MAXIMUS

Registered Nurse-Remote Opportunity

Job Locations US-Remote
Requisition ID 2021-71517
Posted Date
3 weeks ago(12/29/2021 3:57 PM)
# of Openings
50
Job Function
Clinical
Job Schedule
Limited Service Part-Time

Job Description Summary

Job Summary: VA Clinical Contact Center Staff -Nurse is a registered nurse (RN) with collegiate preparation from an accredited nursing program. The Nurse is responsible for providing triage, referrals, and patient care recommendations in a call center setting during off hours on weekends, holidays, evenings, and nights (WHEN) hours. The incumbent demonstrates expertise in clinical triage utilizing approved algorithm software.

Essential Job Duties:
• Utilizes sound clinical judgment in assessing, planning, implementing, documenting, and evaluating a full range of nursing care to patients with complex care needs over the telephone, assuming responsibility and accountability for nursing actions.
• Utilizes effective communication and customer service skills to triage symptom-based concerns.
• Evaluates the veteran, develops a working nursing diagnosis, formulates a plan, and provides recommended intervention, during the call utilizing approved algorithm software.
• Assesses, develops, and implements a plan to meet the patient's learning needs, including self-care and treatment measures.
• Completes initial assessments and reassessments of patients' condition and response to treatment and other clinical findings and initiates follow-up with the appropriate VA Medical Center.
• Provides clinical advice in accordance with the approved algorithm software, directs the veteran for care based on their symptoms, past medical history, and level of urgency while employing critical thinking skills and knowledge-based nursing judgment.
• Identifies potential problems involving resources and/or safety and taking action to avert or manage the situation.
• Utilizes telephone systems and computer applications. Performs Quality Management activities such as identifying problem areas and analyzing findings for change.
• Perform other duties as assigned by management.
• Work Schedule: Evenings and Nights shifts, alternating coverage including weekend, holidays, and day shifts.

Education and Experience Requirements:
• BSN and experience in ICU, ED, and/or Telephone Triage is preferred.
• Must be proficient in spoken and written English.
• Licensure: Current, full, active, and unrestricted registration as a professional nurse. in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia.





Additional Requirements as per contract/client:
• Position contingent on passing the VA security clearance
• United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.

Physical Requirements:
This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued, standing and sitting. The incumbent must be a mature, flexible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs.

As a federal contractor, Maximus is subject to Executive Order 14042 and the Safe Workforce Task Force’s COVID-19 Workplace Safety Guidance for Federal Contractors and Subcontractors. In light of these requirements, all employees will eventually need to be fully vaccinated as a condition of employment and new hires/employees will be required to provide proof of vaccination. Maximus will provide accommodations to individuals with qualifying medical conditions or sincerely held religious beliefs, practices or observances that preclude vaccination, provided such accommodations are reasonable, do not create an undue hardship for the Company, and/or do not pose a direct threat to the health and safety of you or others in the workplace. Approval of such accommodation is a condition of employment. New hires must provide proof of vaccination or have an approved accommodation request prior to their orientation date.

Job Summary

Essential Duties and Responsibilities:
- Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data.
- Enter coded data into a system accurately and validate date entered.
- Research correct coding practices, clearly document and share findings with others.
- Write clear and concise rationales that provide defensible support of decisions.
- Train staff members on the coding processes (both project specific and general coding).
- Perform QA audits on coding process.
- Recommend and suggest improvements to assigned projects.
- Perform other duties as assigned by management.

Minimum Requirements:
- High school diploma or equivalent with 4+ years of experience, or AA with 2+ years of experience.
- Preferred risk adjustment auditing experience of coding inpatient and outpatient medical records.
- CPC, CCS, or RHIT Certification required.
- Ability to use critical thinking skills.
- Must have excellent writing skills.

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.

EEO Statement

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’re 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.

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