The Clinical Compliance Partner performs clinical systems audits in assisted living communities and manages corrective action plans. They also conduct internal investigations, facilitate compliance activities, and provide education on ALF and HIPAA regulations.
Pennant Services
8 Remote Job Openings at Pennant Services
Managed Care Credentialing Specialist - Full Time
Pennant Services
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Full Time
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5 days ago
Pennant Services
The specialist acts as a liaison between agencies and managed care partners to manage the credentialing and re-credentialing process. They ensure full compliance with all policies, regulations, and accreditation standards while maintaining a comprehensive database of credentialing documents.
Lead and manage a team of AR resources to train agency staff in revenue cycle processes, including billing and collections for home health and hospice. Monitor internal controls, develop AR metrics reports, and enhance policies to ensure compliance with government regulations.
Develop and implement best practices for pre-billing, billing, and accounts receivable within the home health and hospice industry. Provide training to billing managers and staff while utilizing reporting metrics to identify and support agencies in need.
Strategically lead revenue cycle operations for a portfolio of Home Health and Hospice agencies to improve financial performance and reduce risk. Partner with agency leadership and service centers to remove barriers and implement sustainable RCM best practices.
The IT Auditor evaluates the design and effectiveness of technology controls and conducts risk assessments across infrastructure, cloud services, and cybersecurity. They are responsible for ensuring compliance with HIPAA, SOX, and NIST frameworks while collaborating with stakeholders to strengthen the control environment.
Develop and monitor care coordination and Chronic Care Management (CCM) workflows in alignment with CMS guidelines. Lead clinical staff training, oversee onboarding, and analyze patient outcomes to drive quality improvement and reduce readmission rates.
The role involves training to become a Chief Executive Officer. It focuses on learning high-level organizational leadership and management.
