Health Care Compliance Specialist II
Company: DHRM
Location: Danville
Posted on: April 1, 2026
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Job Description:
Title: Health Care Compliance Specialist II State Role Title:
49172 Hiring Range: Negotiable based on relevant years of
experience Pay Band: 5 Agency: Dept Behavioral Health/Develop
Location: Southern Va Mental Health Inst Agency Website:
https://dbhds.virginia.gov/facilities/svmhi/ Recruitment Type:
General Public - G Job Duties To assist and oversee in the
planning, development, implementation, monitoring, education, and
training to promote a Medicare Voluntary Compliance Program and
related Risk Management and Quality Improvement programs. Works
with Utilization Management Coordinator to ensure compliance with
applicable CMS Conditions of Participation. Minimum Qualifications
Previous experience in a healthcare setting required. Experience in
the compliance profession to include investigations and health
information management required. Clinical/direct care delivery
experience in an inpatient psychiatric setting required. This
position will also include: Knowledge of 1) Medicaid and Medicare
administration policies and practices, 2) Clinical Documentation,
3) Administration and training principles and practices, 4)
Applicable Federal, State, and Departmental laws, regulations and
policies Skills include: 1) Problem Identification, 2) Information
Gathering, 3) Organization, 4) Critical Thinking, 5) Interpersonal
Diplomacy/Professionalism. Knowledge of inpatient psychiatric
treatment and documentation required, to include interdisciplinary
treatment planning, discharge planning, and psychosocial
rehabilitation. Functionally adept at working within EHR system
–Millennium. Ability to communicate effectively, both orally and in
writing, with clinicians, administrators, and Individuals. Ability
to assist with Utilization management principles, third party
reimbursement systems, and associated legal/regulatory
requirements. Basic computer skills in typing, Microsoft Word, and
Microsoft Excel. Ability to write policies, procedures, and
instructional tools; design forms; and produce memorandums,
agendas, and minutes. Ability to work independently to include
organization, prioritization, and maintain timelines of multiple
tasks/projects. Additional Considerations Experience assisting with
regulatory surveys, i.e., Joint Commission, CMS, VDH, OSIG. One of
the following education, training and/or experience is desirable:
Licensure as a Registered Nurse Bachelor of Social Work Veterans
and people with National Service. Special Instructions You will be
provided a confirmation of receipt when your application and/or
résumé 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 successful fingerprint-based
criminal history check, drug screen, 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. 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. Commonwealth’s Alternate Hiring Process:
In support of the Commonwealth’s 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: https://www.vadars.org/drs/cpid/PWContact.aspx,
or call DARS at 800-552-5019. 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 (434) 773-4208 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. SVMHI uses Form I-9 and
E-Verify in the verification of eligibility for employment. SVMHI
is a smoke and vape-free facility in all buildings and outside
facility grounds. Contact Information Name: Human Resources Phone:
434-421-3060 Email: svmhihr@dbhds.virginia.gov In support of the
Commonwealth’s 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 800-552-5019. 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.
Keywords: DHRM, Durham , Health Care Compliance Specialist II, Healthcare , Danville, North Carolina
