Remote Jobs
Clinical Practice Analyst in Central Virginia (Richmond, Chesterfield, Petersburg)
5 days agoWhat's your preference?
Job Description
- Req#: JR-93863
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work remotely 4 days a week with one day required for in-person visits in Central Virginia
- Comprehensive benefits package, including medical, dental, and vision plans
- Tuition assistance of up to $5,250/year and reimbursement for certifications
- Colleagues have the chance to earn an annual discretionary bonus based on eligibility criteria
- Family-friendly culture that encourages community involvement
What to Expect (Job Responsibilities):
- Conduct detailed reviews of clinical documentation for accuracy and compliance with regulations
- Assess medical necessity and duration of services against established guidelines
- Identify patterns of outlier activity and escalate concerns for resolution
- Prepare actionable reports and present findings to internal committees or leadership
- Collaborate with providers to implement corrective actions and educational initiatives
What is Required (Qualifications):
- Minimum educational requirement: Master's Level Degree
- Active clinical licensure in the state of Virginia (LPN, RN, LPC, or LCSW)
- Minimum of three (3) years of professional experience
- At least one (1) year of quality, regulatory, compliance, accreditation, and/or auditing experience
- Knowledge of clinical regulatory requirements, especially with CMS and state regulations
How to Stand Out (Preferred Qualifications):
- Experience with clinical regulatory requirements, CMS, and state regulatory and accreditation requirements
#HealthcareServices #ClinicalPractice #RemoteWork #CareerGrowth #DiversityAndInclusion
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