Clinical Review Specialist
Clinical Review Specialist
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1 Vacancy
Job Description
Title: Clinical Review Specialist
State Role Title:Health Care Compliance Spec II
Hiring Range: Commensurate with Experience
Pay Band: 5
Agency: Dept Behavioral Health/Develop
Location:Comm Ctr for Child & Adoles
Agency Website: Type:
Job Duties
The purpose of this position is to incorporates oversight and auditing of clinical records particularly in areas such as seclusion and restraint. Furthermore the inclusion of the component of Clinical Review Specialist duties adds depth to the team ensuring a thorough examination of clinical practices and enhancing overall compliance and quality assurance efforts. The Nurse Auditor plays a critical role in ensuring the integrity and accuracy of clinical records providing guidance and oversight essential for maintaining compliance with established standards and regulations.
Minimum Qualifications
Psychiatric/clinical nursing expertise.
Demonstrated knowledge of inpatient psychiatric treatment and documentation requirements to meet State and Federal Medicaid regulations.
HIPPA and Compliance regulations
Skilled in analyzing complex clinical documentation to identify discrepancies and recommends improvements facilitating ongoing quality enhancement efforts
Ability to communicate effectively orally and in writing with clinicians administrators and patients patients families and external agencies.
Basic computer proficiency with typing and knowledge of MS Word and MS Excel
Additional Considerations
License to work as a Registered Nurse in the state of Virginia or compact license.
Completion of nursing program through accredited nursing school.
Clinical delivery experience in an inpatient psychiatric setting required.
Excellent interpersonal communication and problem-solving skills a must.
Special Instructions
You will be provided a confirmation of receipt when your application and/or rsum is submitted successfully. Please refer to Your Application in your account to check the status of your application for this position.
Applicants must list all relevant experience that you wish to be considered for this position. Applicants will be provided confirmation of receipt when your application and/or resume is submitted. Please refer to Your Application in your account to check the status of your application for this position. A fingerprint-based criminal history check and reference checks are required for the selected candidate for this position. Under Virginia Code 37.2-314 and 37.2-408.1 the Department of Behavioral Health and Developmental Services is prohibited from employing or using as volunteers persons who have been convicted of specific barrier crimes or persons who may be the subject of pending barrier charges.
DBHDS facilities are no longer required to ensure that all staff members are vaccinated against COVID-19. However facilities encourage and educate staff on the benefits and continue to offer COVID-19 vaccination programs to staff residents/clients. Employees may be required to disclose immunization status for purposes of infection prevention and/or management of outbreaks. Upon acceptance of a job offer new recruits will be asked to disclose their vaccination status (and for those fully vaccinated proof of vaccination) during the pre-employment process. If you have any questions contact the Office of Human Resources.
Commonwealths Alternate Hiring Process: In support of the Commonwealths commitment to inclusion individuals with disabilities are encouraged to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity applicants will need to provide their Certificate of Disability (COD) provided by a Certified Rehabilitation Counselor with the Department of Aging and Rehabilitative Services (DARS). Veterans are encouraged to answer Veteran status questions and submit their disability documentation if applicable to DARS to get their Certificate of Disability. To obtain a Certificate of Disability go to: or call DARS at .
Reasonable accommodations are available to persons with disabilities during the application and/or interview process per the Americans with Disabilities Act. Contact Human Resources at for assistance.
DBHDS is an equal Opportunity Employer. Employment opportunities are open to all regardless of race sex color national origin religion sexual orientation gender identity age veteran status political affiliation genetics or disability. Minorities Individuals with Disabilities Veterans and people with National Service experience are encouraged to apply. EEO/AA/TTY.
Contact Information
Name: John Lee
Phone:
Email:
In support of the Commonwealths commitment to inclusion we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS) or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation if applicable to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at .
Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1 2022- February 29 2024 can still use that COD as applicable documentation for the Alternative Hiring Process.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
