Clinical Reviewer (Remote) - Illinois
Join Our Team as a Clinical Reviewer and Make a Difference in Healthcare! We are seeking a highly skilled and motivated Clinical Reviewer to join our team in Illinois. As a Clinical Reviewer, you will play a critical role in reviewing assessments and clinical operations to ensure completeness, accuracy, and adherence to contract clinical standards. This is a remote position, offering a hybrid work model that combines the flexibility of working from home with the opportunity to collaborate with our team in our office.
This exciting opportunity offers a competitive salary, comprehensive benefits, and a dynamic work environment. If you are a results-driven professional with a strong clinical background and excellent communication skills, we encourage you to apply.
About the Program: We have partnered with the State of Illinois Department of Healthcare and Family Services (HFS) to manage the assessment process for Preadmission Screening and Resident Review (PASRR) Level I screens and completing Level II Serious Mental Illness (SMI) evaluations. Our program also includes Follow Up Visits, admissions support for Specialized Mental Health Rehabilitation Facilities (SMHRF) and Supported Living Programs (SLP) settings, and Colbert Dementia Review.
Why Maximus? We offer a comprehensive range of benefits, including:
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
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
Essential Duties and Responsibilities:
Review documentation and/or assessments and apply 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 clinical discipline
Complete reports or documentation in accordance with contract requirements
Perform 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:
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
Masters degree in psychology, sociology, counseling, social work, nursing, or other mental health-related field required
2 years experience in mental health, social services, or related field required
2 years experience reviewing clinical assessments required
Preferred Requirements:
Experience with PASRR, SMHRF, and SLP preferred
EEO Statement: Maximus is an Affirmative Action/Equal Opportunity Employer. We provide 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 job location, education, training, experience, and 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.
Hourly Base Pay: $22.26 - $29.71 per hour
Remote: Yes
Take the Next Step
Are you ready for this challenge? Apply now and let's discuss how you can become a vital part of our success story.
Apply Now
Apply Now
This exciting opportunity offers a competitive salary, comprehensive benefits, and a dynamic work environment. If you are a results-driven professional with a strong clinical background and excellent communication skills, we encourage you to apply.
About the Program: We have partnered with the State of Illinois Department of Healthcare and Family Services (HFS) to manage the assessment process for Preadmission Screening and Resident Review (PASRR) Level I screens and completing Level II Serious Mental Illness (SMI) evaluations. Our program also includes Follow Up Visits, admissions support for Specialized Mental Health Rehabilitation Facilities (SMHRF) and Supported Living Programs (SLP) settings, and Colbert Dementia Review.
Why Maximus? We offer a comprehensive range of benefits, including:
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
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
Essential Duties and Responsibilities:
Review documentation and/or assessments and apply 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 clinical discipline
Complete reports or documentation in accordance with contract requirements
Perform 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:
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
Masters degree in psychology, sociology, counseling, social work, nursing, or other mental health-related field required
2 years experience in mental health, social services, or related field required
2 years experience reviewing clinical assessments required
Preferred Requirements:
Experience with PASRR, SMHRF, and SLP preferred
EEO Statement: Maximus is an Affirmative Action/Equal Opportunity Employer. We provide 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 job location, education, training, experience, and 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.
Hourly Base Pay: $22.26 - $29.71 per hour
Remote: Yes
Take the Next Step
Are you ready for this challenge? Apply now and let's discuss how you can become a vital part of our success story.
Apply Now
Apply Now