Clinical Reviewer - Remote (Must Reside in Illinois)
About the position 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. 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. • Master's degree in Social Work, Mental Health, or a related field OR an active and unrestricted Nursing or compact Illinois state license. • Minimum 2 years post-graduate work experience in the mental health field. • Minimum 2 years experience conducting mental health assessments. • Highly skilled using Microsoft office. Nice-to-haves • Demonstrates outstanding interpersonal and verbal communication skills. • Demonstrates strong proficiency in written communication, producing concise and impactful documentation. • IM+CANS certification or willingness to obtain IM+CANS certification. Benefits • 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. • Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance. • Prepare for retirement with our 401K Retirement Savings plan and Company Matching. • Enjoy PTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage. • Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP). • Acknowledge and appreciate outstanding employee contributions. • Tuition Reimbursement - Invest in your ongoing education and development. • Additional benefits and discounts exclusively for employees. • Access a range of wellness programs and resources tailored to your needs. • Participate in training programs, workshops, and conferences. • Maximus assumes the expenses associated with renewing licenses and certifications for its employees. Apply tot his job