Compliance Clinical Specialist (RN)
Indexed description
About You
You are a licensed Registered Nurse with clinical experience in skilled nursing or post-acute care environments and a strong working knowledge of regulatory and compliance requirements. You thrive in a compliance role, partnering with operations and the field to identify risk, provide guidance, and drive sustainable, compliant practices. You bring credibility, integrity, and a solution-oriented mindset to complex regulatory challenges.
What You’ll Do
Compliance Audits & Investigations
- Conduct compliance audits and investigations related to clinical care, documentation, billing practices, HIPAA, and other identified risk areas or regulatory concerns
- Utilize analytical review, computer auditing tools, and statistical sampling methods
- Prepare clear, timely audit and investigation reports
- Follow up on corrective action plans (CAPs) to ensure regulatory compliance
- Provide regulatory guidance related to nursing practice and clinical compliance requirements
- Conduct training and education for field teams, leadership, and internal resources
- Present compliance findings in a clear, practical, and understandable manner
- Assist the Chief Compliance Officer with development, implementation, and evaluation of audit tools and compliance program effectiveness
- Participate in onsite and remote audits, investigations, meetings, and risk assessments
- Support compliance efforts related to new acquisitions
- Keep facilities and leadership informed of regulatory changes, audit outcomes, and investigation findings
- Partner closely with operations and clinical leadership to support compliance, quality of care, and organizational outcomes
- Attend company and local meetings as requested
- Provide hands-on compliance support in a fast-paced, highly regulated environment
- Make a meaningful impact on organizational compliance and clinical quality
- Partner closely with clinical and operational leaders across the organization
- Support ethical growth and strong regulatory foundations
- Influence compliance practices across a multifacility, multistate platform
Experience
- Minimum of five (5) years of clinical nursing experience in a Skilled Nursing Facility (SNF) or post-acute care setting
- Experience with Medicare Part A and Part B and other payors in multifacility or multistate environments
- Ability to work with all levels of staff and leadership on complex regulatory issues
- Prior compliance or quality experience preferred
Key Competencies
- Strong analytical and critical decision-making skills
- Excellent written and verbal communication skills
- High degree of credibility, integrity, and professionalism
- Ability to work independently in a home office environment
- Strong interpersonal skills and ability to build trust with the field
- Proficiency with Microsoft 365 tools
- Ability and willingness to travel approximately 60% of the time with overnight travel expected
- Competitive Salary
- Medical, dental, and vision benefits
- Paid time off, sick and vacation days
- Life insurance
- 401(k) retirement plan
- Short-term and long-term disability coverage
- Employee Assistance Program (EAP)
- Professional Development Opportunities
- Mission-driven culture dedicated to serving others
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