Clinical Reviewer, LPN (Remote)

Maximus; Greensboro (NC); Remote; USD 60,000 - 80,000; Full time

Job summary

Maximus is seeking a Clinical Reviewer, LPN to evaluate Level I PASRR screenings and assist in comprehensive evaluations for Medicaid-certified facilities. This role offers competitive compensation, flexible work-life balance, comprehensive insurance, and professional development opportunities, requiring an active LPN license and clinical experience.

Benefits

Competitive Compensation - Bonuses based on performance

Comprehensive Insurance Including Medical, Dental, Vision

401K Retirement Savings Plan with Company Matching

Paid Time Off and Holidays

Tuition Reimbursement

Professional Development Opportunities

Qualifications

• Active LPN license valid in Illinois or South Dakota is required.
• Minimum 2 years of clinical experience required.
• Experience with Intellectual and Developmental Disabilities (IDD) preferred.

Responsibilities

• Review requests for services including admissions and continued stays.
• Issue approvals, denials, or recommendations based on contract requirements.
• Communicate with providers and state workers as required.

Skills

Clinical assessment

Documentation

Communication

Education

High School Degree or equivalent

Licensed Practical Nurse (LPN) license

Job description

Description & Requirements

Maximus is hiring a Clinical Reviewer, LPN to join our team! In this role will you’ll review Level I PASRR screenings, evaluate the completed screens, and determine whether an individual requires a more comprehensive PASRR evaluation. This position plays a key role in reviewing assessments for our Illinois and South Dakota projects.

An active LPN license valid in Illinois or South Dakota is required; compact licenses are accepted.

About the program

We have contracted 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 for individuals applying to, or residing in, Medicaid-certified nursing facilities. Other services include Follow Up Visits, admissions support for Specialized Mental Health Rehabilitation Facilities (SMHRF) and Supported Living Programs (SLP) settings and Colbert Dementia Review. Continue reading below for more details and links to support resources for each of these services.

Why 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.

- 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.

- 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.

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 Requirements

- Current Licensed Practical Nurse (LPN) license valid in the state of practice is required

- High School Degree or equivalent required

- Minimum 2 years of clinical experience required

- Active LPN license valid in Illinois or South Dakota. Compact licenses are accepted.

Preferred Requirements

- Experience working with individuals with Intellectual and Developmental Disabilities (IDD).

- Familiarity with PASRR (Preadmission Screening and Resident Review) assessments.

- Background in psychiatric or behavioral health nursing.

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

EEO Statement

Maximus 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 Transparency

Maximus 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.

Minimum Salary

$21.00

Maximum Salary

$26.00

Compensation:
$21-$26

Remote: Yes