Compliance, Quality & Program Integrity * Ensure all nursing services and documentation meet regulatory requirements, federal hospice guidelines, Joint Commission standards, and organizational ...
Compliance, Quality & Program Integrity * Ensure all nursing services and documentation meet regulatory requirements, federal hospice guidelines, Joint Commission standards, and organizational ...
Compliance, Quality & Program Integrity * Ensure all nursing services and documentation meet regulatory requirements, federal hospice guidelines, Joint Commission standards, and organizational ...
Quick apply
Compliance, Quality & Program Integrity * Ensure all nursing services and documentation meet regulatory requirements, federal hospice guidelines, Joint Commission standards, and organizational ...
Data Scientist (Fraud Analytics & Investigative Support) with Security Clearance
Fairfax, VA · On-site
Develop, test, validate, and maintain fraud detection and program integrity analytics. * Design analytical rules and methodologies to identify fraud indicators, anomalies, suspicious activity, and ...
Data Scientist (Fraud Analytics & Investigative Support) with Security Clearance
Fairfax, VA · On-site
Develop, test, validate, and maintain fraud detection and program integrity analytics. * Design analytical rules and methodologies to identify fraud indicators, anomalies, suspicious activity, and ...
Develop, test, validate, and maintain fraud detection and program integrity analytics. * Design analytical rules and methodologies to identify fraud indicators, anomalies, suspicious activity, and ...
Develop, test, validate, and maintain fraud detection and program integrity analytics. * Design analytical rules and methodologies to identify fraud indicators, anomalies, suspicious activity, and ...
Design, develop, and maintain graph-based analytic solutions supporting fraud detection, investigative analysis, and program integrity initiatives. * Build and optimize graph databases, graph schemas ...
Design, develop, and maintain graph-based analytic solutions supporting fraud detection, investigative analysis, and program integrity initiatives. * Build and optimize graph databases, graph schemas ...
Academic Integrity Coordinator
Richmond, VA · On-site
$30/hr
The Academic Integrity Coordinator designs and delivers engaging educational programs, workshops, and resources for students, faculty, and administrators on academic integrity expectations ...
Academic Integrity Coordinator
Richmond, VA · On-site
$30/hr
The Academic Integrity Coordinator designs and delivers engaging educational programs, workshops, and resources for students, faculty, and administrators on academic integrity expectations ...
Clinic Based RBT/ABA Therapist
Chesapeake, VA · On-site
$19.25 - $25/hr
Accept and implement feedback provided by BCBA for program integrity * Utilize behavior analytic principles to reduce maladaptive behaviors * Teach socially acceptable replacement behaviors * Collect ...
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Clinic Based RBT/ABA Therapist
Chesapeake, VA · On-site
$19.25 - $25/hr
Accept and implement feedback provided by BCBA for program integrity * Utilize behavior analytic principles to reduce maladaptive behaviors * Teach socially acceptable replacement behaviors * Collect ...
Clinic Based RBT/ABA Therapist
Chesapeake, VA · On-site
$19.25 - $25/hr
Accept and implement feedback provided by BCBA for program integrity * Utilize behavior analytic principles to reduce maladaptive behaviors * Teach socially acceptable replacement behaviors * Collect ...
Quick apply
Clinic Based RBT/ABA Therapist
Chesapeake, VA · On-site
$19.25 - $25/hr
Accept and implement feedback provided by BCBA for program integrity * Utilize behavior analytic principles to reduce maladaptive behaviors * Teach socially acceptable replacement behaviors * Collect ...
... Program Integrity, etc. Familiarity with contract vehicles such as GSA MAS, OASIS Plus, Stars III. Strong understanding of federal acquisition processes and procurement lifecycles. Demonstrated ...
... Program Integrity, etc. Familiarity with contract vehicles such as GSA MAS, OASIS Plus, Stars III. Strong understanding of federal acquisition processes and procurement lifecycles. Demonstrated ...
Director of Research Integrity and Compliance and Research Integrity Officer
Radford, VA · On-site
$95K - $114K/yr
... and programs related to research integrity, ethics, compliance, and research security. This is ... largely accomplished through the direct oversight and stewardship of the formal Responsible Conduct ...
Director of Research Integrity and Compliance and Research Integrity Officer
Radford, VA · On-site
$95K - $114K/yr
... and programs related to research integrity, ethics, compliance, and research security. This is ... largely accomplished through the direct oversight and stewardship of the formal Responsible Conduct ...
... and programs related to research integrity, ethics, compliance, and research security. This is ... largely accomplished through the direct oversight and stewardship of the formal Responsible Conduct ...
... and programs related to research integrity, ethics, compliance, and research security. This is ... largely accomplished through the direct oversight and stewardship of the formal Responsible Conduct ...
Risk & Wellness Services Analyst
Woodbridge, VA · On-site
$65K - $92K/yr
Supports program integrity through routine auditing activities, evaluating operational processes and participant records against established standards, and collaborating with leadership to address ...
Risk & Wellness Services Analyst
Woodbridge, VA · On-site
$65K - $92K/yr
Supports program integrity through routine auditing activities, evaluating operational processes and participant records against established standards, and collaborating with leadership to address ...
Inpatient Coding Integrity Specialist
Mechanicsville, VA · On-site
$34.59 - $51.89/hr
The available plans and programs include: * Comprehensive benefits for medical, prescription drug ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Inpatient Coding Integrity Specialist
Mechanicsville, VA · On-site
$34.59 - $51.89/hr
The available plans and programs include: * Comprehensive benefits for medical, prescription drug ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Outpatient Coding Integrity Specialist
Mechanicsville, VA · On-site
$34.59 - $51.89/hr
The available plans and programs include: * Comprehensive benefits for medical, prescription drug ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Outpatient Coding Integrity Specialist
Mechanicsville, VA · On-site
$34.59 - $51.89/hr
The available plans and programs include: * Comprehensive benefits for medical, prescription drug ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Risk & Wellness Services Analyst
VA · On-site
$65K - $92K/yr
Supports program integrity through routine auditing activities, evaluating operational processes and participant records against established standards, and collaborating with leadership to address ...
Risk & Wellness Services Analyst
VA · On-site
$65K - $92K/yr
Supports program integrity through routine auditing activities, evaluating operational processes and participant records against established standards, and collaborating with leadership to address ...
... Program Integrity, etc. • Familiarity with contract vehicles such as GSA MAS, OASIS Plus, Stars III. • Strong understanding of federal acquisition processes and procurement lifecycles. • ...
... Program Integrity, etc. • Familiarity with contract vehicles such as GSA MAS, OASIS Plus, Stars III. • Strong understanding of federal acquisition processes and procurement lifecycles. • ...
Outpatient Coding Integrity Specialist
Tuckahoe, VA · On-site
$34.59 - $51.89/hr
The available plans and programs include: * Comprehensive benefits for medical, prescription drug ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Outpatient Coding Integrity Specialist
Tuckahoe, VA · On-site
$34.59 - $51.89/hr
The available plans and programs include: * Comprehensive benefits for medical, prescription drug ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Inpatient Coding Integrity Specialist
Tuckahoe, VA · On-site
$34.59 - $51.89/hr
The available plans and programs include: * Comprehensive benefits for medical, prescription drug ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Inpatient Coding Integrity Specialist
Tuckahoe, VA · On-site
$34.59 - $51.89/hr
The available plans and programs include: * Comprehensive benefits for medical, prescription drug ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Inpatient Coding Integrity Specialist
Richmond, VA · On-site
$34.59 - $51.89/hr
The available plans and programs include: * Comprehensive benefits for medical, prescription drug ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Inpatient Coding Integrity Specialist
Richmond, VA · On-site
$34.59 - $51.89/hr
The available plans and programs include: * Comprehensive benefits for medical, prescription drug ... integrity, collections, payment compliance, credentialing, health information management, customer ...
... Program Integrity, etc. · Familiarity with contract vehicles such as GSA MAS, OASIS Plus, Stars III. · Strong understanding of federal acquisition processes and procurement lifecycles. · ...
Quick apply
... Program Integrity, etc. · Familiarity with contract vehicles such as GSA MAS, OASIS Plus, Stars III. · Strong understanding of federal acquisition processes and procurement lifecycles. · ...
Program Integrity information
See Virginia salary details
$24.8K - $30.7K
4% of jobs
$30.7K - $36.6K
12% of jobs
$39K is the 25th percentile. Wages below this are outliers.
$36.6K - $42.5K
22% of jobs
The median wage is $45.9K / yr.
$42.5K - $48.4K
20% of jobs
$48.4K - $54.3K
13% of jobs
$56.6K is the 75th percentile. Wages above this are outliers.
$54.3K - $60.2K
10% of jobs
$60.2K - $66.1K
6% of jobs
$66.1K - $72K
5% of jobs
$72K - $77.9K
3% of jobs
$77.9K - $83.8K
2% of jobs
$83.8K - $89.7K
2% of jobs
$24.8K
$51.9K
$89.7K
How much do program integrity jobs pay per year?
What are some common challenges faced in a Program Integrity role, and how can they be effectively managed?
What is the difference between Program Integrity vs Claims Analyst?
| Aspect | Program Integrity | Claims Analyst |
|---|---|---|
| Required Credentials | Typically requires a bachelor’s degree in healthcare, public health, or related fields; certifications like Certified Professional Coder (CPC) may be beneficial | Usually requires a bachelor’s degree in finance, healthcare administration, or related fields; certifications like Certified Claims Professional (CCP) are common |
| Work Environment | Government agencies, insurance companies, healthcare organizations focusing on compliance and fraud detection | Insurance companies, healthcare providers, or third-party administrators analyzing claims data |
| Employer & Industry Usage | Primarily in healthcare, insurance, and government sectors for compliance and fraud prevention | In insurance and healthcare sectors for processing and analyzing claims |
Program Integrity professionals focus on preventing fraud, waste, and abuse in healthcare programs, ensuring compliance with regulations. Claims Analysts primarily review and process insurance claims, verifying accuracy and eligibility. While both roles work within healthcare and insurance industries, Program Integrity emphasizes compliance and fraud detection, whereas Claims Analysts concentrate on claims processing and data analysis.
What are program integrity jobs?
What are the key skills and qualifications needed to thrive in a Program Integrity role, and why are they important?
Full-time
Medical, PTO
Posted 22 days ago
Job description
Your clinical leadership ensures comfort, dignity, and excellence for patients and families during the most critical moments of care.
Your guidance and expertise shape high‑quality inpatient hospice services while supporting clinical teams and strengthening continuity of care across settings.
At Blue Ridge Care, we deliver extraordinary care to improve life’s journey. As a mission‑driven, not‑for‑profit healthcare system, we provide integrated services in hospice, serious illness care, the Program of All‑Inclusive Care for the Elderly (PACE), community thrift shops, and grief support—meeting patients and families with compassion, expertise, and respect.
With a strategic focus on growth, innovation, and clinical excellence, our team of Future Makers is committed to Caring for life by providing individualized, high‑quality end‑of‑life care across our community.
About the RoleThe Inpatient Care Center (ICC) Manager provides leadership, mentoring, and clinical oversight for Blue Ridge Care’s Inpatient Care Center. This role ensures that patients’ clinical needs are met through comprehensive assessments and individualized Plans of Care, while maintaining regulatory compliance and program integrity.
The ICC Manager is responsible for supervising all clinical aspects of inpatient care, supporting organizational and departmental goals, managing patient flow and admissions, and fostering a collaborative, ethical, and patient‑centered environment.
How You’ll Make a DifferenceClinical Leadership & Patient CareAct as a patient advocate while ensuring high‑quality, compassionate inpatient hospice care.
Plan, evaluate, and document care effectiveness in collaboration with the interdisciplinary team (IDT), including patients, families, physicians, and faculty staff.
Provide continuity of care across settings through effective verbal and written communication.
Perform admissions to the Inpatient Care Center as needed, including emergent situations.
Provide direct patient care during periods of high acuity or limited resources, including assessments, triage, and coverage during staff absences.
Serve as a clinical mentor and resource for ICC staff related to documentation, education, and problem solving.
Ensure appropriate and timely admission of patients to the Inpatient Care Center, maintaining optimal unit capacity including weekends.
In collaboration with the Medical Director, determine eligibility for admission, appropriate levels of care, and manage the waitlist.
Collaborate with field teams, hospital liaisons, and medical providers to transition appropriate patients into the ICC.
Participate in hospital rounds and evaluate patients for General Inpatient (GIP) status as requested.
Coordinate with external vendors including pharmacy, medical supplies, linens, housekeeping, and dietary services.
Ensure all nursing services and documentation meet regulatory requirements, federal hospice guidelines, Joint Commission standards, and organizational policies.
Participate in infection control education, monitoring, and activities.
Deliver care in a cost‑effective manner, demonstrating understanding of hospice reimbursement methodologies and payer requirements.
Monitor productivity, staff overtime, patient care expenditures, and approve related billing and documentation.
Serve as a liaison with vendors, physicians, community‑based facilities, and contracted service partners.
Provide supervision and conduct performance evaluations for RNs, LPNs, and CNAs, with required documentation.
Lead ICC Collaborative Meetings and conduct staff meetings monthly and as needed.
Communicate regularly and effectively with clinical staff regarding organizational updates, practice expectations, and operational changes.
Support clinical staff leadership needs in the absence of other clinical managers as requested.
Model the Blue Ridge Care mission, philosophy, ethical behavior, integrity, and commitment to excellence.
Current, unrestricted Registered Nurse (RN) license in Virginia.
CPR Certification.
Valid driver’s license with an insured, reliable vehicle; willingness to travel throughout the service area.
Proficiency with electronic medical records and computer systems.
Excellent verbal and written communication skills.
Strong leadership ability with proven team‑building skills.
Three (3) or more years of nursing management experience.
Two (2) or more years of hospice experience.
Bachelor’s degree in Nursing.
Certification in Hospice and Palliative Care Nursing (CHPN).
Demonstrated experience with regulatory compliance and inpatient hospice operations.
Ability to stand and walk continuously; frequently bend, squat, climb stairs, kneel, lift, and assist patients.
Ability to lift up to 25 pounds.
Visual acuity sufficient to assess patient condition and read clinical instruments.
Hearing acuity sufficient to auscultate blood pressure, hear alarms, and communicate effectively.
Ability to concentrate on moderate detail for extended periods with frequent interruptions.
Ability to manage stress, emotional situations, interruptions, and multiple priorities while maintaining a professional, compassionate demeanor.
Reasonable accommodations may be provided to enable individuals with disabilities to perform essential functions.
Why You’ll Love Working HereAt Blue Ridge Care, caring for others begins with caring for our team. As a clinical leader, you’ll have the opportunity to influence care quality, mentor future leaders, and support patients and families at the most meaningful moments of life.
We offer:
Competitive Pay
PTO & Paid Volunteer Time
Comprehensive Health Benefits
Tuition Reimbursement & Scholarships
Leadership Development & Peer Support
30% Thrift Shop Discount
Career Growth aligned with our Blue Ridge Care 2030 Strategic Plan
Your leadership ensures dignity, comfort, and excellence in inpatient hospice care—every day.
Blue Ridge Care is a non‑profit, equal opportunity employer. We celebrate diversity and foster an inclusive environment for all.