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Posted Mar 23, 2026

Due Diligence Clinical Review Specialist

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Job Description: • Conduct comprehensive clinical documentation and compliance reviews • Evaluate clinical, regulatory, and operational compliance risks during home health and hospice acquisitions • Identify risks affecting reimbursement, compliance, and clinical outcomes • Review and analyze records across multiple EMRs including Homecare Homebase • Generate trending reports and inform leadership decisions • Collaborate with leadership and agency partners to recommend corrective actions • Develop and deliver education and training to agencies • Track common deficiencies and escalate systemic issues to leadership Requirements: • Minimum 5 years of experience in Home Health and/or Hospice • 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 • High attention to detail with ability to identify patterns, trends, and systemic risks • Proficient in Microsoft Office Suite (Excel, Word, PowerPoint, Smartsheet) Benefits: • Comprehensive benefits package including medical, dental, and vision plans • Retirement savings opportunities through a 401(k), company match • Professional growth and development support • Free e-courses and training sessions • Recognition through Moments of Truth Program Apply Now Apply Now