Sentara Healthcare
Clinical Practice Analyst in Northwest Virginia (Charlottesville, Harrisonburg, Lexington)
This job is now closed
Job Description
- Req#: JR-93865
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Full-time, permanent position with a standard schedule of 8am to 5pm EST, M-F
- Opportunity for career advancement and growth within the organization
- Flexibility to work remotely 4 days a week
- Comprehensive benefits package including medical, dental, and vision plans
- Access to tuition assistance and student debt pay down programs
- Potential for annual discretionary bonuses based on eligibility criteria
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 and present clear, actionable reports to internal committees or leadership
- Collaborate with providers to implement corrective actions and education initiatives
What is Required (Qualifications):
- Must have a Master's Level Degree
- Active clinical licensure in Virginia as an LPN, RN, or social work licensure (LCSW)
- Minimum of three (3) years of professional experience
- At least one (1) year of experience in quality, regulatory, compliance, accreditation, and/or auditing
- Knowledge of clinical regulatory requirements and experience with CMS preferred
How to Stand Out (Preferred Qualifications):
- Experience with state regulatory and accreditation requirements
#HealthcareServices #ClinicalPractice #RemoteWork #CareerGrowth #Benefits #ComplianceAbout the company
Sentara Healthcare is a not-for-profit healthcare organization serving Virginia and northeastern North Carolina.
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