Password:
Enter your password to reveal hidden form fields.
Interview date:
/
Month
/
Day
Year
Candidate Profile
Full name:
*
First Name
Middle Name
Last Name
Current résumé:
Upload a File
Drag and drop files here
Choose a file
Click here to upload. PDF or DOC/DOCX only.
Cancel
of
E-mail address:
*
Please enter a valid email address.
Phone Number
*
Position applied to:
*
- Select a job title -
Other
Administrative Assistant Senior
Admissions Liaison
Ambulatory Care Assistant
Buyer I Pharmacy
Buyer II Pharmacy
Cardiothoracic Surgery Technician I
Cardiothoracic Surgery Technician II
Cardiothoracic Surgery Technician III
Cardiothoracic Surgery Technician IV
Cardiovascular Anesthesia Technician I
Cardiovascular Anesthesia Technician II
Case Management Assistant
Case Manager I - SW (LCSW)
Case Manager I - SW (MSW)
Case Manager I (RN)
Case Manager II (RN)
Clinical Nurse I (TEMP)
Charge Nurse
Clerical Coordinator
Clinical Nurse (RN)
Clinical Nurse I
Clinical Nurse II
Clinical Nurse III
Clinical Nurse Navigator I
Clinical Research Coordinator
Clinical Support Technician I
Community Care Navigator
CPS Specialist I
CPS Specialist II
CPS Specialist III
Director Pharmacy Services
Education Coordinator I
Education Coordinator II
Emergency Care Technician
Front Office Assistant I
Front Office Assistant II
Front Office Assistant III
Hemoydnamic Technician I
Hemoydnamic Technician II
Hemoydnamic Technician III
Instrument Technician
Insurance Verification Specialist I
Insurance Verification Specialist II
Insurance Verification Specialist III
Interventional Radiology Technician I
Interventional Radiology Technician II
Interventional Radiology Technician III
Licensed Vocational Nurse (LVN)
Manager Clinical Line (RN)
Manager Pharmacy
Massage Therapist
Material Management Coordinator
Nurse Staffing Coordinator
Operating Room Assistant I
Outpatient Admissions Representative I
Outpatient Admissions Representative II
Outpatient Admissions Representative III
Patient Care Assistant
Patient Companion
Pharmacist Clinical
Pharmacist Clinical Research
Pharmacist Staff I
Pharmacist Staff II
Pharmacy Resident
Pharmacy Runner
Pharmacy Technician I
Pharmacy Technician I (Intern)
Pharmacy Technician II
Physical Therapist I
Physical Therapist II
Radiation Therapist I
Receptionist Scheduler
Recruitment Researcher (Contract)
Rehabilitation Aide
Respiratory Care Practitioner - RRT
Respiratory Care Practitioner - NICU
Scheduling Coordinator
Scheduling Secretary
Senior Inventory Specialist Medical
Site Supervisor I (TEMP)
Speech Pathologist I
Speech Pathologist II
Supervisor Nursing
Surgery Technician I
Surgery Technician II
Surgery Technician III
Telemetry Technician - Clerical Coordinator
Therapist (MSW)
Triage Nurse I (RN)
TOC Social Worker (LCSW)
Please select "Other" if the position is not listed.
Work Experience & Motivation
Education & Other Credentials
Highest form of education completed:
- Please select -
High school
Associate's
Bachelor's
Master's
Doctorate
PhD
Major:
Name of U.S. college or university:
Please select the institution most recently attended.
Name of college or university:
Please list the institution most recently attended.
Other degrees earned:
Yes
No
Other education completed:
List all other degrees earned, and institutions attended on separate lines.
Licenses & certifications:
(ACSW) Associate Clinical Social Worker
(ARRT) Registered Radiologic Technologist
(CET) Certified EKG Technician
(CHT) Certified Hemodialysis Technician
(CLS) Clinical Lab Scientist
(CMA) Certified Medical Assistant
(CMT) Certified Massage Therapist
(CNA) Certified Nurse Assistant
(CNS) Clinical Nurse Specialist
(CPT I) Certified Phlebotomy Technician I
(CRT) Certified Radiologic Technologist
(CST) Certified Surgical Technologist
(DO) Doctor of Osteopathic Medicine
(EEG) Electroencephalographic Technician
(EMT-B) Emergency Medical Technician-Basic
(EMT-P) Emergency Medical Technician-Paramedic
(FRT) Fluoroscopic Radiologic Technologist
(HHA) Home Health Aide
(INT) Intern Pharmacist
(LCSW) Licensed Clinical Social Worker
(LM) Licensed Midwife
(LMFT) Licensed Marriage & Family Therapist
(LVN) Licensed Vocational Nurse
(MD) Doctor of Medicine
(NA) Nurse Anesthetist
(NM) Nurse Midwife
(NM-F) Nurse Midwife Furnishing
(NP) Nurse Practitioner
(NP-F) Nurse Practitioner Furnishing
(OT) Occupational Therapist
(OTA) Occupational Therapist Assistant
(OTR/L) Occupational Therapist Registered/Licensed
(PA) Physician Assistant
(PHN) Public Health Nurse
(PT) Physical Therapist
(PTA) Physical Therapist Assistant
(RCP) Respiratory Care Practitioner
(RN) Registered Nurse
(RN-PMH) Registered Nurse-Psychiatric Mental Health
(RPh) Registered Pharmacist
(RPSGT) Registered Polysomnographic Technologist
(SGC) California Guard Card-Security
(SLP) Speech-Language Pathologist
(SLP-A) Speech-Language Pathology Assistant
(TCH) Certified Pharmacy Technician
To select multiple: Cmd. + Enter (Mac) or Ctrl. + Enter (PC)
Other credentials:
(ABFM) American Board of Family Medicine
(ABIM) American Board of Internal Medicine
(ABOG) American Board of Obstetrics and Gynecology
(ABP) American Board of Pediatrics
(ACLS) Advanced Cardiac Life Support
(ACNPC) Acute Care Nurse Practitioner Certification
(AG-ACNP) Adult-Gerontology Acute Care Nurse Practitioner
(BLS) Basic Life Support
(CAPA) Certified Ambulatory Perianesthesia Nurse
(CAQ) Certificate of Added Qualifications in Sports Medicine
(CCM) Certified Case Manager
(CCNS) Critical Care Nurse Specialist
(CCRN) Critical Care Registered Nurse
(CCRP) Certified Cardiac Rehabilitation Professional
(CCS) Certified Coding Specialist
(CEN) Certified Emergency Nurse
(CET) Certified Electrocardiograph/EKG Technician
(CFRN) Certified Flight Registered Nurse
(CHFN) Certified Heart Failure Nurse
(CHPN) Certified Hospice and Palliative Care Nurse
(CMC) Cardiac Medicine Certification
(CMSRN) Certified Medical-Surgical Registered Nurse
(CNL) Clinical Nurse Leader
(CNML) Certified Nurse Manager and Leader
(CNOR) Certified Nurse Operating Room
(CNRN) Certified Neuroscience Registered Nurse
(CNS-CP) Clinical Nurse Specialist Perioperative Certification
(CPEN) Certified Pediatric Emergency Nurse
(CPFT) Certified Pulmonary Function Technician
(CRCST) Certified Registered Central Service Technician
(CRNA) Certified Registered Nurse Anesthetist
(CRNFA) Certified Registered Nurse First Assistant
(CRRN) Certified Rehabilitation Registered Nurse
(CSC) Cardiac Surgery Certification
(CTRN) Certified Transport Registered Nurse
(CTRS) Certified Therapeutic Recreation Specialists
(ECG) ECG & Pharmacology
(FNP-BC) Family Nurse Practitioner-Board Certified
(MAB) Management of Assaultive Behavior
(MICN) Mobile Intensive Care Nurse
(NBCOT) National Board for Certification in Occupational Therapy
(NIHSS) NIH Stroke Scale
(NPS) Neonatal/Pediatric Respiratory Specialist
(NRP) Neonatal Resuscitation Program
(OCN) Oncology Certified Nurse
(PALS) Pediatric Advanced Life Support
(PCCN) Progressive Care Nursing Certification
(RHB) Radiologic Health Branch Certified
(RRT) Registered Respiratory Therapist
(SCRN) Stroke Certified Registered Nurse
(TCRN) Trauma Certified Registered Nurse
(TNCC) Trauma Nursing Core Course
To select multiple: Cmd. + Enter (Mac) or Ctrl. + Enter (PC)
Number of credentials verified:
Attach up to 3 image files, or use notes.
Show notes?
Yes
File Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Credential verification #1:
Credential verification #2:
Credential verification #3:
Credential verification notes:
Enter pertinent notes and/or additional images.
Role Related Questions
Goals
Job Requirements
Motivators
Describe how an opportunity at Hoag aligns with your career and educational goals?
*
Describe what you believe your main responsibilities are in this role. What skills do you currently possess that will make you successful in it?
*
What are your career motivators? What are important factors in considering a new opportunity? On a scale of 1-10, how satisfied are you in your current position? What would you have to change to make it a 10?
*
Clinical Competency Question
Department:
Emergency
Critical Care
Telemetry
Mother/Baby
Labor & Delivery
Stroke & Neuro
You're faced with a patient that presents with a high suspicion for a cardiac event (although he appears to be stable), while concurrently caring for a patient suffering from an acute stroke. The original patient now states he is short of breath although his pulse oximetry is OK and you do not observe any labored breathing. Tell us how you would make sure high quality of care is provided for both?
Please provide an example when a patient you were caring for began to decompensate. How did you recognize it, and address the situation? What resources or information did you use to assist in preventing further decompensation and ensure your patient’s safety?
You have a patient from the Catheterization Lab post PTCA, and they start to develop chest pain. What is your course of action?
Tell me about a time you had an emergency situation and how you handled it.
Outline for me the questions you would ask a patient presenting for labor evaluation?
Your patient was admitted to Hoag yesterday after suffering an acute ischemic CVA. After receiving a dose of TPA, the patient spent a night in the ICU for close observation, then transferred to 3 East (Brain and Spine). When you received the patient at shift change you assessed them to have an NIH score of 3 for Right facial droop, slurred speech, and a mild expressive aphasia. When you enter your patient’s room 2 hours later to treat their BP, you note that they seem less alert, their slurred speech and expressive aphasia are worse, and the patient reports a sudden and severe headache. What are your primary concerns for this patient? What would you do in response?
Behavioral Interview Questions
Attitude
Communication
Compassion
Conflict Resolution
Creativity
Critical Thinking
Customer Service
Decision Making
Diversity Awareness
Financial Acumen
Flexibility
Integrity
Leadership
Mentoring & Motivating
Personal Development Drive
Process Improvement
Strategic Agility
Teamwork
Attitude
- Please select a question -
What frustrates you most about your current or recent position? What changes you would make if you had the power?
When was the last time you made a big mistake? What did you do?
Have you ever taken a substantial risk that has failed? What was it? What did you learn?
Have you ever had an experience turning a problem into a success? Tell me about it.
Tell me three things that will be important to you in your next opportunity that have nothing to do with salary, benefits, or location.
On a scale of 1-10, how would you rate your interest in this opportunity?
Attitude Rating
Poor
1
2
3
4
Great
5
1 is Poor, 5 is Great
Communication
- Please select a question -
Give me an example of something complicated that you have had to explain to someone else. What were the results?
Sometimes we are misunderstood by other people. Has this ever happened to you? How did you respond and what were the results? What did you do to prevent this from happening again?
Describe a time when you communicated something difficult or unpleasant to your manager or supervisor. What happened?
Tell me about a specific experience of yours that illustrates your ability to influence another person verbally in order to accomplish a goal or task. Feel free to use an example that involves changing an attitude, selling a product/idea, or being persuasive.
Tell me about a time when your listening skills really paid off.
Tell me about a situation when your communication skills played a significant role in the achievement of a difficult goal or problem.
Communication Rating
Poor
1
2
3
4
Great
5
1 is Poor, 5 is Great
Compassion
- Please select a question -
Have you ever had a situation where a co-worker came to you with a difficult personal issue? What did you do about it? What were the results?
Tell me about a situation in the past year in which you were confronted with an emotionally distraught customer, patient, or family member. How did you intervene?
Tell me about a recent scenario when you had to help a customer/patient, or their family members, cope with anxiety concerning their illness, hospitalization, or ability to pay the bill.
Describe a time when you were able to be personally supportive and reassuring to another individual.
Compassion Rating
Poor
1
2
3
4
Great
5
1 is Poor, 5 is Great
Conflict Resolution
- Please select a question -
Tell me about the last argument you had with a peer or co-worker. What was it about?
Describe a situation when someone put you in the middle of an ongoing argument. What did you do?
Tell me about a time when you disagreed with a decision by your manager or hospital administration. Why did you disagree? What did you do about it?
Tell me about a time when you encountered a difficult situation or problem at work, that you then solved. What was the specific situation, actions you took, and outcome?
Conflict Rating
Poor
1
2
3
4
Great
5
1 is Poor, 5 is Great
Creativity
- Please select a question -
Tell me about a time when you have been creative in your work. What did you do?
What is the most interesting thing you have done in the last three years?
When was the last time you had to think "outside the box”? What did you do?
Creativity Rating
Poor
1
2
3
4
Great
5
1 is Poor, 5 is Great
Critical Thinking
- Please select a question -
Describe a hospital-level goal at your current or former employer that was challenging for your unit to apply. What did you do, or have you done, to work towards this goal in your unit’s daily activities?
Give me an example of a time when you recognized a new way of thinking or trend that was helpful to your unit, team, or organization.
Tell me about a time when you had to plan a complex project.
Think of a problem you have addressed by focusing on the underlying process or cause, rather than on an isolated event. Describe the situation and the approach you took.
Tell me about one major obstacle you overcame in your last job. How did you deal with it?
Critical Thinking Rating
Poor
1
2
3
4
Great
5
1 is Poor, 5 is Great
Customer Service
- Please select a question -
Think of a time when you had to deal with an unhappy customer or patient. Describe the situation and how you handled it.
Have you ever had to make a change in your approach, or “way of doing things”, in order to accommodate the needs of a customer or patient? What happened?
Have you ever run into an angry customer, patient, or family member who wanted you to do something that you did not have the authority to approve? How did you handle it?
Tell me about a time when you went above and beyond normal expectations to improve a patient’s or family member’s experience.
Customer Service Rating
Poor
1
2
3
4
Great
5
1 is Poor, 5 is Great
Decision Making
- Please select a question -
Have you ever had to implement an unpopular decision? What steps did you take? What was the outcome?
Have you ever been in a seemingly impossible position with difficult budgets?
Describe a situation that illustrates your delegation style.
Tell me about a hard decision you had to make and how you went about making that decision.
Tell me about a time when you took a calculated risk in a recent position. What were your considerations and what was the outcome?
Decision Making Rating
Poor
1
2
3
4
Great
5
1 is Poor, 5 is Great
Diversity Awareness
- Please select a question -
Tell me about a time when you had to make necessary adaptations for another person from a different cultural background. What did you do and what were the results?
Give me an example of when communication with a customer or co-worker was difficult. How did you handle it?
Describe a situation when you worked with a person whose personal beliefs were the opposite of yours. How did you deal with it?
Tell me about a time when you were able to step into another person’s shoes in order to discover his or her unique perspective.
Have you ever had a time when you felt it necessary to compromise your own immediate interests in order to fulfill another person’s needs? Tell me about it.
Diversity Awareness Rating
Poor
1
2
3
4
Great
5
1 is Poor, 5 is Great
Financial Acumen
- Please select a question -
What was the biggest waste of resources in your last job? How did you resolve this?
Tell me about a situation in which you were able to reduce costs associated with a project or process.
Tell me how productivity is measured in your current/last job.
Describe for me a time when you had to adjust staffing or change processes in order to meet productivity standards.
Have you ever found yourself on the wrong side of a budget variance? How did you learn of the gap? What steps did you take to close it?
Tell me about a time when you had to reduce costs on the unit. How did you do it?
Have you ever had to defend to administration why your budget was higher than normal? What kind of data did you gather to support this position?
Financial Acumen Rating
Poor
1
2
3
4
Great
5
1 is Poor, 5 is Great
Flexibility
- Please select a question -
Share with me an example of when you changed your thought process or plan of action after receiving new information.
Give me an example of a time when you needed to balance your needs and concerns with the needs and concerns of another person.
Sometimes it is necessary to work in unsettled or rapidly changing circumstances. When have you found yourself in this position? Tell me exactly what you did.
Tell me about a time when you had way too much to do and you had deadlines to meet. How did you handle it?
Give an example of an assignment that required you to split your attention. How did you keep track of the different aspects of the assignment?
Flexibility Rating
Poor
1
2
3
4
Great
5
1 is Poor, 5 is Great
Integrity
- Please select a question -
Tell me about a situation in which you were called upon to keep a promise or confidence.
Give me an example of when you chose to speak up for others when they were not present.
When was the last time you “broke the rules” and how did you do it?
Tell me about a time when you asked forgiveness for doing something wrong.
Share an example of a problem created for you by someone else. How did you handle it? What were the results?
Have you ever had no control over circumstances, yet were responsible for the final outcome? What did you do? What were the results?
Integrity Rating
Poor
1
2
3
4
Great
5
1 is Poor, 5 is Great
Leadership
- Please select a question -
Describe the most striking example of staff conflict or dissent you have experienced. How did you handle it?
Describe how you have involved staff in performance improvement initiatives and other decisions pertinent to their work.
Give me an example of how you establish goals, responsibilities, and accountability for others.
Tell me about a past experience developing and building a leadership team.
What has been your experience in dealing with poor performance of employees? Give me an example.
Have you ever had to implement an unpopular decision? What steps did you take? What was the outcome?
Leadership Rating
Poor
1
2
3
4
Great
5
1 is Poor, 5 is Great
Mentoring and Motivating
- Please select a question -
Give me an example of a time when you came up with a clever way to motivate your colleagues.
Tell me about a time when you acknowledged or celebrated the success of yourself or others.
Have you ever mentored a peer? Tell me about it.
Describe a situation when you worked with an employee or colleague to successfully improve his/her performance.
Mentoring and Motivating Rating
Poor
1
2
3
4
Great
5
1 is Poor, 5 is Great
Personal Development Drive
- Please select a question -
Have you done anything over the past year to develop yourself? What was it? How did you go about it?
Tell me about a specific goal you set for yourself in the past. Why was it important to you? How did you achieve it and what were the results?
We all get negative feedback from time to time. Tell me about a time you received feedback which indicated an opportunity for you to improve your job performance. What did you do?
Have you ever been in a situation in which you made a mistake that no one else knew about? How did you handle it?
Give me an example of a time when you went “above and beyond” your employer’s normal job expectations in order to get a job done.
Give me an example of a situation in which you had to learn a new skill or skills in order to be successful in your job.
Personal Development Drive Rating
Poor
1
2
3
4
Great
5
1 is Poor, 5 is Great
Process Improvement
- Please select a question -
Have you ever made suggestions for improving your work process? Describe what you did and how you achieved results.
Would you tell me about a time when your supervisor presented you with a new process for doing something and gave you the task of implementing and evaluating that process? What did you do?
Tell me about a time when you were faced with a situation and there was no clear policy or procedure to follow. What did you do? What were the results?
Have there been any large changes within your current organization? Tell me about one change that affected your job. How did you react?
Tell me about a problem that you identified and resolved by using a systematic approach.
When was the last time your unit did not meet patient care standards? How was the deficiency identified and how was it improved?
Process Improvement Rating
Poor
1
2
3
4
Great
5
1 is Poor, 5 is Great
Strategic Agility
- Please select a question -
Can you tell me about an initiative or project that you've contributed to, that was aligned with larger organizational goals? What was the role you held, contribution made and project outcome?
Strategic Agility Rating
Poor
1
2
3
4
Great
5
1 is Poor, 5 is Great
Teamwork
- Please select a question -
Share with me a situation in which you accomplished something as a member of a team. What was the team’s purpose? What was your role?
Describe a time when you were able to help a co-worker solve a problem or improve his or her performance.
What is the main strength or “natural work style” that you bring to a team? Describe a specific situation of how your work style affected a team decision or outcome.
Give me an example of a time when you confronted a negative attitude successfully, with the result of building teamwork and morale.
Give me an example of when you have done some things for others in the organization on your own, without being asked or told to do so.
Tell me about a time you had to abandon your own ideas, plans or goals for the sake of your team.
Teamwork Rating
Poor
1
2
3
4
Great
5
1 is Poor, 5 is Great
Compensation
*Current base rate/salary:
**ENTER ONLY IF DISCLOSED BY CANDIDATE**
Desired base rate/salary:
If unknown enter 0 or leave blank.
Will you be requiring health and retirement benefits?
*
Yes
No
Maybe/Unsure
Other
Do you live within a commutable distance?
*
Yes
No/Self Relocating
No/Relocation Assistance Needed
Other
Current or recent employer name:
*
Comments regarding compensation:
At Hoag, we are proud to be a union-free environment with a commitment to excellence, which we encourage by rewarding excellence in our employees with pay-for-performance opportunities. Compensation adjustments are aligned to performance. Please share how these values align with your values and your consideration of Hoag.
Availability
Shift preference:
*
1st
2nd
3rd
Any
Other
Status preference:
*
Full-time
Part-time
Per-diem
Any
Other
What is your availability over the next few weeks for a formal face-to-face interview?
*
**IF YOU HAVE ALREADY COMPLETED A FORMAL INTERVIEW TYPE N/A**
Do you have any scheduling restrictions in the coming months? Please describe below.
*
i.e. vacations, observances, other obligations, etc.
How soon are you available to start?
*
Do you have any other interviews or offers pending?
*
Yes
No
Please explain:
Recruiter Assessment and Recommendation
Years of relevant experience:
Enter 0 if less than 1 year.
Assessment:
Very Satisfied
Satisfied
Somewhat Satisfied
Not Satisfied
Communication
Preparedness
Responsiveness
Engagement
1. Not a Hoag fit 2. Recommended with Condition 3. Recommended
1
2
3
Recruiter summary:
Role and department recommendation.
Print Form
Submit
Should be Empty: