RN Sanction Specialist - Harrisburg, United States - Acentra Health

Description

CNSI and Kepro are now Acentra Health Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the company's mission, actively engage in problem-solving, and take ownership of your work daily. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Acentra seeks an RN Sanction Specialist to join our growing team.

Job Summary:

The RN Sanction Specialist will be responsible for the oversight and direction of all activities associated with the CMS Sanction process. Must be experienced with maintaining compliance with EMTALA regulations.

*Position is remote*

Job Responsibilities:

• Maintain lines of communication (verbal/written) between BFCC QIO and involved healthcare providers
• Produce written Initial and Final Sanction Notices and EMTALA communications
• Maintain case file with all supporting documentation
• Monitor provider Corrective Action Plan (CAP); provide technical assistance for developing and refining CAP; review submitted CAP data
• Provide monthly summaries for COR reports
• Produce written OIG referral, if necessary
• Review all EMTALA referrals
• Facilitate Sanction and 60-day EMTALA hearings
• Other duties as assigned

Why us?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people's lives nationwide. Our company cares about our employees, giving you the tools and encouragement, you need to achieve the finest work of your career.

Thank You

We know your time is valuable, and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may interest you. Best of luck in your search

~ The Acentra Health Talent Acquisition Team

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EOE AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable Federal, State, or Local law.

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

Preferred Qualifications/Experience:

• BSN, Certified Professional in Healthcare Risk Management (CPHRM); Licensed Health Risk manager (LHRM); or Associate' in Risk Management (ARM), preferred
• 5+ years of previous experience as a claims or risk manager preferred

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Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide additional protection, security, and support for your career and life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

Compensation

The pay range for this position is $75,000 - $85,000 per year

"Based on our compensation philosophy, an applicant's placement in the pay range will depend on various considerations, such as years of applicable experience and skill level."