Due Diligence Clinical Review Specialist
Remote / Online - Candidates ideally in
Eagle, Ada County, Idaho, 83616, USA
Listed on 2026-02-23
Eagle, Ada County, Idaho, 83616, USA
Listing for:
Deercreekseniorliving
Full Time, Remote/Work from Home
position Listed on 2026-02-23
Job specializations:
-
Healthcare
Healthcare Management, Healthcare Compliance, Healthcare Administration
Job Description & How to Apply Below
** The Due Diligence Clinical Review Specialist plays a critical role in evaluating clinical, regulatory, and operational compliance risks during home health and hospice acquisitions. This position is responsible for conducting comprehensive clinical documentation and compliance reviews with a strong focus on CMSConditions of Participation and Conditions of Payment. The ideal candidate is a self-motivated clinician with multi-EMR expertise (including HCHB), the ability to comprehend and applydata analytics, and the skills to assess clinical risk, identify compliance gaps, and provide actionable recommendations to leadership.
** DUTIES & RESPONSIBILITIES
** Perform due diligence clinical reviews for home health and hospice acquisitions, ensuring compliance with federal, state, and payer regulations. Develop and deliver education and training to agencies on documentation best practices, defensible documentation, and regulatory requirements. Maintain up-to-date knowledge of CMS regulations, industry best practices, and payer requirements. Contribute to continuous improvement initiatives in due diligence and compliance review processes.
Highly flexible and motivated with an ability to work independently as well as in a team setting. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.
** JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities)
** Minimum 5 years of experience in Home Health and/or Hospice, with strong knowledge of CMS Conditions of Payment and Conditions of Participation. Prior experience with due diligence, compliance, or audit review processes highly preferred. Proficiency in multiple EMRs, including required experience with HCHB.Strong ability to interpret and apply data analytics, prepare trending reports, and identify compliance and financial risks.
Demonstrated ability to work independently, exercise sound judgment, and meet deadlines in a fast-paced environment. Strong written and verbal communication skills, with the ability to present findings to executive leadership. High attention to detail and ability to identify patterns, trends, and systemic risks.
* Able to adapt to a fast-paced environment and learn and retain new or evolving information and procedures.
** Additional Information
** We are committed to providing a competitive Total Rewards Package that meets our employees' needs.
We offer a comprehensive benefits package, from a choice of medical, dental, and vision plans to retirement savings opportunities through a 401(k), company match, and various other features. We believe in great work and celebrate our employees' efforts and accomplishments locally and company wide, recognizing people daily through our Moments of Truth Program. In addition to recognition,n we believe in supporting our employees' professional growth and development.
We provide employees with a wide range of free e-courses through our Learning Management System, as well as training sessions and seminars.
** Compensation**:
Based on experience.
** Type**:
Full Time
** Location**:
Remote Pennant Service Center
1675
E. Riverside Drive, #150
Eagle, you are interested in this position, please submit a resume for consideration. We look forward to hearing from you!
** About The Pennant Group
** We are proud to be affiliated with the Pennant Group, Inc. (NASDAQ: PNTG). Pennant was created in 2019 in connection with The Ensign Group, Inc.’s (NASDAQ: ENSG) spin-off of its home health, hospice, and senior living businesses. We believe that through our innovative operating model, we can foster a new level of patient care and professional competence at our independent operating subsidiaries and set a new industry standard for quality home health, hospice, and senior living services.
You can learn more about The Pennant Group at#Remote Pennant Services is one of the most dynamic and progressive companies in the rapidly expanding senior living, home health, hospice, and home care industries.…
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