Checkr Health

This article will help you:

• Understand the Checkr Health screening

Checkr Health combines drug with occupational health screenings, allowing you to evaluate your candidates’ physical fitness for your job requirements. Drug screenings allow companies to test their candidates for a broad range of substances to reduce the costs and risks associated with the impact of drug abuse. Occupational Health Screenings allow you to test for the physical requirements of a position, including vision tests, respirator fit tests, and tests for TB and other communicable diseases. 

Checkr partners with eScreen to offer a wide variety of drug screening and occupational health screening services. This partnership allows Checkr Health to provide candidates access to over 6100 labs across the country, that provide a single location for both drug screens and occupational health screening.

Some states have specific laws or guidelines relating to drug and occupational health screenings in relation to employment. For example, most states require a conditional offer of employment be made before requiring candidates to submit to a drug test or occupational health screening. Please work with your legal counsel to ensure that you are meeting these requirements.

For more information on available screenings, and to enable Health Screening on your account, please contact Checkr Customer Support.

The process

When applying for a position that requires a Checkr Health screening, candidates will receive an invitation to participate in the background check process, which includes a step to schedule their Health Screening. Candidates must then schedule and complete their appointment before the deadline set by customers. (Three days by default. Work with your Checkr Customer Success representative to customize this deadline.)

When an occupational health screening has been completed, results are posted to the Checkr Dashboard and to the Candidate Portal.

When a drug test has been completed, results are returned to Checkr as Negative or Non-Negative. Negative indicates that the test revealed no evidence of the listed substance. Negative results are posted to the Checkr Dashboard. Non-Negative results are submitted to a Medical Review Officer (MRO) for additional processing. 

During the review process, the results will remain Pending in both the Checkr Dashboard and Checkr APIs.

• During the interview, the MRO will question the donor to determine if there is a legitimate medical explanation for the test results. Any prescription information provided by the donor will then be confirmed with the originating pharmacy. In accordance with the interview findings and relevant prescription information, the MRO will make a final determination of the result. 
• Once the result has a verified disposition, Checkr returns the result through both the Checkr Dashboard and the Checkr API.

MROs make three attempts in 72 business hours to contact the candidate to discuss any Non-Negative results. If the MRO is unable to reach the donor during this time, results will remain Pending for an additional 72 business hours to allow the candidate to return the call. If the candidate does not respond, the result will be posted to the Dashboard and included in the final report as “Positive-UTCD” (Unable To Contact Donor). 

Candidates may contest the Medical Review Officer's findings by contacting the lab they visited to provide their sample. Checkr cannot help candidates dispute their drug test results. 

When processing is complete, results are returned to Checkr, and shown in the Dashboard. To view results, click Health Report on the candidate’s background check. 

• Negative indicates that the test revealed no evidence of the listed substance.
• Non-Negative indicates that the test revealed evidence of one or more of the listed substance(s). (For more information on specific non-negative results, please contact Checkr Customer Support.)

Results are usually available within 2-3 business days after the screening is complete. Results sent to a Medical Review Officer may take an additional 72+ hours to complete, while the MRO conducts their interview. 

If a candidate cannot schedule their screening within your selected timeframe, click Resend Invitation to extend the window, and allow them to schedule at a later date. 

Candidate experience

Checkr offers a mobile-optimized, easy-to-use Occupational Health and Drug Screening scheduling flow that allows candidates to schedule one test for all required screenings, access the candidate screening pass (or “passport”), and view results within the same system.

To complete their screening, 

1. Candidates will receive an invitation to authorize a background check, which will include the request for a drug and/or occupational health screening.
2. Upon receiving the invitation, candidates enter their information, review the necessary disclosures, and provide consent.
3. Candidates then schedule their required test(s) at a lab of their choosing based on the expiration window of the donor pass..
4. Candidates then download and print their Screening Pass and report to the lab to submit to their drug and/or occupational health test.

What if the candidate has questions or disputes?

Candidates may contest the Medical Review Officer's findings by contacting the lab they visited to provide their sample. Checkr cannot help candidates dispute their drug test results.