Clinical Compliance Coordinator - Remote

Overview

The Clinical Compliance Coordinator is responsible for ensuring compliance with accreditation standards and improving clinical processes within the organization.

In Short

• Work with clinical departments on compliance and process improvement.
• Manage clinical submissions for regulatory inquiries.
• Oversee development of Care Management policies.
• Monitor regulatory changes and industry trends.
• Conduct data analyses and prepare reports.
• Perform internal clinical audits for quality assurance.
• Serve as a point of contact for state regulators.
• Develop corrective action plans for compliance issues.
• Collaborate with various organizational leaders.
• Ensure alignment in clinical performance measurement.

Requirements

• 5 years of experience in a clinical setting.
• 3 years in case management or managed care.
• 1 year in evaluating or revising work processes.
• 3 years in auditing or monitoring functions (preferred).
• 3 years in healthcare or health insurance industry (preferred).
• Strong leadership and collaboration skills.
• Excellent written and verbal communication skills.
• Ability to analyze data and develop action plans.
• RN, LCSW, LSW, LPC or related clinical licensure required.
• Bachelor’s degree preferred.

Benefits

• Competitive salary range.
• Work from home flexibility.
• Access to professional development opportunities.
• Engagement in a diverse and inclusive workplace.
• Comprehensive health insurance benefits.