Clinical Consulting Manager (PRN) jobs in United States
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Netsmart · 1 day ago

Clinical Consulting Manager (PRN)

positionUnited States
timeFull-time
remoteRemote
senioritySenior Level
date5+ years exp

Netsmart is a company that provides healthcare technology solutions, and they are seeking a Clinical Consulting Manager. The role involves providing clinical expertise, conducting documentation reviews, and analyzing trends to improve clinical operations and patient outcomes.

Computer VisionHealth CareSoftware
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Responsibilities

Perform documentation review on medical records to identify clinical elements for accuracy
Review client information systems for complete and accurate clinical documentation
Research and provide comments and recommendations on complex or newly issued billing regulations
Conduct weekly calls with the client to present findings and results of the engagement
Analyze trends and provide process improvement recommendations for clinical operational processes to improve quality of care and patient outcomes
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

Qualification

NursingClinical managementQuality assuranceCase managementMicrosoft Office SuiteCommunication skillsPresentation skills

Required

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 clinical management experience
At least 2 years quality assurance and/or case management experience
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 are required

Preferred

Bachelor of Science in nursing (BSN), social work, physical therapy or another related discipline

Company

Netsmart

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Netsmart is a healthcare software company that assists in delivering whole-person, value-based care.
dateFounded in 1968
location
Overland Park, Kansas, USA
people-size1001-5000 employees
web-link
https://www.ntst.com

Funding

Current Stage
Late Stage

Leadership Team

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AJ Peterson
Senior Vice President & General Manager, CareGuidance
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