Clinical Consulting Manager

🕒 March 4

🇺🇸 United States – Remote

⏱ Part Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 55%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Netsmart

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1973

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

Healthcare • Consulting • Healthcare Insurance

Netsmart is a leading provider of comprehensive EHR solutions tailored for a wide range of care settings, especially in behavioral health, addiction treatment, autism, geriatrics, and intellectual and developmental disabilities. The company offers a range of software products that streamline operations, enhance care coordination, and promote value-based care across healthcare communities. In addition to EHRs, Netsmart provides technology solutions for care coordination, telehealth, population health management, and revenue cycle management, aiming to support the delivery of integrated and person-centered care. Their solutions are used in a variety of sectors including human services, post-acute care, and public health, making Netsmart a significant player in the healthcare technology industry.

📋 Description

• Support clinical excellence, quality outcomes, and best practices across post-acute settings • Partner with clinical teams and organizational leaders to provide guidance, education, and operational support • Strengthen care delivery, ensure regulatory compliance, and enhance the patient and family experience across home health and hospice services • Perform documentation reviews on medical records to identify clinical elements for accuracy • Research and provide comments and recommendations on complex or newly issued home health, hospice, and billing regulations • Review client information systems for complete and accurate clinical documentation • Conduct weekly client calls to present engagement findings and results • Analyze trends and recommend process improvements for clinical operational processes • Review documentation associated with focused medical reviews and write appeals for denied services • Provide denial support at the Administrative Law Judge (ALJ) level of appeals • Participate in cross-team clinical consulting work

🎯 Requirements

• Associate’s Degree in nursing, social work, physical therapy or another related discipline • Active and unrestricted license in related field • At least 5 years of progressive post acute clinical management experience in home health and/or hospice • Experience with case management in home health and/or hospice with progressive involvement in Quality Assurance activities • In-depth knowledge of condition of participations and conditions of payment • Extensive knowledge of regulatory standardized assessment documents and patient care protocols • Proficient in Microsoft Office Suite including Excel, PowerPoint, and Word • Excellent written and verbal communication and presentation skills • All applicants for employment must be legally authorized to work in the United States • Netsmart does not provide work visa sponsorship for this position • Successful completion of a pre-employment background check, including a drug screen • Preferred: Bachelor of Science in nursing (BSN), social work (MSW), physical therapy or another related discipline • Preferred: Experience with Medicare contractor audits and appeals

🏖️ Benefits

• Remote work arrangements and virtual collaboration tools • Opportunity to support clients and projects across multiple time zones • Travel up to 25% as needed • Pre-employment background check and drug screen provided at Netsmart’s sole expense