Remote Clinical Consulting Manager - Home Health & Hospice

Helper; United States; Hybrid; USD 90,000 - 130,000; Full time

Job summary

Netsmart is seeking a Clinical Consulting Manager with a strong Home Health and/or Hospice background to support clinical excellence, quality outcomes, and best practices across post-acute settings. You will partner with clinical teams and leaders to guide, educate, and support operations for compliant and patient-centered care.

Responsibilities include documenting reviews, regulatory commentary, client communications, and cross-team clinical consulting, with travel up to 25% and a flexible

Qualifications

• Active and unrestricted license in related 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 with QA activities
• In-depth knowledge of conditions of participation and conditions of payment; regulatory assessment documents
• Proficient in Microsoft Office Suite (Excel, PowerPoint, Word)
• Excellent written and verbal communication and presentation skills
• Experience with Medicare contractor audits and appeals

Responsibilities

• Perform documentation review on medical records to identify clinical elements for accuracy
• Review post-acute home health and/or hospice documentation for accuracy
• Research and provide comments on billing regulations
• Review client information systems for complete and accurate clinical documentation
• Conduct weekly client calls to present findings
• Analyze trends and provide process improvement recommendations
• Write appeals for denied services and assist at ALJ level
• Participate in cross-team clinical consulting

Skills

Communication

Presentation skills

Regulatory knowledge

Client collaboration

Education

Associate’s Degree in nursing, social work, physical therapy or related discipline

BSN/MSW/related degree preferred

Tools

MS Office

Job description

Netsmart is seeking a Clinical Consulting Manager with a strong Home Health and/or Hospice background to support clinical excellence, quality outcomes, and best practices across post-acute settings. You will partner with clinical teams and leaders to guide, educate, and support operations for compliant and patient-centered care.

Responsibilities include documenting reviews, regulatory commentary, client communications, and cross-team clinical consulting, with travel up to 25% and a flexible