Expand Your Clinical Coverage Without Expanding Your Recruiting Team

DirectShifts helps employers license clinicians across multiple states faster — reducing recruiting costs, improving provider utilization, and accelerating market expansion.

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Strategic Advantages

Why Employers Partner With Us

When your clinicians are licensed in more states, your business can grow faster.

Lower Recruiting Spend

Stop paying $15K–$30K per-hire in new markets. Expand existing clinicians into additional states for a fraction of the cost.

Up to 70%

lower cost vs. new hire

Faster Market Expansion

Enter new states in weeks, not months. Our specialists handle the full licensing pipeline so your ops team can focus on growth.

3–4 weeks

avg. state activation

Better Clinician Retention

Clinicians who can practice across more states report higher job satisfaction and stay longer — reducing turnover costs.

2.3×

retention improvement

Higher Provider Utilization

Fill schedule gaps by deploying licensed clinicians across borders. Maximize the ROI on every provider relationship.

40%

utilization increase

Compliance Tracking

Centralized dashboard tracks every license, renewal deadline, and compliance requirement across all states in real-time.

100%

compliance visibility

Dedicated Account Management

Enterprise clients receive a dedicated licensing specialist team with direct access and SLA-backed turnaround times.

< 4 hrs

avg. response time

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The Process

How It Works

From roster upload to multi-state deployment in five streamlined steps.

1

Step 01

Upload Clinician Roster

Share your current clinician roster and we'll assess multi-state licensing eligibility across your workforce.

CSV, API, or manual entry supported

2

Step 02

We Identify Target States

Our team analyzes your growth plans and recommends optimal state expansion strategies for maximum coverage.

Data-driven state prioritization

3

Step 03

Specialists Manage Applications

Dedicated licensing specialists handle all paperwork, follow-ups, and regulatory requirements for each state.

Zero clinician admin burden

4

Step 04

Track Progress in Dashboard

Monitor every application in real-time through your centralized employer portal with status updates and alerts.

Full transparency & compliance

5

Step 05

Clinicians Become Deployment-Ready

Once licensed, clinicians are immediately available to serve patients in their new states — expanding your coverage footprint.

Instant workforce activation
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Industry Solutions

Built for Enterprise Healthcare Teams

From fast-growing telehealth startups to national hospital systems.

Telehealth

Serve patients across state lines without geographic constraints.

Behavioral Health

Deploy therapists and psychiatrists into high-need states faster.

Urgent Care

Staff multi-state clinic networks with existing clinical talent.

Hospital Systems

Centralize licensing for large physician groups and specialists.

Staffing Firms

Expand clinician deployability and increase placement revenue.

Market Context

The Healthcare Staffing Market in 2026

The U.S. healthcare staffing market is one of the fastest-growing workforce sectors. Here's the context both platforms are operating in.

Traditional Approach

DirectShifts

Strategy

Hire new clinicians in each state

Expand existing clinician footprint

Cost per State

$15K – $30K per new hire

~$2,500 per licensing

Time to Deploy

60 – 120 days

21 – 35 days

Workforce Mgmt

Fragmented across states

Centralized dashboard

Clinician Retention

Low — limited mobility

High — multi-state flexibility

Compliance Tracking

Manual spreadsheets

Automated real-time monitoring

Agency Dependency

High

Reduced or eliminated

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Licensing pricing

Simple pricing, built around your license volume

Choose the model that matches your team — pay per license, or scale across all 50 states.

Per-License

Less than 50 state licenses

Transparent, role-based pricing per state license. Ideal for growing teams credentialing across select states.

RN

$150

/license

Behavioral Therapist & Psychologist

$249

/license

APRN

$299

/license

MD/DO

$399

/license

Pay only for licenses you process

No upfront commitment

Invoiced per batch

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Enterprise

More than 50 state licenses

Custom plans for high-volume credentialing across all 50 states. Built for nationwide provider networks.

Let's talk

Tailored pricing based on your volume, roles, and renewal cadence.

Dedicated account manager

Priority processing & renewals

Custom SLAs and reporting

Volume-based discounts

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DEA and CSR registrations are charged separately at cost.
State board fees are passed through at cost. Partner rates are exclusive to employer code holders. Renewal management is included on all enterprise plans.

Questions & Answers

Frequently Asked Questions

How long does multi-state licensing typically take?

Timelines vary by state, but most licenses are processed within 3–6 weeks. Some states with expedited pathways can be completed in as little as 2 weeks. We provide real-time tracking so you always know where each application stands.

Which states do you support?

We support licensing across all 50 states, the District of Columbia, and U.S. territories including Puerto Rico, Guam, and the U.S. Virgin Islands. Our platform covers 120+ license types across all major healthcare disciplines.

Do clinicians need to manage any paperwork?

No. Our licensing specialists handle the entire application process end-to-end — from document collection and verification to submission and follow-up. Clinicians may need to provide initial credentials, but we manage everything after that.

Can we track application progress in real-time?

Absolutely. Your employer dashboard provides real-time visibility into every license application, including status updates, projected completion dates, compliance alerts, and renewal reminders.

Do you support license renewals?

Yes. We track all renewal deadlines and proactively manage the renewal process to ensure zero lapses in licensure. This includes CE tracking, state-specific documentation, and automated reminders.

Can you integrate with our credentialing workflows?

Yes. DirectShifts offers API integrations with major credentialing platforms and HRIS systems. Our enterprise plans include custom integration support with your existing workflows.

Ready to Scale?

Turn Your Existing Clinicians Into a Multi-State Workforce

Join 500+ healthcare employers already expanding their clinical coverage with DirectShifts. See how multi-state licensing can transform your workforce strategy.

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Employer-Enabled pricing

You share the code. They pay less.

Clinician type

Direct rate

Direct rate

You save

Registered Nurse

Includes NLC compact, Nursys, NCLEX verification

$150 / state

$99

$51 / license

Behavioral Health

LCSW, LPC, LMFT, LMHC, Psychologist

$249 / state

$149

$100 / license

Nurse Practitioner / PA

Includes DEA and prescriptive authority coordination

$299 / state

$199

$100 / license

Physician (MD/DO)

IMLC eligible, DEA registration support

$399 / state

$249

$150 / license

Renewal Management

Deadline tracking, reminders, re-application handling

Manual / not included

$99

$51 / license

Example: 10 NPs licensed across 3 states (30 licenses)

$3,000 saved vs direct rate

* State board fees are always passed through at cost. Rates exclusive to employer code holders.

Employer-Sponsored pricing

You cover the cost. Full benefit.

Clinician type

Sponsored rate

Registered Nurse

$120 / state

Behavioral Health Therapists

$200 / state

Nurse Practitioners / Physician Assistants

$240 / state

Physicians (MD/DO)

$320 / state

Billed per license batch. No upfront commitment. State board fees additional.

* State board fees are always passed through at cost. Rates exclusive to employer code holders.

Enterprise Volume pricing

Flat monthly. Predictable scale.

Flat subscription

$4,000

Includes 40 licenses processed per month across any clinician type or state.

Predictable monthly billing — no per-license surprises

Priority queue for fast turnaround

Renewal management included for all active licenses

Dedicated account manager and reporting dashboard

Overflow licenses billed at sponsored rates

* State board fees are always passed through at cost. Rates exclusive to employer code holders.