What are the responsibilities and job description for the RN Clinical Review Specialist position at Gentiva?
Overview
Audit Documentation. Ensure Compliance. Improve Quality Standards.
As a Clinical Review Specialist, you will be responsible for completing chart audits and other functions that monitor, improve, and enforce compliance and Quality Assurance standards. You’ll collaborate with local and corporate teams to identify training needs, guide process improvements, and ensure adherence to federal and state regulations—all while supporting exceptional hospice care delivery.
As a Clinical Review Specialist, You Will
Qualifications – What You’ll Bring:
Benefits For All Hospice Associates (Full-Time & Per Diem)
Legalese
Category: Branch Admin and Clerical
Position Type: Full-Time
Company: Gentiva
Audit Documentation. Ensure Compliance. Improve Quality Standards.
As a Clinical Review Specialist, you will be responsible for completing chart audits and other functions that monitor, improve, and enforce compliance and Quality Assurance standards. You’ll collaborate with local and corporate teams to identify training needs, guide process improvements, and ensure adherence to federal and state regulations—all while supporting exceptional hospice care delivery.
As a Clinical Review Specialist, You Will
- Conduct proactive, recurring audits to support company infrastructure.
- Review and analyze documentation in HomeCareHomeBase (HCHB), making recommendations to improve accuracy and compliance.
- Quantify documentation quality and guide local management in targeted improvement strategies.
- Adhere to quality assurance, compliance, and departmental plans.
- Identify skill gaps among hospice agency staff and work with management to arrange appropriate training.
- Prepare reports and data analysis to support quality improvement initiatives.
- Assist in HCHB adjustments to prevent recurring deficiencies.
- Stay current on hospice best practices and recommend beneficial training resources.
- Support orientation and ongoing education of staff and committees on quality assurance and care standards.
- Participate in defining factors that influence care quality for hospice patients.
- Coordinate management calls to review patient chart findings and improvement recommendations.
- Compile local documentation outcome data and use company-wide insights to enhance QA.
- Meet or exceed department chart audit productivity expectations.
Qualifications – What You’ll Bring:
- Registered Nurse (RN) currently licensed in the state of residence OR Licensed Practical/Vocational Nurse (LPN/LVN) licensed in the state of residence.
- Minimum of three years’ Hospice and Home Care experience, including at least one year in clinical record review and QAPI.
- Experience participating in state surveys.
- Valid driver’s license and insurance coverage.
- Strong understanding of documentation requirements to support medical necessity for hospice care.
- Knowledge of hospice federal and state regulations.
- Ability to manage confidential information with discretion.
- Initiative in researching and resolving documentation issues.
- Skilled at gathering and processing time-sensitive data from multiple sources.
- Flexible, responsive, and able to adapt to changing priorities in a fast-paced environment.
- BSN or equivalent degree
- Previous experience with HomeCare HomeBase (HCHB) documentation systems.
- Prior quality assurance leadership experience in a hospice setting.
Benefits For All Hospice Associates (Full-Time & Per Diem)
- Competitive Pay
- 401(k) with Company Match
- Career Advancement Opportunities
- National & Local Recognition Programs
- Teammate Assistance Fund
- Medical, Dental, Vision Insurance
- Mileage Reimbursement or Fleet Vehicle Program
- Generous Paid Time Off 7 Paid Holidays
- Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
- Education Support & Tuition Assistance
- Free Continuing Education Units (CEUs)
- Company-paid Life & Long-Term Disability Insurance
- Voluntary Benefits (Pet, Critical Illness, Accident, LTC)
Legalese
- This is a safety-sensitive position
- Employee must meet minimum requirements to be eligible for benefits
- Where applicable, employee must meet state specific requirements
- We are proud to be an EEO employer
- We maintain a drug-free workplace
Category: Branch Admin and Clerical
Position Type: Full-Time
Company: Gentiva