RN Sanction Specialist

4 weeks ago


Harrisburg, Pennsylvania, United States Acentra Health Full time
Job Summary:

The RN Sanction Specialist will be responsible for overseeing and directing all activities associated with the CMS Sanction process. This includes maintaining compliance with EMTALA regulations and ensuring that all necessary documentation is up-to-date.

Key Responsibilities:
  • Maintain lines of communication between BFCC QIO and involved healthcare providers
  • Produce written Initial and Final Sanction Notices and EMTALA communications
  • Maintain case files with all supporting documentation
  • Monitor provider Corrective Action Plans (CAP) and provide technical assistance for developing and refining CAP
  • Provide monthly summaries for COR reports
  • Produce written OIG referrals, if necessary
  • Review all EMTALA referrals
  • Facilitate Sanction and 60-day EMTALA hearings
About Acentra Health:

Acentra Health is a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. We are a vital partner to state and federal healthcare agencies, providers, and employers, working together to ensure better healthcare and improve health outcomes.

Why Work with Acentra Health?

We offer a dynamic and supportive work environment, with opportunities for professional growth and development. Our team is passionate about making a difference in the lives of others, and we are committed to providing the best possible care and services to our clients.

Requirements:
  • Unrestricted, active Registered Nurse (RN) license required
  • 5+ years of clinical experience in either a short-term acute care hospital or skilled nursing facility required
  • BSN, Certified Professional in Healthcare Risk Management (CPHRM), Licensed Health Risk Manager (LHRM), or Associate's in Risk Management (ARM) preferred
  • 5+ years of previous experience as a claims or risk manager preferred


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