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HR partner and clinician reviewing credentials — eCareHRMS healthcare HR platform
Healthcare HRMS Software

Hire fast. Credential right. Keep nurses.

Applicant tracking, primary-source credentialing, scheduling that respects patient ratios, payroll with shift differentials, and HIPAA-grade LMS — one HRMS purpose-built for hospitals, clinics, SNFs, and home health.

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HIPAA Compliant
SOC 2 Type II
ISO 9001:27001
G2: 4.5 out of 5 stars Capterra: 4.5 out of 5 stars
Solutions

Five workflows. One healthcare HRMS.

Hire, credential, schedule, pay, and grow your healthcare workforce — on a single platform that talks to your EHR, your payroll provider, and CMS. No more swivel-chairing across seven HR vendors.

eCareHRMS healthcare ATS with structured nurse and physician hiring pipelines
−42%
Time-to-hire for nurses
$4,200
Saved per nurse hired
01Hire & Onboard

Healthcare-native ATS + digital onboarding done in days, not weeks.

Job templates for RN, LPN, CNA, NP, MD, PA, RT, and MA. Structured screening, OIG/SAM exclusion checks at offer, automated I-9, E-Verify, drug screen, and TB test tracking — with offers that flow straight into payroll on day one.

  • Healthcare-specific job templates & pipelines
  • OIG / SAM exclusion check at offer + monthly
  • Digital I-9 + E-Verify with audit trail
  • Drug screen, TB test & immunization tracking
  • Background check vendor integrations (Sterling, Checkr, HireRight)
  • Day-one workflow: payroll, benefits, badge, LMS auto-assigned
Explore Hire & Onboard See an RN onboarding flow
eCareHRMS primary source credential verification with NCQA-aligned audit trail
99.5%
Credential compliance rate
18 days
Avg. time-to-credential
02Credential & License

Primary source verification + expiry alerts that nag the right person.

Automated PSV against state boards, NPDB, OIG/SAM, DEA, NSC, and AMA Profile. Every license, BLS/ACLS, and competency tracked by expiry — with cascading alerts to HR, the credentialer, the manager, and the employee at 90/60/30/7 days. NCQA, Joint Commission, and CMS surveys ready in one click.

  • Primary source verification (PSV) automation
  • NPDB, OIG/SAM, DEA, NSC, AMA Profile checks
  • License & certification expiry alert engine
  • CAQH ProView sync & payer enrollment
  • NCQA / Joint Commission / CMS-ready audit trail
  • Privileging workflow with department chair sign-off
Explore Credentialing See a PSV workflow
eCareHRMS nurse scheduling board with patient-ratio guardrails and shift swap marketplace
−38%
Agency staffing spend
−28%
Nurse turnover at 12 months
03Schedule & Time

Schedules that respect nurse-patient ratios — not just shift counts.

Build schedules that enforce patient-ratio rules, consecutive-shift caps, and credential coverage. Open shifts go to your internal marketplace before agency. Time clock with geofencing, biometric kiosk, PTO, FMLA, and call-out trends — visible to every charge nurse.

  • Patient-ratio & consecutive-shift guardrails
  • Internal shift marketplace before agency
  • Time clock with geofencing & biometric kiosk
  • PTO, FMLA & intermittent leave workflows
  • Real-time overtime & call-out dashboards by unit
  • Self-service shift swap with manager approval
Explore Scheduling See the schedule board
eCareHRMS payroll with shift differentials, ACA 1095-C, and PBJ payroll-based journal
100%
On-time PBJ submissions
−91%
Payroll error rate
04Payroll & Benefits

Shift differentials, call-back pay, ACA, and PBJ — without a spreadsheet.

Healthcare payroll knows the rules: night/weekend differentials, call-back pay, on-call stipends, charge nurse premiums, agency rate billing, and union scales. ACA 1095-C generation, IRS e-file, and CMS PBJ for SNFs handled inside the same system as the schedule that produced the hours.

  • Shift differentials, call-back, on-call & charge premiums
  • ACA 1095-C generation and IRS e-file
  • CMS PBJ payroll-based journal export
  • Garnishments, child support & tax levy automation
  • Benefits administration with carrier connections
  • Self-service paystubs, W-2s & W-4 changes
Explore Payroll See a healthcare pay run
eCareHRMS LMS for HIPAA, OSHA, BLS, ACLS training with engagement pulse surveys
96%
Annual compliance training rate
+19 pts
eNPS lift in 6 months
05Train & Engage

Compliance LMS + engagement that stops nurse burnout.

HIPAA, OSHA, infection control, sexual harassment, BLS/ACLS reminders — auto-assigned by role and due date, with completion data flowing back to the credential file. Performance reviews, 1:1 documentation, and pulse surveys with eNPS so leaders see burnout rising before nurses walk out.

  • HIPAA, OSHA & infection-control LMS pre-loaded
  • BLS / ACLS / PALS recert tracking with vendor integrations
  • Joint Commission & CMS training pathways
  • Performance reviews & 1:1 documentation
  • Pulse surveys with eNPS & sentiment trends
  • Recognition & peer-to-peer kudos with reward integrations
Explore Train & Engage See a HIPAA training pathway
Workforce Outcomes

The numbers that move turnover, compliance, and cost.

What healthcare organizations typically achieve in their first year on eCareHRMS — published from real customer benchmarks across hospitals, clinics, SNFs, and home health.

−28%
Nurse turnover at 12 months
vs. 26.9% national RN turnover average
99.5%
Active credential compliance
never another expired-license CMS finding
−38%
Agency staffing spend
internal shift marketplace before third-party agencies
18 days
Avg. time-to-credential
vs. 45+ day industry average — $7K saved per provider per day
Calculate your impact See the workforce benchmark report
Integrations

Plugged into every payroll, EHR, license board, and tax endpoint your team touches.

Out-of-the-box integrations with payroll providers, background-check vendors, state license boards, federal exclusion lists, and your EHR — so your HR file, payroll file, and credential file are always the same file.

ADP
Paychex
Paycom
Gusto
Epic
Oracle Cerner
athenahealth
Sterling
Checkr
CAQH ProView
NPDB
120+ Connectors via HL7 / FHIR / API
See all integrations Build a custom connector
We cut nurse turnover from 32% to 22% in 14 months — the schedule was the lever, but the LMS made it stick.
RIVERSIDE REGIONAL HOSPITAL — 412-BED COMMUNITY HOSPITAL

See it on your workforce in a 30-minute walkthrough.

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Customer Stories

Real HR teams, real workforce results.

Three healthcare organizations describing what changed after they replaced UKG, Workday, BambooHR, and a stack of point tools with eCareHRMS — and the numbers behind the change.

Acute Care · 412 beds

Our agency line was eating $4.2M a year. We turned on the internal shift marketplace, the schedule started respecting consecutive-shift caps, and by month nine our agency spend was down 38%. Nurses noticed before the CFO did — that’s when I knew it was real.

Jennifer Walsh, CHRO at Riverside Regional Hospital - eCareHRMS customer
Jennifer Walsh
Chief Human Resources Officer · Riverside Regional Hospital, Columbus, OH
−38% agency spend −31% RN turnover +19 pts eNPS

Riverside Regional Hospital

The Challenge
  • $4.2M annual agency spend, RN turnover at 32%
  • Schedule built in spreadsheets, no ratio guardrails
  • Two recent CMS findings on expired credentials
The Result
  • Internal marketplace filled 71% of open shifts pre-agency
  • Patient-ratio guardrails caught 14 unsafe weeks before publish
  • Zero credential findings on next survey
−38%
Agency Spend
−31%
RN Turnover
$1.6M
Annual Savings
Multi-Specialty Physician Group

Credentialing used to take us 47 days per provider. We moved to eCareHRMS and the average dropped to 16 days. That’s 31 days of billable revenue per new provider that we used to lose. The CFO asked me what I was on.

Daniel Mercer, VP People Operations at Northstar Physician Group - eCareHRMS customer
Daniel Mercer
VP People Operations · Northstar Physician Group, Phoenix, AZ
−66% time-to-credential $890K revenue recovered 100% NCQA audit pass

Northstar Physician Group

The Challenge
  • 47-day average credentialing — new providers idle
  • CAQH and payer enrollment in three different tools
  • NCQA audit findings on missing PSV documentation
The Result
  • Automated PSV cut average to 16 days
  • CAQH ProView two-way sync, single source of truth
  • Next NCQA audit cleared with zero findings
16 days
Time-to-Credential
$890K
Revenue Recovered
100%
NCQA Audit Pass
Skilled Nursing · Multi-Facility Operator

PBJ used to be the worst week of every quarter. Now it exports in one click, on time, every quarter. The CNA pipeline that used to take me 60 days to fill takes 28. I sleep through Sunday night again.

Maria Espinoza, HR Director at Heartwood Senior Living - eCareHRMS customer
Maria Espinoza
HR Director · Heartwood Senior Living (12 facilities), Austin, TX
100% on-time PBJ −53% CNA time-to-hire +24% internal mobility

Heartwood Senior Living

The Challenge
  • PBJ stitched together from spreadsheets across 12 facilities
  • 60-day CNA time-to-hire, chronic open shifts
  • No visibility on cross-facility shift coverage
The Result
  • One-click PBJ export across all 12 facilities, every quarter
  • CNA pipeline auto-screens to 28-day average hire
  • Cross-facility marketplace lifted internal mobility 24%
100%
On-Time PBJ
28 days
CNA Time-to-Hire
+24%
Internal Mobility
Why eCareHRMS

A purpose-built healthcare HRMS. Not a generic HCM you have to bend.

Healthcare HR teams usually compromise between two bad options: a generic HCM (Workday, UKG, BambooHR) bent into healthcare, or a stitched stack of point tools (Symplr + HealthStream + scheduling + ATS + payroll). eCareHRMS is the third path.

Generic HCM + point tools
Workday / UKG / BambooHR + Symplr + HealthStream + 4 more
  • HR file, payroll file, and credential file are three different files
  • No nurse-patient-ratio logic in the schedule engine
  • OIG/SAM checks happen monthly — or not at all
  • BLS/ACLS expiry buried in a spreadsheet
  • PBJ stitched together every quarter from CSV exports
  • 5–7 vendor contracts, 5–7 invoices, 5–7 SSO logins
eCareHRMS
Healthcare-native, unified, AI-assisted
  • One file: HR, payroll, credentialing, scheduling, training
  • Schedule engine enforces patient ratios & consecutive-shift caps
  • OIG/SAM checks at hire and continuously, with full audit trail
  • BLS/ACLS expiry alerts cascade to HR, manager, and the employee
  • One-click PBJ payroll-based journal export to CMS
  • One contract, one invoice, one SSO — predictable per-employee pricing
See it on your workforce

Workplace-tuned for every healthcare employer.

Hospitals, physician groups, post-acute, FQHCs, dialysis, urgent care — eCareHRMS ships with role libraries, scheduling rules, and credential templates tuned to each setting.

Acute Care Hospitals
Community Hospitals
Critical Access
Multi-Specialty Groups
Specialty Practices
Urgent Care
Ambulatory Surgery
Behavioral Health
Acute Care Hospitals
Community Hospitals
Critical Access
Multi-Specialty Groups
Specialty Practices
Urgent Care
Ambulatory Surgery
Behavioral Health
Skilled Nursing
Assisted Living
Home Health
Hospice
Dialysis Centers
FQHCs & CHCs
Dental Groups
Skilled Nursing
Assisted Living
Home Health
Hospice
Dialysis Centers
FQHCs & CHCs
Dental Groups
View All Workplaces Don’t see yours? Talk to us
eCareHRMS migrated 8 years of payroll history, 1,400 credential files, and our PBJ feed in 41 days — no missed pay run.
PRIYA RAO — CHRO, REGIONAL HEALTH SYSTEM

Switch in 30–60 days. Free HR migration included.

Schedule a Migration Call

We move payroll history, credential files, ATS pipeline, and PBJ — at no cost.

Live in 30–60 days. Here is how.

Free employee history migration, payroll cutover, credential file import, payer enrollment sync, and HR / nursing leadership / front-line manager training — included from day one.

Schedule a Demo
Step 1
Day 1: Discovery call — we audit your turnover, agency spend, and credentialing pipeline
1

Discovery

We audit your turnover, agency spend, credentialing time, and current HR / payroll stack — then design the migration plan.

Step 2
Step 2: Days 1-21: Employee history + payroll + credentialing migration
2

Migrate

We move employee history, pay history, credential files, ATS pipeline, and benefits — tested in a parallel pay run.

Step 3
Step 3: Days 22-45: HR, nursing leadership, and manager training
3

Train

Role-based training for HR, payroll, credentialing, nursing leadership, and front-line managers — on web and mobile.

Step 4
Step 4: Day 45+: Go live — first pay run, first credential audit, first schedule published
4

Go Live

First pay run lands clean, first credential audit clears, first schedule publishes with ratio guardrails on — with a dedicated CSM on speed-dial.

FAQ

Frequently asked questions

Everything you need to know about eCareHRMS — from credentialing and HIPAA compliance to payroll, scheduling, LMS, and migration off legacy HCM.

eCareHRMS is a HIPAA-compliant, cloud-based human resources and workforce management platform purpose-built for healthcare. It unifies applicant tracking, digital onboarding, primary source credential verification, license expiry tracking, nurse scheduling, time and attendance, payroll, learning management, and engagement surveys in one system — so HR, nursing leaders, and compliance teams stop running their workforce out of spreadsheets and seven different vendors.

eCareHRMS automates primary source verification (PSV) against state license boards, NPDB, OIG / SAM exclusion lists, DEA, and the National Student Clearinghouse, with full audit trails for NCQA and Joint Commission surveys. The system tracks every license, certification, and competency by expiry date and pushes alerts to HR, the credentialer, and the employee 90, 60, 30, and 7 days before expiration — so no provider walks onto a unit with a lapsed credential.

Yes. eCareHRMS is fully HIPAA-compliant and certified to SOC 2 Type II, ISO 27001, and HITRUST CSF standards. All employee PHI and sensitive HR data is encrypted in transit (TLS 1.3) and at rest (AES-256), with role-based access controls, end-to-end audit logging, and a Business Associate Agreement (BAA) included with every account.

Yes. eCareHRMS has out-of-the-box integrations with ADP, Paychex, Paycom, Gusto, and Rippling for payroll, plus HL7 / FHIR connections to Epic, Oracle Cerner, Athenahealth, and eClinicalWorks for clinical staff data, and direct e-file integrations with the IRS for ACA 1095-C, federal tax filings, and CMS PBJ submissions for skilled nursing.

Yes. eCareHRMS scheduling enforces patient-ratio and consecutive-shift guardrails, opens an internal shift marketplace before resorting to agency staff, and surfaces real-time overtime and call-out trends by unit. Customers typically reduce nurse turnover by 28% within twelve months and cut agency-staffing spend 30 to 45% by filling open shifts internally before they go to a third party.

Yes. eCareHRMS ships with a built-in healthcare LMS pre-loaded with HIPAA, OSHA bloodborne pathogens, infection control, sexual harassment, BLS / ACLS / PALS reminders, and CMS / Joint Commission training pathways. Courses can be assigned by role, location, or hire date, and completion data flows directly into the credentialing record so survey readiness is always one click away.

Most healthcare organizations go live in 30 to 60 days. eCareHRMS includes free data migration from UKG, Workday, ADP, BambooHR, Symplr, and HealthStream, with a dedicated implementation specialist who handles employee history import, payroll cutover, credential file migration, payer enrollment sync, and training for HR, nursing leadership, and front-line managers.