As a multi-state nurse auditor must I hold a license in each state?

[Nurse Beth, MSN]

The licensure requirement typically depends on the job description and the specific regulations in place for each employer or state.

Generally, an RN auditor who is licensed and working from a state where they legally hold an active RN license (or compact license) and whose job is primarily focused on reviewing and assessing medical records, coding, documentation, and compliance, rather than direct patient care, does not need licensure in each state where care was provided. 

Exceptions

However, if the job involves making direct clinical judgments or communicating in a way that could be considered practicing nursing in that state, a license may be required. Additionally, states may regulate out-of-state nurses who are involved in any patient-facing decisions, even if those interactions occur remotely.

To be absolutely sure, you would need to check the description and the specific regulations in place for each state.

 Some states may have specific rules regarding remote audits or the practice of nursing, and certain states, such as California, New York, Texas, and Florida, may have strict regulations that require out-of-state nurses performing specific tasks to be licensed in that state.

Additionally, your employer's compliance department should be able to clarify whether additional licensure is required.

In summary

RN Auditors generally do not need to be licensed in each state where care was delivered, but it's essential to check with your employer and review the specific state regulations to ensure you comply. The specifics can vary based on your employer's policies, the type of auditing, and state laws.