Title: Clinical Review Specialist
State Role Title: Health Care Compliance Spec II
Hiring Range: $84,418 (salary commensurate with experience.)
Pay Band: 5
Agency: Dept Behavioral Health/Develop
Location: Western State Hospital
Agency Website: https://dbhds.virginia.gov/facilities/wsh/
Recruitment Type: General Public - G
Job Duties
Western State Hospital is Hiring!
Clinical Review Specialist (Registered Nurse II)
Monday–Friday | 8:00 a.m. – 4:30 p.m.
Western State Hospital is seeking an experienced Registered Nurse with strong analytical skills and expertise in reviewing complex clinical documentation to serve as a Clinical Review Specialist.
This is an excellent opportunity for an RN who thrives in a structured, professional setting and enjoys working behind the scenes to support quality care, regulatory compliance, and clinical excellence.
Exceptional State Benefits Include
13 Paid Holidays
12+ Paid Vacation Days
9 Paid Sick Days
4+ Family Personal Days
Family Medical Leave
Short- and Long-Term Disability Coverage
Low-cost, comprehensive Anthem or Aetna health insurance
Group and optional life insurance
Flexible Reimbursement Accounts
Additional State Benefits:
Career ladders and continuing education opportunities
Internship programs
Referral bonuses
Student loan repayment opportunities
Virginia 529 College Savings Plan (may be available)
Relocation reimbursement (may be available)
State employee discounts and more
About DBHDS
The Department of Behavioral Health and Developmental Services (DBHDS) supports individuals by promoting recovery, self-determination, and wellness in all aspects of life. DBHDS operates 12 facilities across Virginia, including behavioral health hospitals, a medical center, and rehabilitation services. We are committed to creating a life of possibilities for all Virginians.
About Western State Hospital
Western State Hospital is a 302-bed Joint Commission and CMS-accredited psychiatric hospital located in the beautiful Shenandoah Valley, within 30 minutes of major university towns.
Our hospital:
Is recognized statewide for excellence in Psychosocial Rehabilitation “Learning” Programs
Has provided consultation to seven other states
Actively collaborates with community partners
Is known for strong staff recruitment and retention
Western State Hospital may be the perfect place to grow your career while contributing meaningfully to behavioral health care.
Minimum Qualifications
• Psychiatric/clinical nursing expertise.
• Demonstrated knowledge of inpatient psychiatric treatment and documentation requirements to meet State and Federal Medicaid regulations.
• HIPAA and Compliance regulations
• Skilled in analyzing complex clinical documentation to identify discrepancies and recommend improvements, facilitating ongoing quality enhancement efforts
• Ability to communicate effectively, orally and in writing, with clinicians, administrators, patients, patients’ families, and external agencies.
• Basic computer proficiency with typing, and knowledge of MS Word and MS Excel.
Additional Considerations
Bachelor's and Masters Degree in Nursing from an accredited institution or higher education.
Psych Nursing experience preferred
Veteran or Spouse of Veteran
Bilingual - Spanish
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.
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.
Application Requirements: Applications and résumés for this position are accepted electronically through the Commonwealth of Virginia’s Electronic Recruitment System only. Interview decisions will be based solely on the information provided in your electronic application and/or résumé. Please ensure you clearly and specifically detail all relevant work experience; we will not make assumptions about your qualifications.
Applications/résumés will begin to be reviewed within five (5) days of the posting date.
Background Investigation: All applicants are subject to an extensive background investigation and a pre-employment drug screening. This investigation may include fingerprint checks (State Police, FBI), local agency checks, Department of Social Services/Child Protective Services checks, employment verification, and verification of education relevant to the position.
Under Virginia Code §§ 37.2-314 and 37.2-408.1, the Department of Behavioral Health & Developmental Services (DBHDS) cannot employ or utilize as volunteers, individuals convicted of specific ("barrier") crimes or those with pending "barrier" charges.
Reasonable Accommodations: Reasonable accommodations are available to individuals with disabilities during the application and/or interview process in accordance with the Americans with Disabilities Act. If you require assistance or accommodation, please notify Human Resources at (540) 332-8300 during business hours (8:00 a.m. to 5:00 p.m.).
Equal Opportunity: The Commonwealth of Virginia is committed to conducting all aspects of human resource management without regard to race (or traits historically associated with race, including hair texture, hair type, and protective hairstyles such as braids, locks, and twists), sex, color, national origin, religion, sexual orientation, gender identity or expression, age, veteran status, political affiliation, disability, genetic information, and pregnancy, childbirth, or related medical conditions.* There shall be no retaliation against anyone making allegations of violations of this policy.
Veteran Preference: DBHDS is a Virginia Values Veterans (V3) certified employer and provides hiring preference to qualified veterans and service members. We strongly encourage veterans, active members of the Virginia National Guard, and U.S. Military Reserve members to apply to the state application and respond accordingly.
Contact Information
Name: Elizabeth Weber
Phone: 540-332-8056
Email: elizabeth.weber@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.