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Job Locations US-Remote
Requisition ID 2023-89489
Maximus is currently hiring for a Training Specialist to provide training for new hire RN classes for the Independent Assessor project. The incumbent evaluates training effectiveness and adapts methods and materials accordingly. The incumbent works independently and/or collaborates with clinical team leaders and clinical training supervisors to develop new training and models of delivery. **This is a full time, remote position that can be located anywhere in the United States About the New York Independent Assessor (NYIA): The New York Independent Assessor (NYIA) program assesses people who have chronic illnesses or disabilities for their eligibility for community based long term services and supports and assists them to enroll in Managed Long Term Care health plans.
Job Locations US-NY-New York
Requisition ID 2023-89405
Maximus is currently hiring for a Lead Intake Support Coordinator to support our C-YES (Children and Youth Evaluation Services) Program.The Lead Intake Family Support Coordinator works closely with their assigned Family Support Coordinator team to support the case management and provide support to team supervisor. The Family Support team is the ‘face’ of the Children Youth Evaluation Service (C-YES) for Help-line callers, consumers, State partners and referring providers. This position will create referral records and conduct consistent follow up to ensure efficient processing of all new referrals. The incumbent will monitor the C-YES Helpline and provide answers to basic questions about the C-YES program, knowing when to take a message and escalate to a supervisor or the assigned FSC. The ideal candidate will have excellent verbal communication skills and a passion to provide superior customer service. The position will be office-based with all consumer/referent support occurring via telephone in a call center environment.
Job Locations US-Remote
Requisition ID 2023-89419
Conversion for Maria Grisanti
Job Locations US-NY-Holtsville | US-NY-Uniondale | US-NY-Holtsville | US-NY-Hauppauge | US-NY-Riverhead
Requisition ID 2023-89420
Maximus is currently seeking a Lead Registered Nurse to provide outstanding home assessment services to vulnerable populations and meet position qualifications to support the New York Independant Assessor Program (NYIA).  The NYIA Program 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 City. 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 $100,000 - $104,000 based on experience and location- Travel reimbursement provided- Competitive health benefits and 401k - The opportunity to work 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-Remote
Requisition ID 2023-89359
Appeal Officer / Health Care Attorney (Remote) Maximus Federal | | This position will support clinical consulting service programs for state clients with long-term relationships with Maximus - including the California Department of Managed Health Care and California Department of Insurance. Programs cover multiple subject areas including benefit coverage disputes, billing disputes, and medical consulting. This position involves purely transactional work. It does not involve any litigation. | | This is an exciting opportunity to join our team! | | The Appeal Officer (Health Care Attorney) will conduct a careful analysis of medical records and expert reviewer findings to assess eligibility for coverage and ensure the appropriate determination is reached. | | Primary Responsibilities: | •Review cases to identify and summarize key facts of each case and assess medical and legal issues involved in the case | •Research issues using California law, California regulations, current peer-reviewed medical literature, clinical guidelines, and other sources as defined by the client contract | •Determine the adequacy of medical records and request relevant medical records as needed | •Communicate the determination in a succinct written format | •Exercise independent judgment to ensure determination is accurate, well-supported, and defensible. | Minimum Qualifications: | •Significant experience in Health Care Appeals, Pharmacy Claims, Behavioral Health Treatment, or other related fields | •Ability to successfully execute many complex tasks simultaneously and prioritize tasks according to urgency | •Ability to respond to the needs of outside contacts | •Working knowledge and use of PC, claim adjudication, MS Word and Excel software, and appeals system software | •Must be able to work as a part of a team as well as independently, and promote positive company relations | •Excellent organizational, interpersonal, written, and verbal communication skills | •JD Required | •Familiarity with medical terminology and/or medical record review required | •Familiarity with California health care law/Knox Keene Act and managed health care preferred | | Remote Assignment Requirements: | •Conduct daily activities and supervisor communications as if the employee were in an office location | •Must be accessible by phone, e-mail, IM, or voice mail within a reasonable time period during the agreed-upon work schedule | •Check e-mail, voice mail, and IM for updates throughout the agreed-upon work schedule timeframe | •Other members of the Remote Worker’s family and visitors to the Remote Worker’s home may not use Maximus equipment | •Make appropriate work arrangements that maintain separation between the employee’s private life and business activities | •An established and demonstrated safe and quiet home work environment (as defined by the Remote Worker PI Policy and the Remote Worker Privacy and Security Checklist) | •Ability to use and maintain reliable internet service (Broadband/Cable internet is recommended with 80 megabits download capability)
Job Locations US-Remote
Requisition ID 2023-89098
Maximus is currently hiring for a Director of Nursing! This position reports to the Senior Director - Clinical Assessment and will provide operational support for our New York Independent Assessor (NYIA) Program. About the New York Independent Assessor Program (NYIA):The NYIA Program serves the State of New York by conducting a UAS assessment to determine eligibility for community-based long-term services. The Director of Nursing will bring robust qualifications and a strong desire to contribute their knowledge and expertise to a meaningful program.  This position is fully remote and located in the state of New York. Local travel within the state of New York may be required for business and training purposes.
Job Locations US-Remote | US-NY-Bronx | US-NY-Brooklyn | US-NY-Jamaica | US-NY-Staten Island | US-NY-Rochester | US-NY-Buffalo
Requisition ID 2023-88784
Maximus is currently hiring a Clinical Operations Director to work with 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 Director builds and leads the Clinical Operations Department (composed of Nurse Practitioners and Physician Assistants), with the support of collaborative colleagues and staff.This position is full time and fully remote in the state of New York. 
Job Locations US-Remote
Requisition ID 2023-89079
Maximus is currently hiring for a Remote Clinical Quality Assurance Manager.  This position requires an active Registered Nurse License in the state of New York.  The Clinical QA Manager-RN 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 team of Quality Assurance staff are equipped with the training and expertise to support the IPP program.
Job Locations US-CA-San Diego | US-CA-Anaheim | US-CA-Los Angeles | US-CA-San Diego | US-CA-Riverside
Requisition ID 2023-88975
Maximus is currently seeking a Licensed Clinical Professional Counselor (LPCC) - Clinical Case Manager to support the California Recovery Program. This program is a monitoring program for people with chemical dependency.   This is a mostly remote position located in California. Some travel required.
Job Locations US-CA-San Diego | US-CA-Anaheim | US-CA-Los Angeles | US-CA-San Diego | US-CA-Riverside
Requisition ID 2023-88974
Maximus is currently seeking a Licensed Marriage and Family Therapist (LMFT) -Clinical Case Manager to support the California Recovery Program. This program is a monitoring program for people with chemical dependency.   This is a mostly remote position located in California. Some travel required.
Job Locations US-CA-San Diego | US-CA-Anaheim | US-CA-Los Angeles | US-CA-San Diego | US-CA-Riverside
Requisition ID 2023-88973
Maximus is currently seeking a Licensed Clinical Social Worker (LCSW)- Clinical Case Manager to support the California Recovery Program. This program is a monitoring program for people with chemical dependency.   This is a mostly remote position located in California. Some travel required.
Job Locations US-CA-San Diego | US-CA-Anaheim | US-CA-Los Angeles | US-CA-San Diego | US-CA-Riverside
Requisition ID 2023-88972
Maximus is currently seeking a Registered Nurse (RN) - Clinical Case Manager to support the California Recovery Program. This program is a monitoring program for people with chemical dependency.   This is a mostly remote position located in California. Some travel required.
Job Locations US-IL-Chicago
Requisition ID 2023-88964
Maximus is currently hiring for a Clinical Assessment Coordinator. The Clinical Assessment Coordinator reviews assessments and clinical operations for completeness, accuracy, and adherence to contract clinical standards. Based on contract, you may be required to complete reports, recommendations, or eligibility determinations based on contract clinical standards. The incumbent will complete desk-based contract assessments as assigned.Monday- Friday work scheduleThis position is located in Cook County, IL and requires up to 90% travel throughout Cook County, IL. 
Job Locations US-ME-Rockland
Requisition ID 2023-88818
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.  In this role, there is no direct hands-on care. We assess individuals in homes, facilities, and group homes for Long Term Care needs and facility placement. *Must be able to commute into and cover one of the following counties within the state of Maine: York, Cumberland, or Somerset Why join Maximus?- Competitive Health Benefits- 401k with Company Match- Paid accrued Sick Leave and 11 paid Holidays- Employee Assistance Program (EAP)- Employee Wellness and Discount Programs
Job Locations US-ME-Rockland
Requisition ID 2023-88819
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.   In this role, there is no direct hands-on care. We assess individuals in homes, facilities, and group homes for long term care needs and facility placement. *Must be able to commute into and cover one of the following counties within the state of Maine: Knox, Cumberland, or Somerset Why join Maximus?- Competitive Health Benefits- 401k with Company Match- Paid accrued Sick Leave and 11 paid Holidays- Employee Assistance Program (EAP)- Employee Wellness and Discount Programs
Job Locations US-NY-New York | US-NY-Brooklyn | US-NY-Bronx | US-NY-Staten Island | US-NY-Jamaica | US-NY-Albany | US-NY-Rochester | US-NY-Buffalo | US-NY-Syracuse | US-NY-Yonkers | US-NY-Manhattan...
Requisition ID 2023-88827
Maximus is currently hiring for Regional Nurse Managers to support the New York Independent Assessor Program (NYIA). The NYIA Program serves the State of New York by conducting UAS assessments 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 PositionIf 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. 
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 2023-88838
Maximus is currently hiring for RN Quality Assurance Specialists to support the New York Independent Assessor Program (NYIA)! This position is fully remote and located in the state of New York. About the New York Independent Assessor Program (NYIA):The NYIA Program 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 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! 
Job Locations US-NY-New York | US-NY-Brooklyn | US-NY-Bronx | US-NY-Staten Island | US-NY-Jamaica | US-NY-Rochester | US-NY-Buffalo | US-NY-Albany | US-NY-Rochester | US-NY-Syracuse | US-NY-Manhattan...
Requisition ID 2023-88785
Maximus is currently seeking Quality Assurance Analysts 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 Analyst is responsible for reviewing assessments to ensure accuracy and consistency and collaborating with other program staff.   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. 
Job Locations US-NY-New York | US-NY-Albany | US-NY-Buffalo | US-NY-Rochester | US-NY-Syracuse | US-NY-Long Island City | US-NY-Riverhead | US-NY-Yonkers | US-NY-New Rochelle | US-NY-Schenectady | US-NY-Utica | ...
Requisition ID 2023-88833
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, 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.  
Job Locations US-IL-Highland Park | US-IL-Grove Road
Requisition ID 2023-88751
Maximus is currently hiring for a Clinical Assessor (SMHRF Assessments and PASRR Follow Up Visits).The Clinical Assessor conducts assessments and follow up visits with accuracy and adherence to contract clinical standards. Based on contract, you may be required to complete reports, recommendations, or eligibility determinations based on contract clinical standards. The incumbent completes desk-based contract assessments as assigned.This position requires up to 75% travel throughout Southern Lake County and Northern Cook County, IL. 

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