CHM logo
Focused certification exam prep
Start practice

CHM Jobs

TL;DR
  • Certified Hospice Manager is issued by the National Board for Home Care and Hospice Certification (NBHHC) for hospice supervisors and managers.
  • You need hospice supervisory or management experience before you can sit for the exam, so the credential follows a leadership job rather than preceding it.
  • Human Resource Basic Practices and Law is 30% of the exam, the same territory interviewers probe for management roles.
  • Initial certification totals US$598 (US$99 application plus US$499 exam), a modest cost compared with the career signal it sends.

What "CHM Jobs" Actually Means

People searching for "CHM jobs" usually want one of two things: positions that require or prefer the Certified Hospice Manager credential, or a map of the career paths the credential supports. Both are worth understanding, because the credential works differently from a license. No state requires a CHM to practice, and no employer is legally obligated to ask for it. What it does is document, through an independent national board, that you have both the management experience and the tested knowledge to run hospice operations responsibly.

The credential comes from the National Board for Home Care and Hospice Certification (NBHHC), and it targets people who supervise or manage in hospice settings. If you are brand new to the acronym, our explainers on what CHM is and what CHM certification is cover the basics, and the what CHM stands for article clears up the name. This page focuses on the employment side: where the credential matters, which roles it fits, and how to use it.

One point deserves emphasis because it shapes everything else. The certification is not an entry ticket. Eligibility is built on supervisory or management experience, so most candidates are already working in a leadership capacity. The credential then validates that work and helps you move up, move laterally to a bigger organization, or negotiate from a stronger position. For the full eligibility picture, see the CHM requirements guide.

Who Hires Hospice Managers

Hospice leadership roles exist wherever hospice care is delivered and administered. The main employer categories look like this:

Employer TypeTypical Management NeedsWhy the Credential Helps
Freestanding hospice agenciesClinical supervisors, program managers, administrators, directors of operationsSmaller teams mean managers cover HR, compliance, and operations together, which matches the blueprint's breadth
Hospital-affiliated hospice programsProgram directors, department managers, unit supervisorsCredential signals readiness to work inside a larger governance structure
Home health and hospice combined organizationsBranch managers, field supervisors, quality and compliance leadsShared regulatory and staffing challenges across service lines
Multi-site and corporate hospice operatorsRegional managers, multi-agency directors, operations leadershipStandardized credentials help organizations compare candidates across locations
Inpatient hospice facilitiesFacility managers, nurse managers, administrative supervisorsStaffing, documentation, and regulatory readiness dominate daily work

Job postings do not always spell out "Certified Hospice Manager" by name. Many simply ask for hospice management experience and mention certification as preferred. Treat that language as an opening: if two candidates have similar histories, the one with a recognized national credential gives the hiring committee an easier justification for choosing them.

Role Types a CHM Supports

Because eligibility is based on supervisory and management experience rather than a single job title, the credential fits a range of positions. Titles vary a great deal between organizations, so read the duties in a posting rather than relying on the label.

Front-Line and Mid-Level Supervision

These are team leads, clinical supervisors, and coordinators who direct staff schedules, review documentation, and handle first-line employee issues. For many people this is where the management clock starts. Time spent here can count toward eligibility, with experience prorated based on the portion of your work that involves management duties.

Department and Program Management

Program managers and department heads own budgets, staffing plans, quality metrics, and regulatory readiness for a defined service area. This tier lines up closely with the exam, since it touches nearly all seven domains: leadership, customer service, management skills, marketing, regulatory processes, financial management, and human resources.

Executive and Multi-Site Leadership

Administrators, directors of operations, and regional leaders carry accountability for the entire organization or a cluster of locations. At this level, the credential is less about getting an interview and more about reinforcing credibility with boards, regulators, referral partners, and staff.

Read Duties, Not Titles: A "coordinator" at one agency may supervise a dozen employees and manage schedules, while a "manager" at another may have no direct reports. When you document experience for the application and when you scan job listings, focus on whether the role includes real supervisory responsibility. That is what the eligibility rules and hiring managers both care about.

What the Work Looks Like and How It Maps to the Exam

The seven-domain blueprint is a surprisingly accurate description of a hospice manager's week. Here is how daily responsibilities line up with the exam, using the exact domain names and weights.

Human Resource Basic Practices and Law (30%)

The largest domain mirrors the largest share of a manager's problems. Hiring, onboarding, coaching, discipline, scheduling, and employment law questions land on your desk constantly.

  • Structuring interviews and documenting hiring decisions consistently
  • Coaching versus progressive discipline, and how to document each
  • Staffing decisions that respect employment law and patient-care needs
  • Recognizing when a personnel issue needs HR or legal involvement

Management Skills (20%)

Planning, delegating, prioritizing, running meetings, and driving projects. Exam scenarios test judgment about what a manager should do first and how to distribute work across a team.

Regulatory Processes for Hospices (20%)

Hospice is heavily regulated, and managers are responsible for keeping their programs survey-ready. Expect questions on compliance obligations, documentation integrity, and quality improvement activity.

Leadership Skills (10%) and Financial Management and Budgeting (10%)

Leadership covers motivating teams, managing change, and modeling organizational values. Financial management covers budgets, variance analysis, and resource allocation decisions.

Customer Service (5%) and Marketing and Sales (5%)

These smaller domains reflect how managers handle family and patient concerns and how hospices build referral relationships. Do not skip them; five percent each still adds up to a meaningful share of questions.

For a deeper look at how each area is tested, read the complete guide to all 7 CHM exam domains. If you want to gauge your readiness against realistic scenarios, the CHM practice test uses the same management-situation style the exam favors.

Qualifying for the Credential While Working

Since the credential rewards experience you already have, the practical question is how to qualify without disrupting your job. The NBHHC pathway is built around three experience tracks combined with education level:

Education LevelHospice Supervisory/Management Experience Needed
Bachelor's or master's degree1 year
Associate degree2 years
High-school diploma or health-related professional license3 years

On top of the education-and-experience combination, applicants need relevant management or leadership employment for at least 12 of the last 48 months, evidence of education and work history, and three healthcare-industry references, with the current employer listed first when applicable. If your management duties are only part of your role, the experience is prorated accordingly.

Start the Paper Trail Early: Employers change, managers leave, and records get lost. If you are close to qualifying, gather job descriptions, degree documentation, and reference contacts now. Choosing references who can speak specifically about your supervisory responsibilities makes the application smoother.

Once approved, your application remains valid for 12 months, and you must obtain an Authorization to Test before scheduling with Pearson VUE. Testing happens in defined windows, so plan around the calendar in our CHM exam dates guide. The 2026 windows are February 1-28 (application deadline January 20), April 14-May 12 (deadline April 7), August 1-31 (deadline July 21), and November 1-30 (deadline October 20).

On Your Resume

List "Certified Hospice Manager (CHM), National Board for Home Care and Hospice Certification" in a credentials section near the top, and again beside your name if your resume format allows post-nominal letters. Pair it with quantified management accomplishments from your own work, such as team size, programs oversaw, or survey outcomes you contributed to. Use only numbers that are true for you.

In Applications and Cover Letters

Where postings mention certification as preferred, say so directly: name the credential, the certifying body, and the fact that it covers human resources, regulation, finance, and leadership. If you are still preparing, state your testing window and intended exam date rather than leaving the gap unexplained.

In Internal Promotions

Internal moves are often where certification pays off fastest. A supervisor aiming for a director role can use the credential to show initiative and objective validation of management skills. It also gives your current employer a concrete reason to support your advancement, since a certified manager strengthens the organization's own credibility.

Key Takeaway

Treat the credential as evidence, not a magic key. It works best when paired with specific examples from your own management history, such as a staffing problem you solved, a compliance gap you closed, or a team you coached through change.

Interview Topics That Mirror the Blueprint

Hospice management interviews tend to be scenario-driven, and the topics overlap heavily with what the exam tests. Preparing for one helps with the other. Expect questions along these lines:

  • Hiring and onboarding: How do you structure interviews, check references, and ensure new staff are oriented to hospice standards?
  • Coaching and discipline: Describe how you handle a performance concern from first conversation through documentation.
  • Staffing: How do you cover shifts, balance caseloads, and keep morale steady during shortages?
  • Documentation: What systems do you use to keep records complete, accurate, and survey-ready?
  • Employment law: When do you escalate an issue involving leave, accommodation, or workplace complaints?
  • Regulatory readiness: How have you prepared for or responded to a survey or audit?
  • Quality improvement: Give an example of identifying a problem, acting on it, and measuring the result.
  • Budget awareness: How do you manage within a budget and explain a variance?

Because Human Resource Basic Practices and Law carries 30% of the blueprint, expect a large share of interview time on people-management scenarios. Practicing these answers aloud and then testing yourself against exam-style items is a strong dual-purpose routine. Our CHM cheat sheet condenses the facts worth keeping in your head for both situations.

Pay Expectations and Career Value

Compensation for hospice managers varies widely with geography, organization size, role scope, and years of experience, and a credential is only one factor among many. It would be misleading to promise a specific bump, so treat any figure you see attached to a single credential with caution. What the credential can do is strengthen your case in salary conversations by documenting verified competence in areas employers pay for: compliance, staffing, finance, and leadership.

For a fuller treatment of earnings, see the CHM salary guide, and for a cost-versus-benefit view, read is the CHM certification worth it. On the cost side, initial certification runs US$99 for the application plus US$499 for the examination, totaling US$598; optional CAHSAH hospice manager course tuition is separate. The CHM certification cost breakdown walks through every line item.

Keeping the Credential Active in a Management Career

Certification lasts 4 years. Renewal requires 50 points, including at least 36 continuing-education contact hours and no more than 14 other points, plus relevant management or leadership work for 12 of the preceding 48 months. That work requirement is worth noting for job planning: if you step out of management for an extended period, you risk falling short of the renewal condition, so consider that when weighing a temporary move into a purely clinical or non-management role.

Renewal costs US$99 for the application plus US$299 for renewal, totaling US$398. If you miss the deadline but renew within the permitted 1-year late period, an additional US$99 applies. Many managers stay on top of this by logging continuing education throughout the four years instead of scrambling at the end. More detail is available in our overview of CHM certification, and the CHM training article covers education options that can feed your renewal points.

Frequently Asked Questions

Do employers require the CHM credential for hospice management jobs?

Generally no. Most postings list hospice management experience as the core requirement and treat certification as preferred. The credential strengthens your candidacy and can help in promotions, but it is not a legal requirement to hold a management position.

Can I get the CHM before I have a management job?

Not typically. Eligibility depends on hospice supervisory or management experience combined with your education level, plus management or leadership employment for at least 12 of the last 48 months. The credential validates leadership work rather than replacing it.

What does the exam format look like for someone balancing a job?

The candidate handbook describes 80 to 100 single-answer, selected-response questions with a 2-hour limit. The exam is closed book with pass/fail reporting and no guessing penalty. Testing is offered in set windows through Pearson VUE, which lets you plan around your work schedule. See the difficulty guide for what to expect.

Which exam domain matters most for management job interviews?

Human Resource Basic Practices and Law, at 30% of the blueprint, overlaps most with interview content. Management Skills and Regulatory Processes for Hospices, each at 20%, are the next most relevant. Weighting your preparation accordingly serves both the exam and your job search.

How should I prepare if I am already working full time as a supervisor?

Anchor your study plan to the blueprint weights and use real workplace situations as study material. Our CHM study guide lays out a structured approach, and you can check your readiness with questions on the main practice test site.

Ready to pass your CHM exam?

Put this into practice with free CHM questions across every exam domain.