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Job Locations US-Remote
Requisition ID 2022-76385
Work schedule:Must be able to work Mon – Fri 8 am – 5 pm ET After fully trained, weekend rotation 9 am – 5 pm ET
Position in Maine. | Review referrals from providers, guardians, and other sources to determine if individuals meet qualifications to undergo LTC, ABI, ICF/IID Annual, ORC, and GPU assessments.
Job Locations US-TX-Houston
Requisition ID 2022-74931
Exam Schedulers supporting the Veterans Evaluation Services (VES) administered by Maximus, make an impact everyday by scheduling Compensation and Pension (“C&P”) medical exams, for Veterans and Service Members, with trained VES providers. Schedulers must maintain close communication and build rapport with providers to capture exam availability and build a relationship of trust and confidence. Candidates must possess the desire to assist our wounded veterans and service members with a caring, positive, and patriotic attitude. This position works with veterans when needed to confirm early notice appointments and assists veterans and/or providers with any questions they may have. To prepare you for this role, the VES provides paid, comprehensive training which ensures all new employees provide the highest levels of knowledge and professionalism. *As a large employer and Federal contractor, Maximus is subject to various vaccine mandates across our lines of business. Maximus is committed to complying with any applicable vaccine mandates. The specific vaccine requirements for this position will be outlined throughout the selection process. Individuals who believe they may qualify for a medical or religious accommodation will have the opportunity to apply for an accommodation following an offer of employment. *This position is temporarily remote due to Covid-19, however, you must be able andwilling to work on site in our Houston, TX location when needs arise. 
Job Locations US-NY-Jamaica
Requisition ID 2022-77184
-Supervises Queens WeCARE Clinical Assessor Team through cultivation of a high performance team-oriented environment that is consistent with the culture and values of Ascend/MAXIMUS. | -Supervise day to day clinical assessment operations and drive continuous improvement | -Coordinates all required tasks related to employee schedule changes and time-off | -Interviews and make recommendations for selection of new employees. | -Prepares 30-45 day orientation plans for new hires. | -Conducts on-the-job training for new employees. | -Coaches and counsels employees for success. | -Conducts regularly scheduled 1:1 and team meetings with direct reports. | -Assists leadership with enhancing contract performance through monitoring and ensuring compliance with contract requirements and Policies & Procedures, communicating all recommendations and actions with leadership. | -Assists leadership with maintaining a positive customer relationship through ensuring effective communication with customers and employees, assisting with the resolution of customer/provider complaints, and properly documenting relevant customer/provider complaint information. | -Develop trusted stakeholder relationships ensuring effective and efficient communication | -Assists leadership with continual process improvement initiatives by monitoring assigned workflow and processes and providing feedback to the manager about ways to refine and optimize them. | -Work with leadership and Clinical Director to develop and oversee comprehensive training and quality measurement practices | -Works collaboratively and effectively with IT to ensure that product and service applications and technologies are optimized for contract compliance, productivity, and quality performance. | -Ensures that all employees and contractors understand and comply with HIPAA and privacy laws while utilizing all Ascend applications and related software/technology. | -Completes quality reviews on Clinical Assessors to ensure Division benchmarks are met. | -Conduct clinical assessments as needed Qualifications: | •RN, licensed in New York | •Minimum of 5 years of experience working with persons with a variety of physical and behavioral health needs | •Working knowledge of the SSA Sequential Evaluation process | •Working knowledge and understanding of behavioral health diagnoses, psychotropic medications, medical diagnoses and prescribed medications | •Strong project management, analytical, organizational, supervisory and interpersonal skills | -Assists the manager with continual process improvement initiatives by monitoring assigned workflow and processes and providing feedback to the manager about ways to refine and optimize them. | -Works collaboratively and effectively with IT to ensure that product and service applications and technologies are optimized for contract compliance, productivity, and quality performance. | -Ensures that all employees and contractors understand and comply with HIPAA and privacy laws while utilizing all WeCARE applications and related software/technology. | -Completes quality reviews on clinical assessor employees to ensure benchmarks are met.
Job Locations US-ME-Augusta | US-ME-Augusta | US-ME-Lewiston | US-ME-Portland | US-ME-Bangor | US-ME-Auburn
Requisition ID 2022-77164
Maximus is currently looking for a Licensed Practical Nurse (LPN) Assessors to join our growing team.  As a Nurse Assessor, you will conduct person-centered assessments in accordance with contract directives, company processes, and contract requirements.  *Must be able to commute into and travel throughout counties within the state of Maine to conduct clinical assessments.  
Job Locations US-Remote
Requisition ID 2022-76990
Required:Master's degree in human services related field.Minimum of two (2) years of experience in mental health specifically ID/DD.Experience conducting assessments, preferably PASRR.
Job Locations US-NY-Jamaica
Requisition ID 2022-74547
POSITION SUMMARY: Conduct face to face biopsychosocial assessment to determine Functional Capacity Outcome (FCO) | | JOB RESPONSIBILITIES: | | 1.Gather and review supporting documentation in preparation of assessment | 2.Complete clinical assessment and re-assessments within required turnaround times | 3.Collect data, define problems, establish facts and draw valid conclusions for supporting a superior written rationale for review determination. | 4.Attends and participates in scheduled contract, committee, and all-staff meetings | 5.Uses independent clinical judgment to make defensible assessment decisions | 6.Collaborates with client on program needs to achieve desired outcomes | 7. Perform all job duties in compliance with Person First standards, HIPAA guidelines, and company confidentiality policies and procedures | 8. Works on assignments that are routine in nature, with responsibilities easily learned on the job. | 9. Communicates routine information in a clear and accurate way with internal & external contacts | | Skills/Experience: | •Minimum of 2 years’ experience working with persons with a variety of physical and behavioral health needs; required. | •Working knowledge of the SSA Sequential Evaluation process | •Ability to perform all job duties in compliance with Person First standards, HIPAA guidelines and company policies | •Working knowledge and understanding of behavioral health diagnoses, psychotropic medications, medical diagnoses, and prescribed medications | •Acquires job skills and learns applicable policies and procedures to complete routine tasks. | •Able to read, understand & perform assignments within prescribed guidelines. | • Excellent knowledge of diverse cultures and issues, with the ability to incorporate special needs into utilization review decisions | • Excellent ability to multitask while effectively performing job duties, which include prioritizing tasks; ensure all voice mail and email messages are monitored and responded to within 2 business hours of receipt | • Ability to work independently, as well as within a team while exhibiting excellent interpersonal skills | • Excellent written and verbal communication skills | • Ability to interact professionally and collegially with providers (hospital & nursing facility, physicians, community service workers, etc.), state contract officers, and coworkers while seeking or providing information | • Ability to collect data, define problems, establish facts, and draw valid conclusions for supporting a superior written rationale for review determination | • Excellent computer skills with experience in word processing, email and spreadsheets {Microsoft Word, Outlook and Excel preferred); ability to work with dual computer monitors, research information on the internet, utilize company resources/ tools stored on various systems | | Education Required: Master’s degree; required in Health, Human Services, Sociology, Psychology, or related field. Candidates must have a current and appropriate license(s) in the State of New York and be a Qualified Health Professional” | | (QHP) consists of the following license or a certified health professional: Registered Nurses (RN), Licensed Clinical Social Workers (LCSW), Certified Rehabilitation Counselors (CRC), Licensed Mental Health Counselors (LMHC) and/or other credentialed professionals as may be approved by HRA.
Job Locations US-ME-Augusta | US-ME-Augusta | US-ME-Lewiston | US-ME-Portland | US-ME-Bangor | US-ME-Auburn | US-VT-Burlington | US-VT-Rutland | US-NH-Manchester | US-MA-Boston | US-MA-Worcester...
Requisition ID 2022-76769
Maximus is currently looking for a Registered Nurse Assessor to join our growing team.  As a Nurse Assessor, you will conduct person-centered assessments in accordance with contract directives, company processes, and contract requirements.  *Must be able to commute into and cover one of the following counties within the state of Maine:  Cumberland, York, or Kennebec  
Job Locations US-Remote
Requisition ID 2022-76774
Maximus is currently looking for a Registered Nurse Assessor to join our growing team.  As a Nurse Assessor, you will conduct person-centered assessments in accordance with contract directives, company processes, and contract requirements.  *This is a remote position where you will be conducting telehealth assessments.  You will be permitted to wok from your home office.  The compensation for this position is $30 to $32 hourly.  
Job Locations US-Remote
Requisition ID 2022-76775
Maximus is currently looking for a Clinical Reviewer III to join our growing team.  As a Clinical Reviewer you will review clinical documentation and requests submitted by individuals and/or providers to determine appropriate level of care and/or prior authorization.  The compensation for this position is $20-28 per hour.  This is a work from home/remote position supporting the state of Maine in Eastern time zone. 
Job Locations US-TN-Franklin
Requisition ID 2022-76630
Perform document-based and telephonic utilization review for contracted services; screening for diagnosis or suspicion of serious mental illness and or intellectual disability, and medical necessity for short or long term nursing facility placement.
Job Locations US-NY-New York | US-NY-Bronx | US-NY-Jamaica | US-NY-Brooklyn | US-NY-Staten Island | US-NY-Manhattan
Requisition ID 2022-76703
Maximus is currently hiring Remote Registered Nurse (RN) UAS-Assessors to support the Conflict-Free Evaluation and Enrollment Center (CFEEC). The CFEEC serves the State of New York by conducting UAS assessments to determine eligibility for community-based long-term services. The Nurse will bring robust qualifications and a strong desire to contribute their knowledge and expertise to a meaningful program. This position is the front line ensuring consistent and accurate assessment are completed in a telehealth or in-home setting. As a large employer and Federal contractor, Maximus is subject to various vaccine mandates across our lines of business. Maximus is committed to complying with any applicable vaccine mandates. The specific vaccine requirements for this position will be outlined throughout the selection process. Individuals who believe they may qualify for a medical or religious accommodation will have the opportunity to apply for an accommodation following an offer of employment. What you will receive: - $15,000 retention bonus*- Salary ranges from $95,000 - $100,000 based on experience- Competitive health benefits and 401k - Flexible scheduling options- The opportunity to work primarily from home in a telehealth capacity or at in-home settings as necessary- Satisfaction in being able to assist New York residents with receiving a better quality of living through the NYIA program*Maximus is currently offering at $15,000 retention bonus paid over three (3) equal installments within the first 12 months of your employment. Ask your Recruiter for more details.Terms and conditions apply.
Job Locations US-WA-Tacoma
Requisition ID 2022-76328
Position is contingent upon contract award | | Registered Nurse will provide Referral Management (RM) activities which include timely review of Right of First Refusal (ROFR) requests, review of specialty care referrals, sustaining up-to-date Specialty Clinic Referral Review tools and booking guidance, comply with Referral and Authorization Business rules, tracking, and resulting of referrals, and full use of RM information management systems. Individual will conduct reviews for capacity, capability, medical necessary, deferral to network, and right of first refusal activities. | | UNIQUE MILITARY HEALTH CARE SYSTEM/PROCEDURES. | The CHCS, AHLTA, MHS GENESIS, RMS, ESSENTRIS, ICD-B programs must be utilized for referral management services. Access will be granted by local MTF connectivity and the contractor shall comply with MHS communications and Government IT security standards and policies. The military facility will provide system accounts for MSS personnel after required training and security procedures have been completed by the contractor. If the MHS processes move away from specified systems, the government will modify the contract accordingly. | | DUTIES/RESPONSIBILITIES: | •Review all details of referral for suitability, administrative and clinical completeness, and required tests and pre-work for disposition per IRMAC guidelines. Keeps abreast of facilities’ services, medical treatment capabilities and capacity for Product Lines/Specialties assigned. Proactively collaborates with MCSC, Product Line Leaders, RM, Appointing Center(s), other members of the healthcare team and MTF points of contact to address any process issues or concerns. Ensures consult processing is done within the established Access to Care guidelines to ensure patients are booked at the right time, with the right provider, at the right place of care. Ensures proper use of the Direct Care System and civilian network resources. | •Reviews referrals within the established guidelines from a market approach utilizing CHCS, AHLTA, HAIMS, Essentris, Managed Care Support Contract Portal and other EHR's or databases when needed. Develops, maintains and updates as needed referral review tools. Collaborates with IRMAC Booking Protocol Liaison, Product Line Leaders, and other points of contact as needed to ensure booking protocols for assigned product lines are up to date. | •Understands, and acts as subject matter expert of the deferral process (when to defer for distance, capacity, capability, second opinion, command directed, continuity of care). Utilizes deferral codes appropriately. | •Understands access to care standards within the direct care system. Collaborates with manage care support contractor staff when civilian care is warranted. | •Demonstrates ability to verify patients' eligibility in the DEERS and that they are registered in CHCS. If patient is not showing as registered in CHCS and/or DEERS eligible, the contact information for DEERS, the Managed Care Contractor for Tricare and the Benefits Counseling Assistance Coordinator is provided. | •Accesses MCSC’s portal to complete referral reviews, address referral reconciliations, assist patients, MTF or IRMAC staff, or other members of the healthcare team. | •Performs accurate data entry and attention to detail. | •Elevates patients’ concerns, more complex clinical cases to team lead, Product Line leadership, or RM leadership as appropriate. Collaborates with Product Line leadership, clinic POCs in efforts to optimize direct care resources for the identified high acuity, high cost cases or care for active duty service members. | •Communicates with ordering providers/clinic team to clarify and/or seek information in efforts to process referrals per the guidelines established. This may also include engaging Product Line leadership or on call specialty clinic staff. Facilitates provider to provider communication for other than routine referrals per the guidelines established. | •Orients and trains IRMAC staff about the Referral Management review/referral management processes and timeliness. Serves as advisor to non-clinical staff assigned to his/her team. | •Demonstrates ability to provide clinical nursing expertise and referral management guidance to patients, clinical and administrative staff. | •Advises patients of their referral status. This may include providing references for benefit counseling assistance and/or patient advocacy. Advises of Line-of-Duty issues as it relates to referral management. | •Teams with RMC staff in providing, assessing, and improving a wide variety of customer service relations. | •Ensures that Referral Management Coordinators abide by Referral Management and Appointing booking protocols. Assists IRMAC Chief of RM to ensure Health Service Inspection standards are met at the operational level. | •Receives and makes telephone calls and computer/written correspondence regarding specialty clinic appointments and referrals. Routinely monitors and processes referral management CHCS queues (Genesis when applicable) to ensure consults are being processed within the established guidelines. Produces, monitors, analyzes and tracks Referral Management and Product Lines’ reports to ensure timely review, areas requiring focus, processes and closes referrals as per Referral Management guidelines, DHA IPM, NCR MD policies and notifies ordering provider accordingly. | •Obtains pertinent information from patients/callers and enters data in CHCS, AHLTA, MHS GENESIS, Referral database, and other office automation software programs as appropriate. | •Acts as an approval authority for all active duty and reserve/guard referrals under the supplemental health care program. Coordinates with Medical Director, Product Line leaders, and/or RM leadership for all active, reserve and guard referrals not covered under the TRICARE benefit for approval. Verifies eligibility of beneficiaries using DEERS and initiates/coordinates communication between beneficiaries, the MCSC, team members, internal staff and providers, network/outside providers and ancillary health care workers. | •Demonstrates ability to utilize InterQual, Milliman Ambulatory Care Guidelines or other evidence-base guidelines identified by the MHS, DHA to perform medical necessary reviews. | •Reviews and maintains ROFR referrals into CHCS and database within the established guidelines for proper processing in attempts to recapture workload from the network to the MTF. Produces, monitors and tracks reports from databases related to ROFRs or referrals in general. | •Participates in in-services, Product Line meetings, staff and continuing education programs. May be asked to brief/educate customers such as but not limited to MTFs, MCSC, RM and Appointing staff. | •Establishes and maintains good interpersonal relationships with co-workers, families, peers, and other health team members. Submits all concerns through Team Lead/RM leadership. Be able to identify, analyze, and make recommendations to resolve problems and situations regarding referrals. | •Serves as a liaison between MTF providers, civilian network facilities, IRMAC, MCSCs and providers, other health care personnel, and members of utilization and referral management services, on matters relating to consultation and referral management processes. | •Be productive and demonstrate critical thinking skills to be able to perform with minimal supervisory direction. Be able to independently identify, plan, and carry out projects with consideration for the goals and objectives of the IRMAC policies. Recommendations for improvement are based upon analysis of work, data, review of policies/business rules, processes/procedures and application of guidelines. | •Performs additional duties that support the referral management process under the direction/guidance of team lead, and/or IRMAC RM Leadership. Assist with other duties not specified but within scope of and related to RM/ROFR/Healthcare navigation. | •Manages and utilizes multiple complex computer systems for appointment scheduling. Provides preappointment instructions to patients as well as the details regarding their specialty appointment (i.e. date/time, provider, location, and pre-requisites such as lab, rads, etc.). | •On occasion is able to take on team lead responsibilities as requested by the referral management team lead/IRMAC leadership. | •Assists Medicare beneficiaries in coordinating their medical care within the Direct Care System. This includes scheduling appointments, ensuring pre-requisites are completed prior to specialty care appointments. | •Assists Medicare beneficiaries when civilian care is warranted by providing resources to patients to facilitate this process. | •Travels within the National Capital Region to attend meetings/conferences/briefs as requested. | •Provides information about EPRO to requestors outside the NCR requesting care within the NCR. | •Collaborates with the EPRO office or other MTFs as needed to send or receive referrals outside of the NCR. | •Attends and is an active participant in trainings and in-services. | | KNOWLEDGES AND SKILLS | •Knowledge, skills and computer literacy to interpret and apply medical care criteria, such as InterQual, Milliman Ambulatory Care Guidelines, Specialty Referral Guidelines (SRGs) or other evidence-base guidelines identified by the MHS. | •The Contractor must have a working knowledge of medical terminology, MHS, VA-DOD Sharing Program, TRICARE, HIPAA, release of medical information. Demonstrates ability to manage a high-performing and efficient team. | •Possess excellent oral and written communication skills, interpersonal skills, superior customer service, leadership, and organizational skills. Have working knowledge of computers, specifically the Internet, Microsoft Word, Microsoft PowerPoint, Microsoft Access, Microsoft Excel, and Windows. | •License/certification. Current, active, full, and unrestricted License to practice Nursing in accordance with State Board requirements. Nurse applicants must be a current U.S. licensed Registered Nurse. | •License cannot be under investigation nor have any adverse action pending from a Nursing State Board or national licensing/certification agency. All licenses must remain current, valid and unrestricted during contract employment. | •Experience. Six years of clinical nursing experience is required. Intensive Care Unit (ICU), RM and Utilization Management (UM) experience is preferred. Full time employment in a nursing field within the last 48 months is mandatory. | •Equivalent combinations of education and experience may be qualifying if approved by the requesting location and the Contracting Officer. If education or experience is used to meet the specialized requirements of this position, it must be directly related to referral/utilization management in the Military Health System. | •Work Environment/Physical Requirements. The work can be sedentary. However, there may be some physical demands. Requirements include standing, sitting or bending. Walking may be required throughout the workplace and other Military facilities. | | EDUCATION: | •The Licensed Registered Nurse shall possess a Baccalaureate of Science in Nursing Program from a school accredited by the National League of Nursing.
Job Locations US-NY-Brooklyn | US-NY-Bronx | US-NY-Jamaica | US-NY-Staten Island | US-NY-Manhattan | US-NY-Cortland | US-NY-Utica
Requisition ID 2022-76572
Maximus is currently seeking a Lead Registered Nurse to provide outstanding home assessment services to vulnerable populations and meet position qualifications to support the Conflict-Free Evaluation and Enrollment Center (CFEEC). The CFEEC serves the State of New York by conducting a UAS assessment to determine eligibility for community-based long-term services. In this role, the nurse will have the opportunity to conduct home assessments and develop leadership skills by supporting the Regional Nurse Manager and a team of Nurse Assessors.   *This position is remote and will support a regional area in New York State. The position requires attending and conducting assessments in consumer homes or through a telehealth modality. About the positionIf you are passionate about providing outstanding home assessment services to vulnerable populations and meet position qualifications, then we are excited to meet you!  In this role, you’ll have the opportunity to conduct home assessments and develop leadership skills by supporting the Regional Nurse Manager and a team of Nurse Assessors. We offer competitive benefits and the opportunity to grow in a supportive and collaborative work environment.  Take the next step in your career journey today and join our growing team! What you will receive- Schedule flexibility - Salary ranges from $88,000 - $106,000 based on experience and location- Competitive health benefits and 401k - The opportunity to work primarily from home- Satisfaction in being able to assist New York residents with receiving a better quality of living through the NYIA program
Job Locations US-NY-New York | US-NY-Bronx | US-NY-Brooklyn | US-NY-Jamaica | US-NY-Staten Island | US-NY-Rochester | US-NY-Buffalo | US-CT
Requisition ID 2022-76573
Maximus is currently seeking a Clinical Operations Manager to support the Independent Practitioner Panel, which completes assessment reviews and issues practitioner orders for New Yorkers who qualify for long-term in-home care.  The Clinical Operations Manager will lead and support medical professionals who ensure that some of New York State’s most vulnerable populations receive relevant, timely and quality healthcare services.  *This position is remote and can reside in New York, Connecticut, or New Jersey but will support a regional area in New York State. About the PositionMaximus administers the Independent Practitioner Panel, which completes assessment reviews and issues practitioner orders for New Yorkers who qualify for long-term in-home care.  This is an exciting new program that directly contributes to positive long-term outcomes for vulnerable populations in New York State. *As a large employer and Federal contractor, Maximus is subject to various vaccine mandates across our lines of business. Maximus is committed to complying with any applicable vaccine mandates. The specific vaccine requirements for this position will be outlined throughout the selection process. Individuals who believe they may qualify for a medical or religious accommodation will have the opportunity to apply for an accommodation following an offer of employment.
Job Locations US-TX-Brownsville
Requisition ID 2022-76099
Job Summary: The VA Clinical Contact Center Nurse Supervisor is a registered nurse (RN) with collegiate preparation from an accredited nursing program, experience managing RNs and other staff, and experience providing telephone triage services. The Nurse Supervisor is responsible for supervision of the daily activities of their direct reports, and providing coaching and development as needed in a call center setting during off hours on weekends, holidays, evenings and nights (WHEN) hours. Nurse Supervisors are also responsible for providing triage, referrals, and patient care recommendations utilizing approved algorithm software. | | Essential Job Duties and Responsibilities: | •Manages a team of nurses and oversee their daily work. | •Provides real-time coaching, career development, and plans for improved performance for direct reports. | •Implements operational policies and procedures based on observations. | •Observes and follows company policies and procedures and holds subordinates accountable for following company policies and procedures. | •Completes daily and weekly administrative deliverables, including progress reports, coaching summaries, and performance evaluations. | •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. | | | | •Manage real-time monitoring of agents in Genesys, notification of unscheduled agents activities, adherence to schedule, and overall agent performance. | •Perform operational tasks to assure project and program service level requirements and goals are met, including analyzing direct reports’ quality performance and trending call types, and providing coaching on a regular basis. | •Take incoming calls during high volume intervals (AHOD-All Hands on Deck). | •Work Schedule: Evenings and Nights shifts, alternating coverage including weekend, holidays, and day shifts. | •Performs other duties as assigned by management. | | Education and Experience Requirements: | •Experience in ICU, ED, and/or Telephone Triage is preferred. | •Bachelor’s degree or equivalent required. | •Five (5) years’ clinical direct patient care experience required. | •Two (2) years of leadership experience required. | •Strong organization, teamwork, and interpersonal skills. | •Strong verbal and written communication skills are critical when responding to inquiries. | •Strong customer focus with ability to maintain customer rapport. | •Able to work in a fast-paced environment with focus on productivity and accuracy. | •Proficient in the use of Microsoft Office products | •Must be proficient in spoken and written English. | | 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 Locations US-NY-New York
Requisition ID 2022-75955
The Clinical QA Manager leads an efficient and effective clinical quality assurance program that identifies opportunities for improvement and develops quality improvement initiatives to deliver and ensure ongoing quality assurance throughout the IPP project.  This position works collaboratively with program leadership and colleagues to ensure alignment with program objectives and share and adopt best practices across programs. A team of Quality Assurance staff report to this position.  The Clinical QA Manager ensures that the team of Quality Assurance staff is equipped with the training and expertise to support the IPP program.
Job Locations US-NY-Manhattan | US-NY-Brooklyn | US-NY-Bronx | US-NY-Staten Island | US-NY-Jamaica
Requisition ID 2022-75983
Maximus is currently hiring for Regional Nurse Managers to support the Conflict-Free Evaluation and Enrollment Center (CFEEC). The CFEEC serves the State of New York by conducting a UAS assessment to determine eligibility for community-based long-term services.  The Regional Nurse Manager will have the opportunity to lead and support a team of RNs who are on the frontline of ensuring that some of New York State’s most vulnerable populations receive relevant, timely and quality healthcare services.   *This position is remote and will support a regional area in New York State.  About the Conflict-Free Evaluation and Enrollment Center (CFEEC)The Conflict-Free Evaluation and Enrollment Center (CFEEC) serves the State of New York by conducting a UAS assessment to determine eligibility for community-based long-term services.  The outcome of the assessment informs whether the individual qualifies for in-home services. We are rapidly expanding and have numerous exciting opportunities across the state. About the PositionWe are currently hiring for Regional Nurse Managers. If you are a Registered Nurse looking to advance your career on a management track, this leadership position may be ideal for you. You’ll have the opportunity to lead and support a team of RNs who are on the frontline of ensuring that some of New York State’s most vulnerable populations receive relevant, timely and quality healthcare services. You’ll grow professionally as you deepen your leadership and management skills in a hands-on, collaborative, and dynamic work environment. *As a large employer and Federal contractor, Maximus is subject to various vaccine mandates across our lines of business. Maximus is committed to complying with any applicable vaccine mandates. The specific vaccine requirements for this position will be outlined throughout the selection process. Individuals who believe they may qualify for a medical or religious accommodation will have the opportunity to apply for an accommodation following an offer of employment.
Job Locations US-NY-New York | US-NY-Brooklyn | US-NY-Jamaica Queens | US-NY-Bronx | US-NY-Rochester | US-NY-Staten Island | US-NY-Buffalo | US-NY-Manhattan
Requisition ID 2022-75875
Maximus is currently hiring for RN Quality Assurance Specialists to support the Conflict-Free Evaluation and Enrollment Center (CFEEC). The CFEEC serves the State of New York by conducting a UAS assessment to determine eligibility for community-based long-term services.  The Quality Assurance Specialist will bring robust qualifications and a strong desire to contribute their knowledge and expertise to a meaningful program.  Specialists are on the front line of ensuring consistent and accurate assessment results by reviewing assessments and communicating with Nurse Assessors. About the Conflict-Free Evaluation and Enrollment Center (CFEEC)The Conflict-Free Evaluation and Enrollment Center (CFEEC) serves the State of New York by conducting a UAS assessment to determine eligibility for community-based long-term services. The outcome of the assessment informs whether the individual qualifies for in-home services. We are rapidly expanding and have numerous exciting opportunities across the state! About the PositionWe are hiring for Quality Assurance Specialists!  As a member of the CFEEC QA team, you'll bring robust qualifications and a strong desire to contribute your knowledge and expertise to a meaningful program.  The Department is composed of small teams of QA Nurse Specialists, each led by a supportive Supervisor.  Specialists are on the front line of ensuring consistent and accurate assessment results by reviewing assessments and communicating with Nurse Assessors.  We're looking for team members with great attention to detail and strong communication skills.  If this sounds like you, we're looking forward to meeting you!  *As a large employer and Federal contractor, Maximus is subject to various vaccine mandates across our lines of business. Maximus is committed to complying with any applicable vaccine mandates. The specific vaccine requirements for this position will be outlined throughout the selection process. Individuals who believe they may qualify for a medical or religious accommodation will have the opportunity to apply for an accommodation following an offer of employment.
Job Locations US-Remote
Requisition ID 2022-75902
Perform document-based and telephonic utilization review for contracted services; screening for diagnosis or suspicion of serious mental illness and or intellectual disability, and medical necessity for short or long term nursing facility placement.
Job Locations US-NY-New York | US-NY-Brooklyn | US-NY-Bronx | US-NY-Staten Island | US-NY-Jamaica | US-NY-Buffalo | US-NY-Manhattan | US-NY-Rochester
Requisition ID 2022-75758
Maximus is currently hiring for a RN Quality Supervisor to support the Conflict-Free Evaluation and Enrollment Center (CFEEC). The CFEEC serves the State of New York by conducting a UAS assessment to determine eligibility for community-based long-term services.  The Quality Assurance Supervisor will bring robust qualifications and a strong desire to contribute their knowledge and expertise to a meaningful program.   About the Conflict-Free Evaluation and Enrollment Center (CFEEC)The Conflict-Free Evaluation and Enrollment Center (CFEEC) serves the State of New York by conducting a UAS assessment to determine eligibility for community-based long-term services. The outcome of the assessment informs whether the individual qualifies for in-home services. We are rapidly expanding and have numerous exciting opportunities across the state! The six (6) month time in title requirement has been waived for this position for internal staff. 

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