Clinical Reviewer - Remote (IN PASRR) - Maximus

Maximus is currently looking for a Clinical Reviewer to support the IN PASRR (Preadmission Screening and Resident Review) program! In this role, the Clinical Reviewer will be responsible for reviewing assessments submitted by hospitals and nursing facilities to determine medical necessity .

Why Maximus?
- Paid Time Off
- Tuition Reimbursement
- Quarterly Bonus Opportunities
- Work/Life Balance
- Growth and Development

**This is a remote position!**

The work schedule is Mon day-Frida y 7:30 am to 4:00 pm Central Time.

Essential Duties and Responsibilities:

- Responsible for completing medical and/or behavioral health assessments within contract requirements
- Conducts on-site, video call and/or telephonic assessments to determine an individual's needs for services and supports, eligibility, level of care or related outcome
- Perform all job duties in compliance with Person First standards, HIPAA guidelines, and company confidentiality policies and procedures.
- Travel may be required based on program 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 timelines

Minimum Requirements

Minimum 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

Program Specific Requirements:
- High School diploma or equivalent required
- Active LPN compact license preferred
- 2+ years related experience working with individuals with Mental Illness or Intellectual and Developmental Disabilities required

- Proficiency in Microsoft Office Suite

- Ability to work independently

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 workspace

#ClinicalServices

EEO Statement

Active 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.