Policy & Regulatory Affairs Manager at Emerald AI influencing regulatory strategy and engaging with stakeholders. Analyzing policy developments and aligning business objectives with regulatory context.
About the role
- Compliance Clinical Specialist supporting ethical, compliant, and high-quality clinical practices across multifacility organization. Partnering with leadership to drive sustainable, compliant practices.
Responsibilities
- 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
Requirements
- Active, unrestricted Registered Nurse (RN) license
- 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
- Certified Professional in Healthcare Quality (CPHQ) is preferred.
Benefits
- Support ethical, compliant, and high-quality clinical and regulatory practices
- Opportunities to influence compliance practices across a multifacility, multistate platform
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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