Sanction Specialist: Healthcare Compliance Expert
6 days ago
Acentra Health is a leading provider of healthcare solutions, empowering better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.
We seek an experienced RN Sanction Specialist to join our growing team. This role offers unparalleled opportunities for career growth and development in the public sector.
Key Responsibilities- Maintain effective communication with BFCC QIO and involved healthcare providers, ensuring seamless collaboration and compliance with EMTALA regulations.
- Develop and implement written Initial and Final Sanction Notices and EMTALA communications, showcasing exceptional writing skills and attention to detail.
- Manage case files, maintaining accurate and up-to-date documentation of all supporting materials.
- Monitor provider Corrective Action Plans (CAPs), providing technical assistance and guidance for refining CAP data and driving continuous improvement.
- Produce monthly summaries for COR reports, highlighting key findings and insights.
- Collaborate with the OIG team to develop and implement written referral procedures, ensuring timely and effective resolution of complex issues.
- Review EMTALA referrals, identifying areas for improvement and implementing strategies for enhanced compliance.
- Facilitate Sanction and 60-day EMTALA hearings, demonstrating excellent communication and negotiation skills.
To succeed in this role, you will need:
- An unrestricted, active Registered Nurse (RN) license.
- A minimum of 5 years of clinical experience in a short-term acute care hospital or skilled nursing facility.
Acentra Health offers a comprehensive rewards package, including:
- Competitive salary: $76,360 - $85,000 per year.
- Comprehensive health plans.
- Paid time off.
- Retirement savings plan.
- Corporate wellness program.
- Education assistance.
- Corporate discounts.
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