Sentara
Clinical Practice Analyst in Southwest Virginia (Bristol, Roanoke)
5 days agoWhat's your preference?
Job Description
- Req#: JR-93864
Employer Industry: Healthcare and Health Plans
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work remotely four days per week with one day required for in-person visits in Southwest Virginia
- Comprehensive benefits package, including medical, dental, and vision plans
- Annual discretionary bonus eligibility upon meeting established criteria
- Tuition assistance up to $5,250 per year and support for certification reimbursement
- Family-friendly culture with a focus on community involvement and employee development
What to Expect (Job Responsibilities):
- Conduct detailed reviews of clinical documentation for accuracy and compliance with regulations
- Assess medical necessity and evaluate the scope and duration of services
- 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 education initiatives
What is Required (Qualifications):
- Master’s Level Degree is required
- Active clinical licensure in the state of Virginia as an LPN, RN, or LCSW
- Minimum of three (3) years of professional experience in healthcare
- At least one (1) year of experience in quality, regulatory, compliance, accreditation, or auditing
- Knowledge of clinical regulatory requirements and experience with CMS and state regulations preferred
How to Stand Out (Preferred Qualifications):
- Experience with clinical regulatory requirements, including CMS and state accreditation
- Familiarity with healthcare compliance and auditing processes
#Healthcare #ClinicalPractice #RemoteWork #CareerGrowth #CompetitiveBenefits
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
Join a national healthcare leader dedicated to growth, innovation and patient safety. Join Sentara.
Notice
Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at accessibility@talentify.io or 407-000-0000.
Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility.
An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: www.talentify.io/bias-audit-report. NYC applicants may request an alternative process or accommodation at aedt@talentify.io or 407-000-0000.