hire will be provided with instructions for creating their account)Download Google suite (chat & calendar) on new hire's personal phoneDoxy.Me AccountGoTo accountMercy Care (ACC + RBHA)Noridian (New hire will be provided with instructions for creating their account)OQ AnalystSetup PDF Printer ProValleywise Epic AccountVeyoN/A - No additional I.T. managed accounts neededOther
Will the new hire login to Aura via CPR Bookmarks or Aura username and password?

New hire staff will login to Aura using username/passwordNew hire staff will login using the CPR bookmark
Does new hire need to be added to the PNP no reply email routing group?

YesNo
FOR SMI EMPLOYEES:
7. Training

The following information is requested to better prepare for any staff that may need to be setup for training before moving to their official location of work.
Is prior training at another location or station required (ex. training at Tempe clinic a week before moving to Estrella Clinic)*

YesNo
If you answered yes to the last question, please give the location they will be training at, the time frame they will be there and the exact date they will move to their official place of work. Please list any additional equipment they may need for training purposes.
If you answered "No", please write "n/a".
8. Additional Info

**Equipment pick ups are ONLY the Monday and Tuesday before onboarding or Wednesday the day of onboarding. We can accommodate specific time slots upon request if available times below do not fit new hires schedule for pick up. If you have any questions please email helpdesk@cprecovery.com
New hire needs access to the CPR Reporting app in Appsheet

YesNo
Does New Hire need to pick up equipment from Admin?

YesNo
Where will the new hire pick up their equipment from?*

Admin (1400 E Southern Ave, Suite 735, Tempe AZ 85282) - 7th floorNew hire will not be picking up equipment
Confirmed Date for Equipment Pickup:*
Helpdesk@ Reminder Email
example@example.com
Please let us know if you have any unique circumstances, special requests, or any additional information that will help the I.T. department to prepare you for your new hire:
Should be Empty:

New Hire I.T. Request

1. Employee Info

2. Phones

3. Computer Needs

4. Email Group Access

5. Aura Staff Groups

6. Additional I.T. Managed Accounts:

7. Training

8. Additional Info