Quick Answer

Conditional. Campbell County Health (CCH) hires individuals with felony convictions for certain positions, but the healthcare industry presents unique barriers. As the most comprehensive healthcare provider in northeast Wyoming with approximately 600 employees across a 90-bed hospital, 150-bed long-term care facility, and nearly 20 clinics, CCH operates under strict federal OIG exclusion requirements that create permanent legal bars for certain healthcare-related convictions. Employment decisions are conditional upon passing a comprehensive background check and verification against the OIG List of Excluded Individuals/Entities (LEIE).

Federal law prohibits companies from having a blanket policy excluding all felons. Instead, CCH must conduct an individualized assessment of the conviction to determine if it is job-related and consistent with business necessity. However, certain convictions trigger mandatory federal exclusions that cannot be waived.

The greatest barriers are created by felonies related to healthcare fraud (permanent OIG exclusion), patient abuse or neglect (permanent federal bar), and controlled substance offenses (mandatory exclusion from all federal healthcare programs). Recent violent offenses within the past 7 years face the highest scrutiny regardless of type.

Best entry points include Environmental Services (EVS), Food Services through Unidine, Laundry, and Facilities Maintenance positions where barriers are lowest. These non-clinical roles minimize direct patient contact and controlled substance access while still providing full benefits and advancement opportunities.

Table of Content

1. Quick Answer

2. Felon-Friendly Scorecard

3. Eligibility Checklist

4. Critical Regulatory Information

5. Company Overview

6. Hiring Policy Analysis

7. Background Check Process

8. Application Strategy

9. Tips for Applicants with Records

10. Benefits Overview

11. Frequently Asked Questions

12. Alternative Second Chance Employers

13. Conclusion

14. Disclaimer

Felon-Friendly Scorecard

Eligibility Checklist

Before applying, honestly assess whether you meet these baseline requirements:

• OIG Exclusion Status: Must NOT be on the OIG List of Excluded Individuals/Entities (LEIE). This is non-negotiable for any healthcare employment. Check your status at exclusions.oig.hhs.gov before applying.

  
  

• No Blanket Exclusion: The company cannot automatically exclude you solely for being a felon. EEOC guidelines require individualized assessment for non-OIG-excluded applicants.

  
  

• Job-Related Assessment: Must be prepared for CCH to evaluate whether your felony is related to the job duties using the Green Factors (nature of crime, time elapsed, nature of job).

  
  

• Physical Requirements: Healthcare support roles require ability to stand for extended periods, lift up to 50 pounds, and perform repetitive motions. EVS and laundry positions involve physical labor.

  
  

• Drug Screen: Must pass a mandatory pre-employment drug test. CCH maintains a drug-free workplace policy. Testing typically screens for common controlled substances.

  
  

• Honesty is Paramount: Must be completely honest about your criminal record when asked (after conditional offer). Lying is an automatic disqualifier and can result in termination if discovered later.

  
  

• Work Authorization: Must be legally authorized to work in the United States and able to provide required I-9 documentation.

Critical Regulatory Information

Understanding the legal landscape for criminal records in healthcare employment is essential for Second Chance applicants. Campbell County Health operates in Wyoming, which has limited fair chance protections at the state level, but CCH must comply with federal EEOC guidelines and, critically, OIG exclusion requirements that govern all healthcare employers receiving Medicare/Medicaid funding.

EEOC Guidelines

The Equal Employment Opportunity Commission advises employers not to automatically refuse to consider an applicant because of a criminal record. Employers must conduct an individualized assessment considering the Green Factors:

(1) Nature and gravity of the offense;

(2) Time elapsed since the offense and/or completion of sentence;

(3) Nature of the job sought and its relationship to the offense. Blanket policies excluding all felons are prohibited under Title VII guidance.

FCRA Requirements

If a third party conducts the background check and a job offer is denied based on the report, Campbell County Health must comply with the Fair Credit Reporting Act (FCRA) adverse action procedures:

(1) Provide pre-adverse action notice with a copy of the report and summary of FCRA rights;

(2) Allow reasonable time to dispute inaccuracies;

(3) Provide final adverse action notice if decision stands after review. Under FCRA, non-conviction records older than 7 years generally cannot be reported.

State-Specific Considerations

Wyoming has limited Fair Chance protections at the state level. There is no statewide ban-the-box law for private employers, meaning CCH can inquire about criminal history on initial applications. However, Wyoming does limit licensing agency denials based on convictions more than 20 years old for certain occupational licenses (with exceptions for those still under sentence or completed within 10 years). Employers must still follow FCRA guidelines and EEOC individualized assessment standards. Wyoming convictions may be sealed or expunged under certain circumstances, which can improve employment prospects.

Healthcare-Specific Considerations

The healthcare industry has specific regulatory requirements that create unique barriers for individuals with criminal records. The most significant is the OIG List of Excluded Individuals/Entities (LEIE). Federal law mandates exclusion from all federal healthcare programs for individuals convicted of: Medicare or Medicaid fraud; patient abuse or neglect; felony healthcare fraud, theft, or financial misconduct; and felony convictions relating to unlawful manufacture, distribution, prescription, or dispensing of controlled substances. These mandatory exclusions last a minimum of 5 years and are often permanent. CCH must check all prospective employees against the LEIE or face civil monetary penalties of up to $100,000 per violation. Excluded individuals cannot work in any capacity for a healthcare provider receiving federal funds—this includes non-clinical roles like housekeeping and food service.

Company Overview

Campbell County Health is the most comprehensive healthcare provider in northeast Wyoming, established in 1953 and headquartered in Gillette. The system includes Campbell County Memorial Hospital (86-90 bed acute care, DNV-accredited, Area Trauma Hospital), Campbell County Medical Group (nearly 20 clinics), The Legacy Living & Rehabilitation Center (150-bed long-term care), and Powder River Surgery Center. Affiliated with UCHealth since 2021, CCH employs approximately 600 staff members with nearly 80 providers across 20+ specialties. The organization partners with Unidine for food services. CEO is Matthew Shahan.

Company Fast Facts

• Founded: 1953 (Gillette, Wyoming)

• Headquarters: 501 S Burma Ave, Gillette, WY 82716

• Employees: Approximately 600

• Hospital Beds: 86-90 acute care; 150 long-term care

• Clinics: Nearly 20 across northeast Wyoming

• Affiliation: UCHealth (since September 2021)

• CEO: Matthew Shahan

• Revenue: Approximately $160 million annually

Hiring Policy Analysis

Campbell County Health implements hiring policies consistent with EEOC guidelines and federal OIG requirements. The organization conducts comprehensive background checks on all prospective employees as part of its Corporate Compliance Program. Job postings specifically state that candidates "must be free from governmental sanctions involving health care and/or financial practices"—a direct reference to OIG exclusion requirements. Background checks are conducted after conditional offer, allowing applicants the opportunity to interview before criminal history is evaluated. The hiring process includes application review, phone screening, interview(s), conditional offer, background check authorization, and final determination.

Position-Specific Barriers

Barrier levels are determined by patient contact, controlled substance access, federal licensing requirements, and vulnerability of the populations served.

Available Positions and Pay

Pay data compiled from Glassdoor, Indeed, ZipRecruiter, and company job postings. Actual compensation varies by experience, shift, and specific role. Wyoming has no state income tax.

Career Path Examples

Campbell County Health emphasizes internal advancement and offers educational assistance for employees pursuing additional training or degrees. Many leadership positions are filled through internal promotion.

Support Services Track: EVS Tech ($14-18/hr) → EVS Lead ($17-21/hr) → EVS Supervisor ($45K-55K/yr) → Support Services Manager ($55K-70K/yr). Requires demonstrated reliability and leadership skills.

Food Service Track: Food Service Worker ($13-17/hr) → Cook ($15-19/hr) → Lead Cook ($17-22/hr) → Food Service Supervisor ($42K-52K/yr). Through Unidine partnership.

Clinical Support Track: Patient Access Rep ($15-20/hr) → Senior Patient Access ($18-24/hr) → Department Secretary ($17-22/hr) → Administrative Coordinator ($45K-55K/yr). Requires excellent performance and additional training.

Background Check Process

Understanding Campbell County Health's background check process helps you prepare mentally and practically for what to expect. The organization conducts comprehensive background checks after conditional offer, which means you'll have the opportunity to interview and demonstrate your qualifications before criminal history is reviewed.

• What They Check: Criminal history (felonies and misdemeanors) at county, state, and federal levels; OIG List of Excluded Individuals/Entities (LEIE); System for Award Management (SAM) database; identity verification through SSN trace and address history; employment history verification; drug screening (mandatory for all positions); professional license verification where applicable.

  
  

• Lookback Period: Standard 7-year criminal lookback per FCRA guidelines for non-conviction records. Convictions may be reported indefinitely unless sealed or expunged under Wyoming law. OIG exclusions are permanent or long-term based on conviction type. Employment verification typically extends 5-7 years.

  
  

• Timeline: The hiring process averages approximately 2-4 weeks from application to hire based on employee reports. Background checks typically take 5-10 business days to complete after authorization is signed. Clinical positions may take longer due to license verification.

  
  

• Process Flow: Application submitted → Phone screening → Interview(s) conducted → Conditional offer extended → Background check and drug test authorization signed → OIG/LEIE check completed → Criminal background check conducted → Results reviewed using individualized assessment → Final hiring decision made → Pre-adverse or adverse action notice if applicable → Start date confirmed → Orientation scheduled.

  
  

Disqualifying Factors

Automatic Disqualification (OIG Exclusion): Convictions for Medicare/Medicaid fraud; patient abuse or neglect; felony healthcare fraud, theft, or financial misconduct; felony controlled substance offenses. These create permanent or long-term federal bars that CCH cannot waive.

High Risk for Disqualification: Recent violent offenses (within 7 years); theft or fraud convictions (especially for positions with financial access); any drug-related offenses for clinical positions; sexual offenses; crimes against vulnerable populations.

Lower Risk (Case-by-Case): Non-violent property crimes older than 7 years; traffic offenses (unless applying for positions requiring driving); old minor drug possession (non-felony); offenses unrelated to healthcare, violence, or vulnerable populations. All subject to individualized assessment considering rehabilitation evidence.

Your Rights as Applicant

• FCRA Protections: You must receive written notice and provide consent before a background check. If denied based on the report, you're entitled to a copy and the right to dispute inaccuracies.

  
  

• Pre-Adverse Action Notice: Before a final decision, you must receive notice with a copy of the report and a summary of your rights. You have reasonable time to respond and dispute information.

  
  

• EEOC Protection: You have the right to an individualized assessment for non-OIG-excluded offenses. Blanket exclusions based solely on criminal record are prohibited.

  
  

• Dispute Rights: You can dispute inaccurate information on background reports with the reporting agency. Check your own records beforehand at exclusions.oig.hhs.gov and through Wyoming DCI.

Application Strategy

1. Verify Your OIG Status First: Before applying to any healthcare position, check whether you are on the OIG Exclusion List at exclusions.oig.hhs.gov. If you are excluded, do not apply—focus on non-healthcare industries until your exclusion period ends and you successfully petition for reinstatement.

   
   

2. Target Support Services Positions: Focus on Environmental Services, Food Service (Unidine), and Laundry positions which have the lowest barriers and highest volume hiring needs. These roles offer the best opportunity to get your foot in the door while still receiving full benefits.

   
   

3. Apply Through Official Channels: Submit your application through the CCH careers portal at pm.healthcaresource.com/cs/cchwyo. Check positions regularly as support services roles are posted frequently. Consider applying to Legacy Living (long-term care) as well as the main hospital.

   
   

4. Prepare for the Interview: Be ready to discuss your reliability, work ethic, and commitment to following policies. Research CCH's Standards of Excellence program. Emphasize attention to detail, teamwork, and respect for patients and coworkers.

   
   

5. Be Completely Honest: Never lie about your criminal history. Dishonesty is an automatic disqualifier and can result in termination even after hire if discovered later. Wait until asked or until the appropriate stage (after conditional offer) to discuss your record.

   
   

6. Prepare Your Narrative: Have a brief, honest explanation ready: acknowledge the offense without making excuses, describe what you learned, and explain how you've changed. Focus on rehabilitation, personal growth, and stability. Keep it concise (30-60 seconds).

   
   

7. Document Rehabilitation: Gather evidence of positive changes since your conviction: completion of treatment programs, educational certificates, vocational training, stable housing, employment history, community involvement, and references from employers, probation officers, or community members.

   
   

8. Check Expungement Eligibility: Research whether your offense qualifies for sealing or expungement under Wyoming law. Contact the Wyoming State Public Defender's office or legal aid for assistance. Sealed records generally cannot be reported on background checks.

Tips for Applicants with Records

1. Healthcare Support Services Have Consistent Hiring Needs: Hospitals have 24/7 operations requiring continuous staffing for EVS, food service, and laundry. CCH operates a large complex including the hospital, clinics, and long-term care. Don't be discouraged by individual rejections—keep applying.

   
   

2. Start Entry-Level, Advance Within: Many successful careers at CCH begin in support services. Prove reliability by showing up on time, following procedures, and maintaining a positive attitude. CCH offers educational assistance for advancement into higher-paying positions.

   
   

3. Run Your Own Background Check First: Know what will appear before the employer sees it. Check the OIG LEIE database yourself. Order your own criminal background check through Wyoming DCI. Dispute any errors or outdated information in advance.

   
   

4. Understand Healthcare Compliance: Healthcare environments require strict compliance with policies. Demonstrate understanding of confidentiality (HIPAA), infection control, and patient safety. Show that you can follow rules without exception.

   
   

5. Pass the Drug Test: If you have substance issues, address them completely before applying. CCH requires pre-employment drug screening for all positions. Given the access to medications in healthcare settings, drug-related convictions face extra scrutiny.

   
   

6. Highlight Stability and Reliability: Emphasize stable housing, reliable transportation, and any consistent work history—even informal work shows you can be counted on. Healthcare employers especially value dependability and attendance.

   
   

7. Be Flexible on Schedule: Willingness to work nights, weekends, and holidays increases your chances significantly. CCH offers shift differentials: $1.00/hr for evenings, $2.50/hr for nights, plus weekend premiums.

   
   

8. Leverage Wyoming's Advantages: Wyoming has no state income tax, which effectively increases your take-home pay. The lower cost of living in Gillette compared to major cities means your earnings go further.

Benefits Overview

Campbell County Health offers a comprehensive benefits package for full-time and part-time employees. Benefits begin the first of the month following 30 days of employment.

• Health Benefits: Medical insurance with pre-tax and after-tax options. Coverage includes preventive care benefits, prescription drug coverage, and specialty care. Dental and vision insurance available. Employee and Spouse Occupational Health Program included.

  
  

• Retirement: 403(b) retirement plan with employer match. Long-term financial security through consistent contributions.

  
  

• Time Off: Generous PTO accrual that increases with tenure: 0-4 years = 192 hours/year; 5-9 years = 232 hours/year; 10+ years = 272 hours/year. Paid sick leave days. 24 hours bereavement for full-time employees.

  
  

• Shift Differentials: Evening shift (5-11pm): $1.00/hr additional. Night shift (11pm-7am): $2.50/hr additional. Weekend premiums: RNs $3.00/hr, other clinical staff $2.00/hr, all other hourly $1.50/hr.

  
  

• Childcare: On-site Early Childhood Center available to all CCH employees at discounted rates. This is a significant benefit for working parents.

  
  

• Additional Benefits: Employee Assistance Program through SupportLinc; educational assistance for job-related training and degrees; short-term and long-term disability insurance; life insurance; jury duty pay; military training compensation.

  
  

Employee Perspectives

Pros: Good benefits package, family-oriented atmosphere, stable employment, room for growth, small community feel, close working relationships.

Cons: Management varies by department, small pay raises, mandatory flu shots and mask policy, some departments report high turnover.

Frequently Asked Questions

1. Does Campbell County Health hire people with felonies?

   Conditionally, yes. CCH can hire individuals with felony convictions for certain positions, but healthcare industry regulations create significant barriers. Individuals on the OIG List of Excluded Individuals/Entities (LEIE) are permanently barred from any position. For others, CCH conducts individualized assessments per EEOC guidelines. Best opportunities are in support services (EVS, food service, laundry) where barriers are lowest. Clinical positions face the highest barriers due to patient safety concerns and controlled substance access.

   
   

2. What is the background check process at Campbell County Health?

   CCH conducts comprehensive background checks after extending a conditional offer. The process includes: OIG/LEIE exclusion database check (mandatory); SAM database verification; national criminal history search; county and state criminal records; SSN trace and identity verification; employment history verification; drug screening; and professional license verification for applicable positions. You must provide written consent before the check begins.

   
   

3. How far back does the background check go at Campbell County Health—what is the lookback period?

   Standard 7-year lookback for non-conviction records per FCRA guidelines. Convictions may be reported indefinitely under Wyoming law unless sealed or expunged. OIG exclusions are permanent or long-term based on conviction type and cannot be limited by state lookback restrictions. Employment verification typically extends 5-7 years.

   
   

4. What types of convictions make hiring more difficult at Campbell County Health?

   Automatic bars: Healthcare fraud, patient abuse/neglect, felony controlled substance offenses (OIG exclusion). High difficulty: Recent violent crimes, theft/fraud, drug offenses, sexual offenses, crimes against vulnerable populations. Moderate difficulty: Property crimes, financial crimes for administrative roles. Lower difficulty: Old non-violent offenses unrelated to healthcare, minor offenses, traffic violations.

   
   

5. What are the best entry-level roles at Campbell County Health for applicants with a record?

   Environmental Services Technician ($14-18/hr) is the best entry point—involves cleaning and sanitation with minimal patient contact. Food Service Worker through Unidine partnership ($13-17/hr) offers meal preparation and service roles. Laundry Technician ($14-17/hr) handles hospital laundry processing. These positions have the lowest barriers while still providing full benefits and advancement opportunities.

   
   

6. Does Campbell County Health drug test, and what kind of test do they use?

   Yes, CCH requires mandatory pre-employment drug screening for all positions. Testing is typically a standard panel screening for common controlled substances. Given the healthcare setting with access to medications, drug-related convictions face extra scrutiny even for non-clinical positions. CCH maintains a drug-free workplace policy.

   
   

7. When during the hiring process will Campbell County Health ask about criminal history?

   Wyoming has no statewide ban-the-box law, so CCH may ask about criminal history at any point in the process. However, the comprehensive background check is conducted after a conditional offer is extended. This gives you the opportunity to interview and demonstrate your qualifications before your criminal history is formally reviewed. Be prepared to discuss your record honestly if asked during the interview.

   
   

8. Can someone advance to management at Campbell County Health if they have a felony?

   Yes, advancement is possible for non-excluded individuals who demonstrate reliability and strong performance. CCH emphasizes internal promotion and offers educational assistance. Support services positions can advance to lead, supervisor, and manager roles. However, advancement into positions with greater patient contact, financial responsibility, or controlled substance access may face additional scrutiny.

   
   

9. How long does the hiring and background check process take at Campbell County Health?

   The typical hiring process takes 2-4 weeks from application to start date. Background checks typically complete within 5-10 business days after authorization is signed. Clinical positions requiring license verification may take longer. The timeline can vary based on position type, OIG verification response time, and reference check completion.

   
   

10. What can applicants do to improve their chances of getting hired at Campbell County Health?

    First, verify you are not on the OIG exclusion list. Target support services positions (EVS, food service, laundry). Be completely honest about your record. Prepare a brief narrative acknowledging your offense and explaining rehabilitation. Document positive changes with certificates, references, and employment history. Be flexible on scheduling—nights and weekends show commitment. Emphasize reliability, compliance mindset, and respect for patients. Check expungement eligibility under Wyoming law. Follow up professionally after applying.

Alternative Second Chance Employers

If Campbell County Health doesn't work out, consider these employers known for fair chance hiring practices in healthcare and related industries:

Conclusion

Campbell County Health offers conditional opportunities for individuals with criminal records, primarily in support services. As northeast Wyoming's largest healthcare provider with approximately 600 employees, CCH provides pathways to stable employment with comprehensive benefits—but healthcare's regulatory environment creates substantial barriers not found in other sectors. The federal OIG exclusion requirement creates permanent legal bars for healthcare fraud, patient abuse, and felony drug convictions.

For those without OIG exclusions, Environmental Services, Food Service, and Laundry positions provide genuine entry points paying $13-18/hr with full benefits including medical insurance, 403(b) with match, generous PTO, and on-site childcare. Wyoming's lack of state income tax increases take-home pay. Advancement is possible through demonstrated reliability and CCH's educational assistance program.

Key Success Factors: Verify you are not on the OIG exclusion list; target support services positions; be completely honest about your record; document rehabilitation; emphasize reliability and compliance; be flexible on scheduling.

Biggest Barriers: OIG exclusion (creates permanent federal bar); healthcare fraud, patient abuse, or felony drug convictions; recent violent offenses; Wyoming's limited fair chance protections.

Healthcare employment with a record is challenging—but not impossible. By understanding the regulatory landscape, targeting appropriate positions, and presenting yourself professionally, you can find meaningful work at Campbell County Health while building toward a stable future.

Disclaimer

This guide provides general information and should not be considered legal advice. Hiring policies vary by position, location, and individual circumstances. While we strive for accuracy using publicly available sources including company websites, job postings, employee reviews (Glassdoor, Indeed), and salary databases (PayScale, ZipRecruiter), employment information and company policies may change without notice. Always verify current practices directly with Campbell County Health.

Inclusion in this guide does not guarantee employment. Background check laws, OIG exclusion rules, expungement procedures, and fair chance hiring requirements vary by state and federal program. Consult with an employment attorney or legal aid organization for specific legal advice about your situation. Verify your OIG exclusion status at exclusions.oig.hhs.gov before applying to any healthcare position.

Apply Now: https://pm.healthcaresource.com/cs/cchwyo