Credentials Liaison Specialist

We are hiring candidates for Madea Home Care Services, LLC Administration / Human Resources / Compliance Position Summary Will oversee and manage all credentialing, compliance, verification, and onboarding activities for clinical and non-clinical personnel at Madea Home Care Services. This position ensures that nurses, home health aides, caregivers, contractors, and organizational vendors meet all regulatory, payer, licensing, and contractual requirements prior to providing services. The Credentials Specialist serves as the central point of coordination for employment background checks, drug screening, license and certification verification, payer enrollment, EVV compliance, HIPAA compliance, and vendor registrations with healthcare facilities, hospitals, and government agencies. This role is critical to maintaining organizational compliance with Texas HHSC, CMS, Medicare, Medicaid, VA/Tricare, HIPAA, and other federal, state, and local regulatory standards. Essential Duties & Responsibilities Credentialing & Compliance Oversight Manage and oversee all credentialing activities for: Registered Nurses (RNs) Licensed Vocational Nurses (LVNs) Home Health Aides (HHAs) Certified Nursing Assistants (CNAs) Personal Caregivers Contractors and agency representatives Verify and maintain: Professional licenses Certifications CPR credentials Insurance documentation Continuing education requirements Drug Screening Coordination Payer & Insurance Credentialing Commercial insurance plans Private pay programs EVV & HIPAA Compliance Monitor EVV exceptions and reporting requirements Vendor Registration & Contract Compliance Client Intake & Referral Coordination Assist with client intake and referral coordination processes Assist with verification of payer eligibility and authorization status for services Maintain communication with referral sources and families regarding onboarding status and service coordination Support continuity of care by ensuring referrals are transitioned efficiently into active service cases Maintain accurate intake and referral tracking logs for compliance, reporting, and audit purposes Documentation & Record Management Maintain accurate and organized credentialing files Monitor expiration dates and renewal requirements Prepare documentation for: Surveys Audits Accreditation reviews Regulatory inspections Maintain credentialing dashboards and compliance tracking systems Qualifications Education Associate's or Bachelor's degree in: Healthcare Administration Business Administration Human Resources Nursing Related field preferred Experience Minimum 3-5 years of experience in: Healthcare credentialing Home health administration Compliance management Payer enrollment Regulatory coordination Experience with: Medicare/Medicaid enrollment EVV systems HIPAA compliance Vendor registration platforms Knowledge, Skills & Abilities Strong knowledge of: Texas HHSC regulations CMS requirements HIPAA compliance Credentialing standards Excellent organizational and documentation skills Ability to manage multiple deadlines and compliance requirements Strong communication and problem-solving abilities Proficiency with: Credentialing databases Microsoft Office EVV systems Electronic health records (EHR) Compliance Expectations The Credentials Manager is expected to: Maintain confidentiality at all times Adhere to Madea Home Care Services policies and procedures Support survey readiness and audit preparedness Promote ethical and compliant operational practices Physical Requirements Prolonged sitting and computer use Ability to communicate effectively with staff and external agencies Occasional travel for meetings or credentialing support, if required