Acentra Health

Sanction Specialist (RN - Remote)

Posted on

April 22, 2025

Job Type

Full-Time

Role Type

Clinical Operations

License

RN

State License

Virginia

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Company Description

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Job Description

Acentra Health is looking for a RN Sanction Specialist (Remote) to join our growing team. Job Summary: The RN Sanction Specialist plays a pivotal role at Acentra Health, providing essential oversight and direction for all activities associated with the CMS Sanction and EMTALA process. The Specialist will ensure stringent compliance with healthcare regulations and upholds the organization's commitment to maintaining optimal standards of care.

Requirements

Required Qualifications: Unrestricted, active RN license required. Bachelor of Science Nursing (BSN) or a related field required. 5+ years of clinical experience in either a short-term acute care hospital; Emergency Department and/or Quality Improvement Experience required. Preferred Qualifications: Licensed Health Risk manager (LHRM); Certified Professional in Healthcare Risk Management (CPHRM) or Associate in Risk Management (ARM) preferred. 5 years of previous experience as a claims or risk manager preferred. Experience managing corrective action plans (preferred) Experience communicating with legal entities, CMS and C-suite (preferred)

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Responsibilities

Facilitate effective communication (verbal/written) between BFCC QIO and healthcare providers involved. Generate comprehensive Initial and Final Sanction Notices in written form. Oversight of provider Corrective Action Plan (CAP); offer technical assistance for CAP development and refinement; scrutinize submitted CAP data. Deliver monthly summaries for COR reports. Prepare written OIG referrals, if required. Conduct communication and education initiatives for providers. Conduct thorough research, identification, and application of relevant standards of care. Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.

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