Job Description
The Clinical Consulting Manager (PRN) provides expert clinical consulting and utilization management support on an as‑needed basis. This role partners with internal leadership, utilization management teams, and clients to deliver interim management support, clinical operational guidance, and subject‑matter expertise.
Responsibilities
Key Responsibilities
Provide PRN clinical consulting and interim management support for assigned projects or clientsApply advanced Utilization Management (UM) expertise to support episode management, care coordination, and clinical operationsCollaborate with clinical leaders and cross‑functional stakeholders to assess needs and implement recommendationsServe as a clinical subject‑matter expert supporting performance improvement and operational initiativesParticipate in meetings, reviews, and consultative sessions aligned with project scopeAdjust work hours as needed to support clients operating in different time zonesMaintain compliance with applicable clinical, regulatory, and organizational standardsQualifications
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 disciplineExpectations
Comfortable with remote work arrangements and virtual collaboration tools Physical demands include extended periods of sitting, computer use, and telephone communication Position may at times require extended or irregular hours outside of traditional office hours to support clients and projects across multiple time zones Travel up to 25% as needed 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.
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