Clinical Review Coordinator (Remote)
Description & RequirementsMaximus is hiring a Clinical Review Coordinator (Remote) to support the OR MED program.The Clinical Review Coordinator will review assessments for quality and review medical records and other documentation as needed.This is a Part-Time fully remote position that requires Oregon licensure.About the program :We partner with Oregon DHS to manage in-person eligibility reviews for people that may be experiencing mental illness along with possible physical needs for the Aging and People with Disabilities (APD) Program.Through the mental or emotional disorders (MED) Review process, we give DHS accurate review recommendations of an individual's primary need for services.Our assessment enables DHS to make informed program eligibility decisions based on a clear and accurate understanding of which programs may best address an individual's unique needs.Why Join 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.Unlimited Time Off Package - Enjoy UTO, 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.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.Essential Duties and Responsibilities :Review requests for services including admission, discharges and continued stays for adherence to clinical criteria, state and federal policy, and related requirements.Issue approvals, denials or recommendations based on contract requirements.Identify need for additional clinical documentation or consultation.Complete documentation of activities within contract systems.Communicate with providers, individuals and their designees, or state workers as required.Performs other related duties as assigned.Minimum RequirementsCurrent Registered Nurse (RN) license valid in the state of practice is requiredHigh School Degree or equivalent requiredMinimum 2 years of clinical experience requiredActive and unrestricted RN or LCSW licensePreferred Skills and Qualifications :Minimum of 1 (one) year of psychiatric experienceHome Office Requirements :Maximus provides company-issued computer equipmentReliable high-speed internet serviceMinimum 20 Mpbs download speeds / 50 Mpbs for shared internet connectivityMinimum 5 Mpbs upload speedsPrivate and secure workspaceEEO StatementMaximus is an equal opportunity employer.We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.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.AccommodationsMaximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment.If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at [email protected] Salary35.00Maximum Salary35.00. Experience: 3 years required Apply To This Job