Clinical Review Coordinator – (Remote)

Job title:

Clinical Review Coordinator – (Remote)

Company

Maximus

Job description

Description & RequirementsMaximus is hiring a Clinical Review Coordinator to review Level 2 PASRR (Preadmission Screen Resident Review) assessments and clinical documentation for completeness, accuracy, and adherence to contract clinical standards in support of our IA PASRR program. The Clinical Review Coordinator will write summaries of findings and determinations for individuals seeking nursing facility admission, or for individuals who already reside in a nursing facility and have a significant change in condition.*This is a remote position.*The work schedule is Tuesday through Saturday during normal business hours in CST with some flexibility of working hours.About the program: We partner with the Department of Human Services to perform Level I and Level II onsite evaluations for the Preadmission Screening and Resident Review (PASRR) program – and have done so since 2011. PASRR is performed on individuals who are applying to, or residing in, Medicaid-certified nursing homes. The main objective of this federally required assessment is to determine whether the nursing home is the appropriate placement for individuals with mental illness, intellectual disabilities or developmental disabilities. PASRR also works as a critical function to help match individuals with the care and services they need.Why Maximus?– Work/Life Balance Support – Flexibility tailored to your needs!– • Competitive Compensation – Bonuses based on performance included!– • Comprehensive Insurance Coverage – Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter’s, and Pet insurance.– • Future Planning – Prepare for retirement with our 401K Retirement Savings plan and Company Matching.– • Paid Time Off Package – Enjoy PTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage.– • Holistic Wellness Support – Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).– • Recognition Platform – Acknowledge and appreciate outstanding employee contributions.– • Diversity, Equity, and Inclusion Initiatives – Join a workplace committed to fostering diversity and inclusion.– • Tuition Reimbursement – Invest in your ongoing education and development.– • Employee Perks and Discounts – Additional benefits and discounts exclusively for employees.– • Maximus Wellness Program and Resources – Access a range of wellness programs and resources tailored to your needs.– • Professional Development Opportunities-Participate in training programs, workshops, and conferences.– •Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees.Home Office Requirements:– Maximus provides company-issued computer equipment– Reliable high-speed internet service– Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity– Minimum 5 Mpbs upload speeds– Private and secure workspaceEssential Duties and Responsibilities:
– Responsible for reviewing documentation and/or assessments and applying clinical criteria to complete determinations, approvals or recommendations.
– Determine need for and obtain any additional information required to complete actions.
– Determine when escalation or consultation is required with supervisor, physician or related medical or related clinical discipline.
– Complete reports or documentation in accordance with contract requirements.
– Performs other related duties as assigned.Required Skills/Abilities:
– Preferred knowledge may include community support programs, long-term care assessment and level of care in medical, behavioral health or related programs
– Knowledge and understanding of medical and/or behavioral health diagnoses and prescribed medications
– Ability to collect data, define problems, establish facts, and draw valid conclusions
– Excellent written and verbal communication skills
– Excellent interpersonal and customer service skills
– Proficient in Microsoft Office Suite
– Excellent organizational skills and attention to detail
– Ability to work in a fast-paced environment
– Ability to work independently and meet timelinesMinimum Requirements– Education and licensure requirements are based on program contract requirements and are outlined in job posting
– High School Degree or equivalent required
– Minimum 1 year of clinical experience required
– LPN, RN, LCSW, or related licensure preferred and may be required based on contract requirements– Master’s degree in a social science (psychology, sociology, social work, etc.) or licensed as an LPN or RN required– 2 years direct mental health care or experience with Intellectual and Developmental Disabilities (IDD) population requiredPreferred Skills:– RN/LPN with case managementEEO StatementActive military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We’re proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. Maximus is an Affirmative Action/Equal Opportunity Employer. Maximus provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status.Pay TransparencyMaximus compensation is based on various factors including but not limited to job location, a candidate’s education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus’s total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant’s salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.Hourly Base Pay Minimum for this Position$26.00Hourly Base Pay Maximum for this Position$31.00*

Expected salary

Location

Providence, RI

Job date

Thu, 17 Oct 2024 22:45:28 GMT

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