Regulatory Review Specialist (LPN)

Job Summary

To support regulatory compliance and quality outcomes, the full-time Regulatory Review Specialist (LPN) will manage medical reviews, audit response activities, and documentation processes in a remote environment.

Key responsibilities

• Support payer audits and medical record reviews, ensuring timely and accurate documentation submissions
• Manage medical review requests and appeals related to CMS contractors and regulatory agencies
• Participate in compliance monitoring initiatives and assist with risk identification activities

Required qualifications

• Current Registered Nurse (RN) license or Licensed Practical Nurse (LPN)
• Minimum of 3 years of clinical operational leadership or supervision experience in Home Health and/or Hospice
• Strong knowledge of CMS Home Health regulations and state/federal licensing standards
• Experience performing clinical chart reviews and documentation audits
• Ability to independently prioritize and manage work in a remote environment