Clinical VA Account Specialist (LPN/RN)

Are you looking to make a difference in patients’ lives with a company that values your expertise? Join us in our mission of delivering compassionate healthcare where it matters most –at home.

Pinnacle Home Care, Florida’s largest independent Medicare-certified home health provider, has been delivering high-quality, patient-centered care for over two decades, and we’re looking for a Clinical VA Account Specialist to join our award-winning team.

Key Responsibilities

• Ensure accurate and timely patient care documentation to support compliance and clinical quality.


• Oversee completion and submission of Request for Services (RFS) forms to facilitate prompt approvals and authorizations.


• Collaborate closely with VA Care Coordinators, Clinical Managers (CMs), Directors of Clinical Services (DCSs), and field teams to support timely admissions and positive patient outcomes.


• Receive, review, and process all VA consults and referrals with a clinical focus to ensure appropriateness of care. 


• Conduct welcome calls with patients to assess readiness for care, confirm initial clinical needs, and provide education.


• Perform pre-admission chart reviews to validate completeness of physician orders and accuracy of clinical documentation.


• Provide clinical oversight for Veterans receiving IV therapy, wound care, complex medication management, or other specialized services.


• Track and manage hospital admissions and discharges, coordinating resumption of care (ROC) processes to maintain service continuity.


• manage and validate all clinical orders, ensuring accuracy for new admissions, ROC, and ongoing care updates.


• Coordinate labs, wound acs, IV therapies, and durable medical equipment (DME) requests to support timely interventions.


• Partner with branch teams, field sales, and VA representatives to eliminate referral barriers and streamline workflow.


• Communicate regularly with teams regarding high-acuity patients, expiring authorizations, and pending documentation.


• Serve as a clinical resource on VA process requirements, consult workflows, and documentation standards.


• Ensure adherence to CMS Conditions of Participation, VA regulations, HIPAA, and internal compliance standards.


• Participate in Quality Assurance and Performance Improvement (QAPI) initiatives through audits, chart reviews, and reporting.


• Maintain awareness of patient rights, infection control protocols, and reporting procedures for adverse events or suspected neglect.


• Support branch teams during surveys, audits, and VA reviews to ensure full compliance and readiness.

Qualifications

• Licensed Practical Nurse (LPN) or Registered Nurse (RN), in good standing with the state Board of Nursing.


• Strong clinical assessment skills and ability to manage high-acuity patients.


• Knowledge of VA processes, consult workflows, and RFS requirements.


• Effective collaboration with Clinical Managers, DCSs, and interdisciplinary teams.


• Strong interpersonal and relationship-building skills with the ability to partner across sales, operations, and clinical teams.


• Excellent organizational skills, attention to detail, and ability to multitask in a fast-paced environment.


• Commitment to service excellence, professionalism, and Veteran advocacy.

Why Choose Pinnacle?

• Growth & Stability: Over two decades as Florida’s largest independent home health agency.


• Competitive Benefits & Perks: Including an employee referral program where you can earn rewards.


• Recognized Excellence: Ranked as a USA Today Top Workplace.


• Supportive & Fun Culture: Join a collaborative, forward-thinking team that values both professional excellence and personal fulfillment.

Pinnacle promotes an inclusive environment and is an equal opportunity employer. We prohibit discrimination or harassment based on race, religion, age, gender, national origin, disability, veteran status, or other legally protected characteristics.

Be part of a company that empowers clinicians to make a difference in the lives of over 10,000 patients across Florida every day. Apply now!