Two truck drivers talking in a fleet yard at dawn

Transportation Industry

Background Checks Built for DOT Requirements and Your Fleet.

For trucking companies, transit operators, delivery fleets, and logistics platforms — DOT pre-employment checks, FMCSA Clearinghouse queries, MVR, drug testing, and continuous monitoring in one compliant platform. Drivers cleared in hours. Fleets audit-ready.

1M+
Annual Checks Processed
<1%
Dispute Rate
200+
ATS / HRIS Integrations
24hrs
Adverse Action Resolution
Why Healthcare Screening Is Different

The Cost of a Missed Check Is Measured in Patient Safety

Healthcare organizations face unique screening obligations that other industries don't. A missed OIG exclusion, an expired license, or an undetected criminal record in a clinical role can mean patient harm, federal penalties, and immediate regulatory action.

Federal exclusion liability

Employing an OIG-excluded individual can result in civil monetary penalties of up to $20,000 per day, per violation.

Healthcare organizations that receive Medicare or Medicaid reimbursement are federally required to verify that all employees and contractors are not on the OIG exclusion list.

$20K/day
Max CMP for employing an OIG-excluded individual
Patient safety risk

National database searches alone miss up to 30% of county-level criminal records.

One in five healthcare workers has a criminal record. National database searches alone miss up to 30% of county-level criminal records — the courts where the majority of prosecutions occur. A 7-year county criminal search is the only way to surface the full picture.

30%
Of county-level criminal records missed by national database alone
Staffing velocity

High volume shouldn't mean lower standards.

Healthcare faces a chronic staffing shortage. Every day a clinical position goes unfilled means reduced care capacity and greater pressure on existing staff. Turn's 6-hour median TAT keeps your pipeline moving without cutting corners.

6 hrs
Turn's median turnaround, vs. days for most alternatives

OIG/SAM Exclusion Check: A Legal Requirement, Not a Nice-to-Have

Any organization participating in a federal healthcare program, including Medicare and Medicaid, must check the OIG List of Excluded Individuals and Entities (LEIE) and the SAM.gov database before hiring. This applies to clinical staff, administrative employees, and contractors. Turn includes OIG/SAM exclusion checks as a standard component of all healthcare packages.

Healthcare Segment Coverage

Every Role in Healthcare Has a Different Risk Profile

Clinical providers, administrative support, and transport staff each carry different compliance requirements and risk levels. Turn's healthcare screening packages are built for each role type, not a single checklist applied across the board.

Clinical Providers
Physicians, RNs, LPNs, NPs, CNAs, Medical Assistants
Criminal (7-yr) OIG/SAM License Verify Drug Test
Home Health Aides
Home health aides, nursing assistants, personal care aides
Criminal (7-yr) OIG/SAM Sex Offender Drug Test
EMTs & Paramedics
EMTs, Paramedics, Medical Transport Drivers
Criminal (7-yr) MVR License Verify Drug Test
Pharmacy Staff
Pharmacists, pharmacy technicians, lab & radiology technicians
Criminal (7-yr) OIG/SAM License Verify Drug Test
Administrative & Billing
Receptionists, billing, medical records, IT, hospital security
Criminal (7-yr) OIG/SAM Employ. Verify Identity Verify
Behavioral Health Staff
Behavioral health clinicians, social workers, counselors, therapists
Criminal (7-yr) OIG/SAM Sex Offender License Verify
Screening Packages

Built for Every Clinical Role and Risk Level

Configure once per role type, then order with a click. Packages are fully customizable to meet your organization's specific requirements.

Clinical Providers

Custom packages available for TRICARE-authorized providers and FACIS Level 1M / Level 3 searches.
Physicians RNs & LPNs NPs CNAs Medical Assistants
SSN Trace + Address History
Identity anchors all downstream jurisdiction searches
7-Year County Criminal Records
Searches every jurisdiction in the applicant's address history
Turn only
National Criminal + Sex Offender Registry
All 50 states, D.C., and tribal territories
OIG / SAM Exclusion Search
Checks OIG LEIE and SAM.gov for Medicare/Medicaid exclusions
Federally required
Professional License Verification
Validates license type, status, issue date, and expiration
Education + Employment Verification
Confirms degrees, certifications, and prior employment history
Drug Testing (10-Panel)
Available at nationwide collection sites; results in 24–48 hrs
FCRA Adverse Action Management
Automated pre-adverse and adverse action notices. No manual steps required.

Support & Administrative

Add education verification for billing, coding, and records roles. Package is customizable by position.
Receptionists Billing Medical Records IT Lab Techs
SSN Trace + Address History
Identity verification anchoring all downstream searches
7-Year County Criminal Records
Critical for roles with access to PHI or vulnerable patients
Turn only
National Criminal + Sex Offender Registry
Nationwide database and registry search
OIG / SAM Exclusion Search
Required for all employees at Medicare/Medicaid-participating organizations
Required if federally funded
Employment Verification
Confirms prior employment history and titles
Drug Testing
Available as add-on; panel options from 5 to 10 substances
FCRA Adverse Action Management
Automated, compliant adverse action at any volume

Transport & Field Staff

Continuous MVR monitoring available post-hire. Alerts on new violations or license changes in near real-time.
EMTs Paramedics Home Health Aides Medical Transport Drivers
SSN Trace + Address History
Identity verification across all prior jurisdictions
7-Year County Criminal Records
Comprehensive county-level criminal history search
Turn only
National Criminal + Sex Offender Registry
High-risk roles with access to vulnerable individuals in transit
OIG / SAM Exclusion Search
Required for organizations receiving federal healthcare funding
Motor Vehicle Records (MVR)
Driving history, license status, violations, and suspensions
Professional License Verification
EMT and paramedic certification validation by state
Drug Testing (10-Panel)
DOT-compliant options available for regulated transport roles

Packages are illustrative starting points. Always consult legal counsel to ensure screening packages meet the specific requirements of your organization, state, and role type.

Post-Hire Monitoring

Hiring Is Only the Beginning

A clean background check at hire doesn't stay clean forever. Licenses expire. Sanctions get issued. Criminal activity occurs post-hire. In healthcare, these changes carry direct patient safety and regulatory consequences.

Turn's post-hire monitoring runs continuously on your active workforce. You're alerted the moment something changes — not months later during an annual review cycle.

  • License Monitoring: Alerts when a professional license is set to expire, placed on probation, suspended, or revoked. Covers nursing, medical, pharmacy, and EMT certifications by state.
  • OIG / SAM Exclusion Monitoring: Continuously checks your active workforce against the OIG LEIE and SAM.gov exclusion lists. New exclusions added after hire are surfaced immediately.
  • Criminal Record Monitoring: Notifies you of new arrests or convictions for workers in your active workforce. Alert sensitivity is configurable by role type.
Talk to a Healthcare Specialist
Post-hire workforce monitoring for healthcare organizations
Built for Every Team

Designed for the Teams Running Healthcare Hiring

Whether you run HR for a hospital system, manage a healthcare staffing agency, or build workforce platforms for clinical hiring — Turn is designed for how your team actually works.

People Operations & HR

Stop managing compliance manually.

  • Automated adverse action: no manual letter drafting or timeline tracking
  • OIG/SAM exclusion results built into your screening report, not a separate workflow
  • 6-hour median TAT keeps your offer-to-start timelines tight
  • One dashboard for pre-hire screening and post-hire monitoring across all locations
  • Bilingual candidate support in English and Spanish — Turn handles disputes, not your team
Healthcare Staffing & Talent Acquisition

Fill critical roles without slowing down.

  • Volume pricing scales from 50 to 50,000+ applications per month
  • Pre-built packages for clinical, support, and transport roles with no configuration overhead
  • Real-time status visibility for every candidate in your pipeline
  • Integrations with Fountain, Greenhouse, Lever, Rippling, iCIMS, and 200+ more
  • Drug testing at thousands of collection sites nationwide, no coordination required
Product & Platform Teams

Embed screening in your healthcare platform.

  • REST API with sub-second response time, compatible with any existing workflow
  • TurnOS white-label layer for full native embedding without CRA licensing
  • Turn is the CRA of record — your platform inherits zero CRA licensing obligations
  • Webhooks for real-time status updates, monitoring alerts, and adverse action events
  • Integration from sandbox to production in 2 to 12 weeks depending on depth
TurnOS for Healthcare Platforms

Building a Healthcare Hiring Platform? Embed Screening Natively.

For healthcare staffing platforms, travel nurse apps, home care software, and workforce management tools, TurnOS is the compliance infrastructure that lets you offer background screening under your own brand — with no CRA licensing obligations and no candidates redirected outside your product.

Explore TurnOS
Talk to a specialist
TurnOS platform for healthcare

Turn is the licensed CRA on every check

Your platform certifies permissible purpose. Turn owns licensing, FCRA workflows, OIG searches, adverse action, disputes, and bilingual candidate support.

Healthcare-specific checks, API-delivered

OIG/SAM exclusion, professional license verification, 7-year county criminal, drug testing, and ongoing monitoring — all through a single REST API.

Set your own pricing to end users

Platforms built on TurnOS price independently to their customers. Turn handles cost and compliance operations. You control the economics and the experience.

Scale without compliance overhead

SOC 2 Type II certified. ISO 27001-aligned. 99.9% uptime. Built to handle enterprise healthcare volume without adding compliance headcount.

Launch faster. Go live in weeks.
Starter

API Only (Headless)

Fast launch. Turn manages candidate communications.

Live in days
Enterprise

Full Native Experience

Own the full UX, business logic, and customer relationship end-to-end.

4 – 12 weeks
Integrations

Screen from the system your team uses every day.

Turn connects with 200+ ATS, HRIS, and workforce management platforms.

See all integrations →
Compliance & Security

The compliance standards healthcare organizations require

SOC 2 Type II

Independently audited security controls. Annual testing and recertification.

FCRA Compliant CRA

Registered Consumer Reporting Agency. Adverse action automation at any volume.

OIG/SAM Exclusion Search

Built into every healthcare package. Checks OIG LEIE and SAM.gov before every hire.

PBSA Member

Professional Background Screening Association accredited practices.

AES-256 Encryption

All PII encrypted at rest and in transit. Candidate data protected at every step.

Full Audit Logs

Every action timestamped and logged. Available for compliance review on request.

Fair Chance Compliant

State and city-level fair chance laws applied automatically by candidate location.

Bilingual Support

English and Spanish candidate support. Turn handles all disputes directly.

View full compliance & AI governance →
Common Questions

Healthcare Background Check Questions, Answered

What background checks are required for healthcare workers?

Healthcare background check requirements vary by role and state, but typically include criminal history, OIG/SAM exclusion checks, professional license verification, and drug testing. Organizations receiving Medicare or Medicaid funding are federally required to check the OIG exclusion list before hiring. Clinical roles such as RNs, physicians, and CNAs typically require more rigorous screening than administrative or support staff.

What is an OIG exclusion check for healthcare?

An OIG exclusion check searches the Office of Inspector General's List of Excluded Individuals and Entities (LEIE) and the SAM database. Healthcare organizations that receive Medicare or Medicaid reimbursement are required to verify that employees and contractors are not on the exclusion list. Hiring an excluded individual can result in significant civil monetary penalties of up to $20,000 per day, per violation.

How long do healthcare background checks take with Turn?

Turn's median turnaround time for healthcare background checks is 6 hours. Most checks that rely on database searches complete within minutes to hours. County criminal record searches, essential for healthcare hiring, are typically completed within 1 to 6 hours. Professional license verification turnaround depends on the licensing board.

Does Turn offer ongoing monitoring for healthcare workers?

Yes. Turn offers post-hire monitoring that alerts you to new criminal records, license changes or expirations, and OIG/SAM exclusion status changes for your active workforce. Continuous monitoring is especially important in healthcare, where license lapses and post-hire incidents can create significant regulatory and patient safety risk.

What is a FACIS background check?

FACIS (Fraud and Abuse Control Information System) is a search that checks primary sources for exclusions, debarments, sanctions, and disciplinary actions against healthcare professionals. FACIS Level 1 checks OIG LEIE and SAM.gov. Level 1M adds state Medicare and Medicaid exclusion data. Level 3 is the most comprehensive. The appropriate level depends on the role type and applicable federal or state requirements.

What background check is required for home health aides?

Requirements vary by state but generally include criminal history, sex offender registry, and OIG/SAM exclusion checks. Many states additionally require abuse registry checks. Because home health aides work one-on-one with vulnerable patients in private settings, thorough screening is especially critical. Turn's home health screening package can be configured to meet individual state requirements.

Do travel nurses and staffing agency placements require background checks?

Yes. Travel nurses and staffing agency placements are subject to the same background check requirements as directly employed clinical staff. Many healthcare staffing platforms use TurnOS to embed background screening into their placement workflow so checks are initiated and tracked without leaving the staffing platform.

The information above is for educational purposes only and does not constitute legal advice. Consult your legal counsel regarding your organization's specific screening obligations.

Get started

Protect Your Patients. Start with Turn.

Every unfilled shift and every unvetted hire carries risk. Turn helps healthcare organizations screen faster, stay compliant, and monitor their workforce continuously — without adding overhead to your HR team.

Explore TurnOS →

Book a Free Demo

See how Turn handles healthcare screening, OIG/SAM exclusions, and post-hire monitoring. We'll follow up within one business day.

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