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Clinical Consulting Supervisor (PRN)- Post Acute

EXTRA HOLIDAYS - EXTRA PARENTAL LEAVE

Remote:

Full Remote

Contract:

Part time

Experience:

Mid-level (2-5 years)

Work from:

United States

Offer summary

Qualifications:

Associate's Degree in relevant field or equivalent experience, Active license and 3 years of clinical management experience, At least 1 year in quality assurance/case management with strong knowledge of regulations and patient care protocols, Proficiency in Outlook, Excel, Word, and PowerPoint, Excellent communication and presentation skills.

Key responsabilities:

Provide expertise in clinical consulting for clients
Review medical records, provide recommendations on billing and process improvement
Participate in cross-team clinical projects
Write appeals for focused medical reviews
Inspect client systems for accurate clinical documentation

Netsmart Large https://www.ntst.com/

1001 - 5000 Employees

See more Netsmart offers

Job description

Your missions

Responsible for providing clinical expertise in working with clients and internal operational experts.

Responsibilities

Perform reviews of client medical records as instructed by scope of work.
Research and provide comments and recommendations on billing regulations.
Perform documentation review on medical records to identify clinical elements for accuracy.
Provide process improvement recommendations based on clinical documentation and interaction with the client.
Review client information systems for clinical documentation.
Review documentation associated with focused medical reviews and write appeals as needed.
Participate in cross-team clinical consulting work.

Qualifications

Required

Associate’s Degree in nursing, social work, physical therapy or another related discipline or relevant work experience.
Active license in related field and at least 3 years of progressive clinical management experience.
At least 1 year of experience in quality assurance and/or case management.
In-depth knowledge of condition of participations and conditions of payment. Extensive knowledge of regulatory standardized assessment documents as well as patient care protocols.
Proficient in the use of Outlook, Excel, Word, and PowerPoint basic functionality.
Excellent written and oral communication and presentation skills are required.

Preferred

RN License

Expectations

Potential travel up to 10% of the time as needed.
Position may at times require extended or irregular hours outside of traditional office hours to support clients and projects across multiple time zones and any required travel.

Netsmart is proud to be an equal opportunity workplace and is an affirmative action employer, providing equal employment and advancement opportunities to all individuals. We celebrate diversity and are committed to creating an inclusive environment for all associates. All employment decisions at Netsmart, including but not limited to recruiting, hiring, promotion and transfer, are based on performance, qualifications, abilities, education and experience. Netsmart does not discriminate in employment opportunities or practices based on race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, national origin, age, physical or mental disability, past or present military service, or any other status protected by the laws or regulations in the locations where we operate.

Netsmart desires to provide a healthy and safe workplace and, as a government contractor, Netsmart is committed to maintaining a drug-free workplace in accordance with applicable federal law. Pursuant to Netsmart policy, all post-offer candidates are required to successfully complete a pre-employment background check, including a drug screen, which is provided at Netsmart’s sole expense. In the event a candidate tests positive for a controlled substance, Netsmart will rescind the offer of employment unless the individual can provide proof of valid prescription to Netsmart’s third party screening provider.

If you are located in a state which grants you the right to receive information on salary range, pay scale, description of benefits or other compensation for this position, please use this form to request details which you may be legally entitled.

All applicants for employment must be legally authorized to work in the United States. Netsmart does not provide work visa sponsorship for this position.

Netsmart's Job Applicant Privacy Notice may be found here.