Netsmart

Utilization Review Nurse (PRN)

Netsmart · Part Time · 14 hours ago

Netsmart

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The Utilization Review Nurse evaluates electronic medical records for medical necessity using InterQual or MCG criteria. They also participate in telephonic discussions with physicians and ensure clinical review information is accurately entered for insurance authorization.

insurance medical excel science documentation

APPLY

Utilization Review Nurse

Netsmart · Full Time · 14 hours ago

Netsmart

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The Utilization Review Nurse evaluates electronic medical records for emergency admissions to ensure medical necessity using InterQual or MCG criteria. They also participate in telephonic discussions with physicians and enter clinical review data for insurance authorization.

insurance medical excel science documentation

APPLY

Certified Coder (PRN)

Netsmart · Part Time · 7 days ago

Netsmart

🌎 United States ⭐ 0-2 yrs exp 💼 Software Development

The role involves performing daily medical coding, auditing, and DRG validation to ensure accuracy and compliance with outpatient standards. The coder will also collaborate with healthcare teams and respond to payer or governmental audits.

medical-coding medical medical-billing communication documentation compliance

APPLY

Revenue Cycle Management (RCM) Regional Sales Advisory Executive – West

Netsmart · Full Time · 15 days ago

Netsmart

🌎 United States ⭐ 5-10 yrs exp 💼 Sales

Identify and close strategic revenue cycle opportunities with large health systems and provider organizations. Act as a trusted advisor to C-suite executives to improve financial performance and operational efficiency through subscription-based services.

APPLY

RCM Automation Strategist- RCM Experience

Netsmart · Full Time · a month ago

Netsmart

🌎 United States ⭐ 10+ yrs exp 💼 Others

Lead the RCM automation strategy by identifying high-value opportunities and developing scalable automation playbooks. Serve as the strategic bridge between operational teams, technical developers, and clients to implement AI and RPA solutions.

APPLY

Coding & OASIS Reviewer (PRN)

Netsmart · Full Time · 4 months ago

Netsmart

🌎 United States ⭐ 0-2 yrs exp 💼 Others

Review OASIS and ICD-10 coding for home health and hospice agencies to ensure documentation accuracy and compliance. Document recommended changes and reimbursement impacts while meeting chart equivalent targets and quality metrics.

APPLY

Senior Sales Executive

Netsmart · Full Time · 4 months ago

Netsmart

🌎 United States ⭐ 5-10 yrs exp 💼 Sales

The Senior Sales Executive will identify and pursue strategic sales opportunities to meet annual quotas while managing the full sales cycle. They will also collaborate with technical and marketing teams to qualify RFPs and cultivate new business relationships with prospective clients.

APPLY

Business Solution Architect (Consulting)

Netsmart · Full Time · 4 months ago

Netsmart

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

The Business Solution Architect designs, implements, and optimizes end-to-end healthcare solutions while managing the full project lifecycle. They act as a trusted advisor to clients, providing expert guidance on workflows, troubleshooting, and system integration to ensure successful operational and financial outcomes.

APPLY