Remote Clinical Compliance Consultant – VA

Full time
Posted Today
JR-37481

City/State

Richmond, VA

Overview

Work Shift

First (Days) (United States of America)

Sentara Health Plans is hiring a Clinical Compliance Consultant!

Job Summary

Reporting to the Program Manager, the Clinical Compliance Consultant will be responsible for supporting the clinical and regulatory compliance of designated lines of business through project leadership, technical oversight and risk identification and mitigation. He/she will develop tools that help determine regulatory and accreditation risks and will help manage and mitigate them effectively. In collaboration with business management areas, will develop metrics for monitoring program objectives and policies and procedures that support compliance with regulatory and accreditation standards. He/she will gather information related to quality improvement and compliance monitoring, maintain records, and monitor the development and use of all related metrics for regulatory compliance. Also makes recommendations to business unit partners for improvements or remediation to risk management, regulatory, and accreditation compliance programs. The Consultant will create policies, procedures, and tools that will help implement recommendations. The Consultant will assist in training and development activities and will serve as a liaison and peer mentor for other associates.

A minimum of three (3) years of professional experience required.
At least one (1) year of quality, regulatory, compliance, accreditation, and/or auditing experience.

Candidate must have active clinical licensure in the state of Virginia. LPN, RN. LCSW or LMSW. Social work candidates required to have active social work licensure – LCSW or LMSW. Virginia state requirements for licensure must be met and maintained.

Knowledge of clinical regulatory requirements, experience with CMS and state regulatory and accreditation requirements preferred.

Qualifications:

BLD – Bachelor’s Level Degree (Required), MLD – Master’s Level Degree: Social Work (Required)

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Related

Skills

Active Learning, Active Listening, Communication, Coordination, Critical Thinking, Microsoft Word, Monitoring, Negotiation, Reading Comprehension, Service Orientation, Social Perceptiveness, Speaking, Technology/Computer, Time Management, Troubleshooting, Writing

Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.

In support of our mission “to improve health every day,” this is a tobacco-free environment.