About The Position

Sentara Health Plans is hiring a Clinical Compliance Consultant for Behavioral Health. This full-time, permanent position is remote and requires applicants to be located in Virginia. Reporting to the Program Manager, the Clinical Compliance Consultant will be responsible for supporting the clinical and regulatory compliance of designated lines of business through project leadership, technical oversight, and risk identification and mitigation. The Consultant will create policies, procedures, and tools that will help implement recommendations, in addition to developing metrics for monitoring program objectives and policies and procedures that support compliance with regulatory and accreditation standards.

Requirements

  • One year of quality, regulatory, compliance, accreditation, and/or auditing experience.
  • Licensed Clinical Social Worker (LCSW) - State license - North Carolina Social Work Certification and Licensure Board (NCSWCLB) OR Licensed Clinical Social Worker (LCSW) - State license - Virginia Department of Health Professionals (VADHP) OR Licensed Practical Nurse (LPN) Multi State - Nursing License - North Carolina Board of Nursing (NCBON) OR Licensed Practical Nurse (LPN) Multi State - Nursing License - Virginia Department of Health Professionals (VADHP) OR Licensed Practical Nurse (LPN) Single State - Nursing License - North Carolina Board of Nursing (NCBON) OR Licensed Practical Nurse (LPN) Single State - Nursing License - Virginia Department of Health Professionals (VADHP) OR Licensed Professional Counselor (LPC) - State license - North Carolina Board of Licensed Clinical Mental Health Counselors (NCBLCMHC) OR Licensed Professional Counselor (LPC) - State license - Virginia Department of Health Professionals (VADHP) OR Registered Nurse (RN) Multi State - Nursing License - North Carolina Board of Nursing (NCBON) OR Registered Nurse (RN) Multi State - Nursing License - Virginia Department of Health Professionals (VADHP) OR Registered Nurse (RN) Single State - Nursing License - North Carolina Board of Nursing (NCBON) OR Registered Nurse (RN) Single State - Nursing License - Virginia Department of Health Professionals (VADHP)
  • Must be located in Virginia.

Nice To Haves

  • Master’s degree
  • Behavioral Health experience
  • Health plan experience

Responsibilities

  • Support the clinical and regulatory compliance of designated lines of business through project leadership, technical oversight, and risk identification and mitigation.
  • Create policies, procedures, and tools to implement recommendations.
  • Develop metrics for monitoring program objectives and policies and procedures that support compliance with regulatory and accreditation standards.

Benefits

  • Medical, Dental, Vision plans
  • Adoption, Fertility and Surrogacy Reimbursement up to $10,000
  • Paid Time Off and Sick Leave
  • Paid Parental & Family Caregiver Leave
  • Emergency Backup Care
  • Long-Term, Short-Term Disability, and Critical Illness plans
  • Life Insurance
  • 401k/403B with Employer Match
  • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
  • Student Debt Pay Down – $10,000
  • Reimbursement for certifications and free access to complete CEUs and professional development
  • Pet Insurance
  • Legal Resources Plan
  • Annual discretionary bonus
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