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Clinical Consulting Manager

NTST, Inc.

Job Overview

Location

Remote - Other

Job Type

Full-time

Full Job Description

📋 Description

• Perform detailed documentation reviews of medical records in home health and hospice settings to ensure clinical accuracy and compliance with regulatory standards.
• Conduct post-acute clinical documentation audits specifically focused on home health and hospice patient records to identify gaps, errors, or missing clinical elements.
• Research and provide expert analysis on complex or newly issued home health and hospice billing regulations, offering actionable recommendations to clients.
• Evaluate client information systems to verify completeness and accuracy of clinical documentation across electronic health records and case management platforms.
• Lead weekly virtual client calls to present findings, outcomes, and compliance status from ongoing engagements.
• Analyze clinical operational trends and develop process improvement recommendations to enhance quality of care, patient outcomes, and regulatory adherence.
• Review documentation for focused medical reviews and draft formal appeals for denied services, including providing expert support at the Administrative Law Judge (ALJ) level of appeals.
• Collaborate with cross-functional clinical consulting teams to support multi-client engagements and share best practices across post-acute care settings.
• Maintain up-to-date knowledge of Conditions of Participation, Conditions of Payment, and standardized assessment tools such as OASIS and hospice care protocols.
• Prepare and deliver clear, professional written reports and presentations to clinical leaders and organizational stakeholders.
• Support clients across multiple time zones, occasionally requiring extended or irregular work hours outside standard business hours.
• Travel up to 25% of the time to client sites or company locations as needed to conduct on-site reviews or participate in training and collaboration sessions.
• Utilize Microsoft Office Suite (Excel, PowerPoint, Word) to document findings, create reports, and present data-driven insights.
• Ensure all clinical consulting activities align with Netsmart’s mission to advance care delivery through technology and operational excellence in behavioral health, human services, and post-acute markets.

🎯 Requirements

• Associate’s Degree in nursing, social work, physical therapy, or another related discipline
• Active and unrestricted license in the related clinical 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, including progressive involvement in Quality Assurance activities
• In-depth knowledge of Conditions of Participation and Conditions of Payment, with extensive familiarity with standardized assessment documents and patient care protocols
• Proficient in Microsoft Office Suite (Excel, PowerPoint, Word)
• Excellent written and verbal communication and presentation skills

🏖️ Benefits

• Remote work arrangement with virtual collaboration tools supported
• Opportunity to travel up to 25% for client engagements
• Pre-employment background check and drug screen provided at company expense
• Equal opportunity employer with commitment to diversity, inclusion, and affirmative action

Skills & Technologies

Remote

Degree Required

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NTST, Inc.

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About NTST, Inc.

NTST, Inc. is a U.S.-based thin-film materials company that commercializes advanced ceramic and metal coatings using proprietary sputtering and evaporation processes. Founded in 2002, the company supplies engineered multilayer coatings for aerospace, electronics, medical devices and industrial tooling, focusing on high-temperature, wear-resistant, optical and barrier applications. NTST operates from a facility near Dayton, Ohio, providing coating development, pilot production and scale-up services for customers seeking performance beyond conventional plating, thermal spray or PVD solutions.

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