Hospice/HR Licensure Specialist
Location
United States
Posted
17 days ago
Salary
Not specified
Seniority
Mid Level
Job Description
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.
Key Responsibilities
-
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
-
Required
- 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
Job Requirements
- Required 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.
- 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.
- 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
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