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Role Description

The Licensure & Credentials Manager is responsible for overseeing and maintaining all professional licensure, certifications, credentials, and regulatory requirements for clinical and applicable non-clinical staff. This role ensures full compliance with federal, state, payer, and accrediting body standards while supporting timely onboarding, ongoing employment eligibility, and audit readiness.

• Licensure & Credentialing Oversight
  • Manage initial and ongoing licensure, certification, and credentialing for all applicable staff (e.g., RN, LPN, NP, MD, SW, CNA, Chaplain, Therapy).
  • Track expiration dates and renewal requirements for licenses, certifications, DEA registrations, NPI numbers, and professional credentials.
  • Ensure compliance with state boards, CMS, accrediting organizations (e.g., CHAP, ACHC), and payer requirements.
• Onboarding & Employment Compliance
  • Partner with HR, Clinical Leadership, and Recruitment to ensure licensure and credentialing requirements are met prior to start date.
  • Validate credentials during onboarding, transfers, promotions, and role changes.
  • Support interstate licensure processes and compact licensure verification as applicable.
• Audits & Regulatory Readiness
  • Maintain accurate, audit-ready credentialing files (electronic and/or paper).
  • Support internal audits, surveys, and external reviews by CMS, accrediting bodies, and payers.
  • Respond to credentialing-related audit requests in a timely and organized manner.
• Systems & Data Management
  • Maintain credentialing databases and tracking systems with accurate, up-to-date information.
  • Develop dashboards or reports related to licensure compliance, upcoming expirations, and risk areas.
  • Recommend process improvements and automation opportunities to enhance efficiency and accuracy.
• Policy, Education & Communication
  • Develop and maintain policies and procedures related to licensure and credentialing.
  • Educate leaders and staff on licensure requirements, timelines, and compliance expectations.
  • Proactively communicate upcoming expirations, deficiencies, or compliance risks to leadership.
• Collaboration & Leadership
  • Serve as a subject matter expert for licensure and credentialing standards.
  • Collaborate with Compliance, Quality, HR, and Clinical Leadership to ensure organizational alignment.
  • Participate in compliance committees or quality meetings as assigned.

Qualifications

• Bachelor’s degree in healthcare administration, business, human resources, nursing, or related field (or equivalent experience).
• Minimum of 3–5 years of experience in licensure, credentialing, compliance, or healthcare administration.
• Strong knowledge of healthcare licensure and credentialing requirements.
• Exceptional organizational skills and attention to detail.
• Ability to manage multiple deadlines and priorities.

Preferred

• Experience in hospice, home health, or post-acute care.
• Credentialing or compliance certification (e.g., CPCS, CPMSM, CHPC).
• Familiarity with accreditation standards (CHAP, ACHC, Joint Commission).
• Experience with credentialing software or HRIS systems.

Benefits

• Actual Work/Life Balance
• Competitive Pay
• Benefits Package including Medical, Dental, and Vision insurance
• Paid Time Off
• 401k plan with employer match and 100% vesting after 90 days of employment
• A culture with an emphasis on appreciating and valuing the team member
• The opportunity to be part of a rapidly growing national company, with possible position upgrades