Registered Nurse, Clinical Analyst (Remote located in New York) - Maximus Services, LLC

Maximus is currently seeking Quality Assurance Clinical Analysts to support the Independent Practitioner Panel (IPP) Program, which completes assessment reviews and issues practitioner orders for New Yorkers who qualify for long-term in-home care. The QA Clinical Analyst is responsible for reviewing assessments to ensure accuracy and consistency and collaborating with other program staff. They are actively engaged with their immediate department to support program quality and participates in the ongoing operation of an effective quality monitoring program.

This is a full time, remote position located in the state of New York and requires an active New York Registered Nurse License.

Education and Experience Requirements

Primary Responsibilities:

• Collaborate with the Quality Assurance Manager to develop an effective quality monitoring program
• Provide QA training to the Independent Practitioners for quality actions to be incorporated into their daily practice
• Audits Practitioner Orders and Care Plan Reviews to evaluate completeness, accuracy, and consistency
• Researches consumer complaints; forwards to the appropriate party for investigation
• Collect data related to Practitioner Order and Care Plan Reviews
• Examine cases for completeness, accuracy, and consistency
• Examine data for outliers and researches such cases
• Develop/complete reports that track and trend activities/outcomes
• Acts as an advisor to program staff on all QA and Compliance issues related to the IPP program
• Performs other duties as assigned by Management

Minimum Requirements:

• 2+ years RN experience in home care, medical, surgical, geriatric, LTC and/or ambulatory care.
• Active RN license in the state of New York
• Strong working ability with all forms of technology
• Ability to navigate multiple systems
• Excellent verbal and written communication skills, including the ability to communicate effectively with a diverse range of individuals.
• Detail and solution-oriented
• Ability to work independently as well as within a team
• Exceptional analytical skills

Preferred Qualifications:

• Bachelor' degree in Nursing or Health Care Management
• 2+ years previous work experience in Quality and Risk Management in a hospital or health plan setting conducting peer reviews

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

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MAXIMUS Introduction

Since 1975, Maximus has operated under its founding mission of Helping Government Serve the People, enabling citizens around the globe to successfully engage with their governments at all levels and across a variety of health and human services programs. Maximus delivers innovative business process management and technology solutions that contribute to improved outcomes for citizens and higher levels of productivity, accuracy, accountability and efficiency of government-sponsored programs. With more than 30,000 employees worldwide, Maximus is a proud partner to government agencies in the United States, Australia, Canada, Saudi Arabia, Singapore and the United Kingdom. For more information, visit https://www.maximus.com .

As a large employer and Federal contractor, Maximus is subject to various vaccine mandates across our lines of business. Maximus is committed to complying with any applicable vaccine mandates. The specific vaccine requirements for this position will be outlined throughout the selection process. Individuals who believe they may qualify for a medical or religious accommodation will have the opportunity to apply for an accommodation following an offer of employment.

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 are 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 Transparency

Maximus compensation is based on various factors including but not limited to 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 shall be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation.

Posted Max

USD $95,000.00/Yr.

Posted Min

USD $90,000.00/Yr.