Remote Utilization Review Rn Jobs in Cottage Grove, WI

The Regional Director of Clinical Survey is responsible for supporting field operations in achieving and maintaining compliance with all applicable regulatory and accreditation standards. This role partners with branches to prepare for and successfully navigate internal and external surveys, including state licensure, federal certification, and accreditation reviews.

The role also leads the development and execution of corrective action plans in response to survey findings, partnering with clinical, operational, compliance, and legal leadership to ensure sustainable resolution and continuous improvement.

• Support branches in preparation for regulatory surveys, audits, and inspections
• Interpret and apply state and federal regulations to operational practices
• Lead and oversee corrective action plans resulting from survey deficiencies
• Partner with operational, clinical, compliance, and legal teams to mitigate risk
• Monitor and ensure adherence to regulatory and company standards
• Provide guidance and education to field leadership on survey readiness and compliance expectations
• Analyze data and documentation to identify trends and opportunities for improvement
• Participate in committees, special projects, and cross-functional initiatives
• Promote continuous improvement in policies, procedures, and documentation
• Maintain consistent communication with leadership regarding risks and compliance concerns
• Uphold company core values and ensure adherence to organizational policies

Education:

• Registered Nurse (RN) required
• Bachelor’s degree in Nursing preferred

Experience:

• Minimum of two (2) years of leadership experience
• At least three (3) years in hospice and/or home health industry preferred
• Experience with regulatory surveys, audits, and compliance oversight strongly preferred

Licenses, Certifications and/or Registration:

• Active, unencumbered RN license (if applicable)
• Valid driver’s license
• Automobile liability insurance

Equipment/Tools/Work-Aids:

• Microsoft Excel (intermediate proficiency)
• Microsoft PowerPoint (basic proficiency)
• Electronic medical record systems (HCHB preferred)
• Standard office and remote communication tools

Specialized Knowledge and Skills:

• Strong knowledge of state and federal healthcare regulations
• Ability to manage confidential and sensitive information
• Strong organizational and time management skills
• Effective communication across field and executive audiences
• Sound judgment and problem-solving capability
• Ability to manage multiple priorities in a fast-paced environment

Strategic Acumen

Ability to interpret regulatory requirements and translate them into actionable operational strategies that improve survey outcomes and compliance performance.

Personal Traits, Qualities and Aptitudes:

• Demonstrates presence and the ability to influence and build credibility quickly across diverse teams and leadership levels
• Highly self-directed with strong ownership, accountability, and disciplined follow-through
• Comfortable operating in ambiguity, adapting approach based on market dynamics and evolving business needs
• Strong emotional intelligence with the ability to coach, challenge, and motivate others effectively in field settings
• Results-driven with the ability to balance strategic thinking and hands-on execution in a fast-paced, performance-oriented environment

Working Conditions:

• Fast-paced remote environment with significant field interaction
• Frequent travel required (approximately 75%)
• Exposure to varying conditions in field locations and clinical settings
• Some stress may occur in high-pressure regulatory situations.

Benefits for All Associates (Full-Time & Per Diem):

• Competitive Pay
• 401(k) with Company Match
• Career Advancement Opportunities
• National & Local Recognition Programs
• Teammate Assistance Fund

Additional Full-Time Benefits:

• Medical, Dental, Vision Insurance
• Generous Paid Time Off + 7 Paid Holidays
• Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
• Education Support & Tuition Assistance
• Company-paid Life & Long-Term Disability Insurance
• Voluntary Benefits (Pet, Critical Illness, Accident, LTC)

• This is a safety-sensitive position
• Employee must meet minimum requirements to be eligible for benefits
• Where applicable, employee must meet state specific requirements
• We are proud to be an EEO employer
• We maintain a drug-free workplace

At Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states.

Our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.

Our nationwide reach is powered by a family of trusted brands that include:

• Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon
• Palliative care: Empatia Palliative Care, Emerald Coast Palliative Care
• Home health care: Heartland Home Health
• Advanced illness management: Illumia Health

With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized – and kindness is celebrated.