Clinical Consulting Manager jobs in United States
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Netsmart · 5 days ago

Clinical Consulting Manager

Netsmart Technologies is seeking a Clinical Consulting Manager who provides expert clinical consulting and utilization management support. This role involves partnering with internal leadership and clients to deliver clinical operational guidance and interim management support.

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Responsibilities

Provide PRN clinical consulting and interim management support for assigned projects or clients
Apply advanced Utilization Management (UM) expertise to support episode management, care coordination, and clinical operations
Collaborate with clinical leaders and cross‑functional stakeholders to assess needs and implement recommendations
Serve as a clinical subject‑matter expert supporting performance improvement and operational initiatives
Participate in meetings, reviews, and consultative sessions aligned with project scope
Adjust work hours as needed to support clients operating in different time zones
Maintain compliance with applicable clinical, regulatory, and organizational standards

Qualification

Clinical management experienceUtilization Management expertiseQuality assurance experienceMicrosoft Office SuiteCommunication skills

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 discipline

Company

Netsmart

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Netsmart is a healthcare software company that assists in delivering whole-person, value-based care.

Funding

Current Stage
Late Stage

Leadership Team

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AJ Peterson
Senior Vice President & General Manager, CareGuidance
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Company data provided by crunchbase