9 часов назад
Clinical Consulting Manager (Healthcare)
Вакансия из Hirify Global, списка международных tech-компанийДля мэтча и отклика нужен Plus
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Clinical Consulting Manager (Healthcare): Reviewing home health and hospice clinical documentation, supporting regulatory compliance, and advising clients on quality and operational improvements with an accent on clinical accuracy, billing regulations, and patient-centered care. Focus on analyzing documentation trends, supporting Medicare audits and appeals, and presenting findings to clients across post-acute care settings.
Location: Remote within the United States; applicants must be legally authorized to work in the United States. Travel up to 25% may be required, along with occasional extended or irregular hours to support clients and projects across multiple time zones.
Company
is a healthcare software company developing technology and services for behavioral health, human services, and post-acute care organizations.
What you will do
- Review home health, hospice, and other post-acute medical records for accurate and complete clinical documentation.
- Review client information systems and identify documentation gaps or inaccuracies.
- Research complex and newly issued home health, hospice, and billing regulations and provide recommendations.
- Analyze trends and recommend clinical and operational process improvements that support quality of care and patient outcomes.
- Review focused medical review documentation, write appeals for denied services, and provide support through Administrative Law Judge appeals.
- Conduct weekly client calls to present engagement findings and participate in cross-team clinical consulting work.
Requirements
- Associate’s degree in nursing, social work, physical therapy, or a related discipline.
- Active and unrestricted license in the relevant professional field.
- At least five years of progressive post-acute clinical management experience in home health and/or hospice.
- Experience with home health or hospice case management and progressive involvement in quality assurance activities.
- In-depth knowledge of conditions of participation, conditions of payment, standardized assessment documents, and patient care protocols.
- Proficiency with Microsoft Office, including Excel, PowerPoint, and Word, plus strong written, verbal, and presentation skills.
Nice to have
- Bachelor of Science in Nursing, MSW, physical therapy degree, or another related bachelor’s degree.
- Experience with Medicare contractor audits and appeals.
Culture & Benefits
- Part-time PRN employment with remote work arrangements and virtual collaboration.
- Work may involve extended periods of sitting, computer use, and telephone communication.
- Pre-employment background check and drug screening are required after an offer.
- Visa sponsorship is not provided for this position.
- Equal opportunity and affirmative action workplace committed to inclusive employment practices.
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