Your Healthcare Career Roadmap: Jobs, States, Licensing and Credentialing

Information and strategies for healthcare professionals considering career options nationwide

The healthcare industry is projected to have the largest job growth and be the fastest-growing industry sector between now and 2034. As one of the country’s 23 million healthcare workers, that means you should have no problem finding the job of your dreams, right?

Unfortunately, even though it might seem like there’s never been a better time to go into healthcare with its burgeoning job market, that might not be the case. Physicians, nurses, physical and occupational therapists, advanced practice practitioners, behavioral health specialists, and allied health professionals will encounter a highly competitive market for top roles. This is partly due to technological advancements, shifting patient needs, and emerging healthcare delivery models.

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The importance of preparation and location

Navigating the competitive healthcare job market requires preparation, whether you’re searching for a staff job, per diem work, or a travel assignment. From deciding where you want to work to ensuring your licensing and credentials are up to date, researching specific details creates a sound job search strategy. Having your job search planned out and knowing your goals are important.

Maybe you’re considering moving to the Big Apple to take the next step in your nursing career. Knowing New York is robust with healthcare jobs and its healthcare workforce earns the seventh-highest salaries in the nation. May influence your decision. Or, perhaps California, the Golden State, with its miles of beaches and warm weather, is more your speed as a physician. California has the highest demand for healthcare employees and many large metropolitan areas in which to work. California has one of the largest shortages of physicians in the country and is facing a critical lack of healthcare professionals overall.

Healthcare opportunities are growing nationwide

Each state possesses its own unique qualities when it comes to working in healthcare. Colorado offers stunning mountain views, Texas is home to multiple bustling cities, and West Virginia employs the largest percentage of healthcare workers compared to its total workforce of any state. When deciding to explore employment in another state, though, there is a lot to consider. You should research the number of open job opportunities, cost of living, licensing requirements, workplace conditions, and state policies and incentives.

For example, according to a Northeastern University analysis of job postings data from February 2025, the top states hiring healthcare workers are California, Texas, Florida, New York, and Pennsylvania. In a different study, it was revealed that the three highest-paying states for registered nurses (RNs) are California, Hawaii, and Oregon, while for physical therapists, those leading the pack are Texas, Nevada, and Arizona. So, where jobs can be found and which states are paying healthcare professionals the most are different.

The licensing laws of the land

Most healthcare professions require a state-issued license to practice, with requirements varying by state and profession. Additionally, the length of time it takes to get a license in each state varies, as do the requirements.

As the U.S. Department of Health and Human Services (HHS) notes, a full license granted by a state healthcare professional licensing board permits a provider who meets specific requirements to legally practice in that state. Each state sets its own licensing standards for healthcare providers. Some states have temporary practice laws, which enable a healthcare provider to practice for a limited time in another state where their patient is visiting.

States also have a licensing board for every healthcare profession.  Because licensing laws are established independently by each state government, though, substantial differences and disparities in licensing requirements often exist across states. The National Conference of State Legislatures (NCSL) offers a National Occupational Licensing Database that compares state-level licensing laws and requirements for numerous healthcare occupations.

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What to know about crossing state lines

If a change of scenery is something you’d like to pursue or you want to visit family and friends for a couple of months or longer, being a travel healthcare professional is probably a great option. Nurses make up the majority of the traveling healthcare workforce, with more than 1.7 million currently employed in the U.S. Nevertheless, these types of positions are available for healthcare workers in other professions who are interested in career growth, professional development, networking opportunities — not to mention the perks of travel.

Crossing state lines as a travel healthcare professional is certainly possible, but it requires you to obtain licensure in the destination state. An increasing number of job seekers are achieving this by joining an interstate licensure compact.

When working in different states, the license you need depends on the specific profession and practice modality. Each compact functions independently, and parameters vary. The three national healthcare interstate licensure compacts consist of the Nurse Licensure Compact (NLC), the Interstate Medical Licensure Compact (IMLC) for physicians, and the Psychology Interjurisdictional Compact (PSYPACT®).

Nurse Licensure Compact

The NLC is beneficial for nurses who desire greater flexibility in their practice locations. It allows you to be licensed in multiple states, and you can avoid paying anywhere from $200 to $400 per state for individual licenses and mitigate weeks-long endorsement processes. An applicant for the NLC must meet the 11 uniform licensure requirements (ULRs). Check out our step-by-step guide to multi-state licensure for nurses for additional details.

Interstate Medical Licensure Compact

Eligible physicians can qualify to practice medicine in multiple states by completing an application within the IMLC. This allows them to receive separate licenses from each state in which they intend to practice. Through the IMLC, physicians receive their licenses faster and with fewer administrative hassles. Approximately 80% of U.S. physicians meet the compact’s criteria for licensure.

Other healthcare licensing compacts include Physical Therapy, Advanced Practice Registered Nurses Compact, and Emergency Medical Service Officials Licensure Compact. Compacts not yet issuing licenses include the Occupational Therapy Licensure Compact, the Audiology & Speech-Language Pathology Interstate Compact, the Social Work Licensure Compact, the Counseling Compact, and the Dentist and Dental Hygienist Compact.

Healthcare professions that require credentialing

Licensing gives healthcare professionals the legal right to practice. Credentialing, conversely, is the process of verifying their qualifications to work in a specific healthcare setting. Many of the same documents required for state licensure are reverified in the credentialing process.

Credentialing is required for healthcare workers — physicians, nurses, physician assistants, therapists, dentists, and behavioral health providers — who provide direct patient services. It’s also necessary for healthcare professionals who participate in Medicare, Medicaid, and other government-funded healthcare programs.

Credentialing processes for allied healthcare workers typically include program-specific education verification, state licensure, and professional certifications. For most healthcare professionals, state credentialing consists of verification of education, training, licensure, board certifications, work history, clinical privileges, and background checks.

While managing so many important documents can be stressful, there are tools like DNAVault that allow you to manage your credentials, licenses, and paperwork. The platform is designed for managing items like licenses, certifications, or ID cards, which are kept in a personalized ‘vault’ accessible only to you. That means no more need for repeatedly calling human resources at previous employers or requesting documents from compliance teams. Anyone can store documents in DNAVault for free, and it’s available in the StaffDNA app. Download the StaffDNA app today to search, apply, and get hired for jobs nationwide.

Javier Llevada

Javier Llevada

Healthcare organizations face some of the toughest workforce challenges: tight budgets, lean IT teams and limited tools for sourcing, hiring and onboarding staff. Add in manual scheduling, rising labor costs and high burnout, and the pressure grows. Rolling out complex systems can feel out of reach without dedicated tech support. Even simply evaluating new technology can overwhelm already stretched-thin teams.

These challenges make it clear that technology isn’t just helpful; it’s essential for healthcare organizations. Especially when they’re striving to do more with less. Not only are healthcare organizations falling short on implementing new technology, but they’re struggling to update outdated systems. A 2023 CHIME survey found that nearly 60% of hospitals use core IT systems, such as EHRs and workforce platforms, that are over a decade old. Outdated tools can’t integrate or scale, creating barriers to smarter staffing strategies. But the opportunity to modernize is real and urgent.

Tech in Patient Care Falls Short

In healthcare, technology has historically focused on clinical and patient care. Workforce management tools have taken a back seat to updating patient care systems. Yet many big tech companies have failed when it comes to customizing healthcare infrastructure and connecting patients with providers. Google Health shuttered after only three years, and Amazon’s Haven Health was intended to disrupt healthcare and health insurance but disbanded three years later.

Why the failures? It’s estimated that nearly 80% of patient data technology systems must use to create alignment is unstructured and trapped in data silos. Integration issues naturally form when there’s a lack of cohesive data that systems can share and use. Privacy considerations surrounding patient data are a challenge, as well. Across the healthcare continuum, federal and state healthcare data laws hinder how seamlessly technology can integrate with existing systems.

Why Smarter Staffing Is Now Essential

These data and integration challenges also hinder a healthcare organization’s ability to hire and deploy staff, an urgent healthcare priority. The U.S. will face a shortfall of over 3.2 million healthcare workers by 2026. At the same time, aging populations and rising chronic conditions are straining teams already stretched thin.

Smart workforce technology is becoming not just helpful, but essential. It allows organizations to move from reactive staffing to proactive workforce planning that can adapt to real-world care demands.

Global Inspiration: Japan’s AI-Driven Workforce Model

Healthcare staffing shortages aren’t just a U.S. problem. So, how are other countries addressing this issue? Countries like Japan are demonstrating what’s possible when technology is utilized not just to supplement staff, but to transform the entire workforce model. With one of the world’s oldest populations and a significant clinician shortage, Japan has adopted a proactive approach through its Healthcare AI and Robotics Center, where several institutions like Waseda University and Tokyo’s Cancer Institute Hospital are focusing on developing AI-powered hospitals.

Japan’s focus on integrating predictive analytics, robotics and data-driven scheduling across elder care and hospital systems is a response to its aging population and workforce shortages. From robotic assistants to AI-supported shift planning, Japan’s futuristic model proves that holistic tech integration, not piecemeal upgrades, creates sustainable staffing frameworks.

Rather than treating workforce tech as an IT patch for broken systems, Japan’s approach embeds these tools throughout care operations, supporting scheduling, monitoring, compliance and even direct caregiving tasks. U.S. health systems can draw critical lessons here: strategic investment in integrated platforms builds resilience, especially in a labor-constrained future.

The Power of Smart Workforce Technology

In the U.S., workforce management is becoming increasingly seen as more than a back-office function; it’s a strategic business operation directly impacting clinical outcomes and patient satisfaction. Smart technology tools are designed to improve care quality, staff satisfaction, scheduling, pay rates, compliance and much more.

For example, by using historical data, patient acuity, seasonal trends and other data points, organizations can predict their staff needs more accurately. The result is fewer gaps in scheduling, fewer overtime payouts and a flexible schedule for staff. AI-powered analytics can help healthcare leadership teams spot patterns in absenteeism, see productivity and forecast needs in multiple clinical areas in real-time. Workforce management tools can help plan scheduling proactively, rather than reactively. It’s a proven technology tool that can help drive efficiency and reduce costs.

Why So Many Are Still Behind

Despite the clear benefits, many healthcare organizations are slow to adopt smart tools that empower their workforce. Several things are holding them back from going all-in on technology:

Financial Pressures

Over half of U.S. hospitals are operating at or below break-even margins. For them, investing in new technology solutions is financially unfeasible. Scalable, subscription-based and even free workforce management tools are available, but most organizations are unaware of or lack the resources to source these products. Workforce management tools can deliver long-term return on investment for most organizations. Taking the time to understand where the value lies and which tools to invest in needs to happen.

Outdated Core Systems

Many facilities still depend on legacy technology infrastructure that lacks real-time capabilities. Many large players in the healthcare workforce management industry dominate hospital systems. Other smaller, real-time tools that offer innovative solutions to scheduling, workforce hiring, rate calculators and more are available at a fraction of the cost.

Competing Priorities and Strategic Blind Spots

Healthcare organizations and hospitals have many high-priority business objectives and regulatory demands. Digital transformation naturally falls down on the priority list, which causes them to miss improvements that can lead to long-term stability. With patient care and provider satisfaction at the top of the priority mountain, technology changes can be easily missed or shoved to the side when other business objectives are perceived to “move the needle” more.

Poor Change Management

Even the best technology efforts can fail without the right strategy for adoption and support from senior leadership. Resistance from staff, lack of training, or poor rollout communication can undermine success. Effective change management—clear leadership, role-based training and feedback loops—is essential.

Faster than the speed of technology

Change needs to come quickly to healthcare organizations in terms of managing their workforce efficiently. Smart technologies like predictive analytics, AI-assisted scheduling and mobile platforms will define this next era. These tools don’t just optimize operations but empower workers and elevate care quality.

Slow technology adoption continues to hold back the full potential of the healthcare ecosystem. Japan again offers a clear example: they had one of the slowest adoption rates of remote workers (19% of companies offered remote work) in 2019. Within just three weeks of the crisis, their remote work population doubled (49%), proving that technological transformation can happen fast when urgency strikes. The lesson is clear: healthcare organizations need to modernize faster for the sake of their workforce and the patients who rely on providers to deliver care.

 

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