LPN Clinical Reviewer – (Remote)
Description & Requirements Maximus is hiring a Licensed Practical Nurse (LPN) to fill a Clinical Reviewer position to support the Connecticut PASRR Program. This role primarily conducts initial screenings to determine if a PASRR condition exists and if appropriate level of care exists for nursing facility services.
- Work Schedule: Monday - Friday 7:30 am to 4:00 pm Central Time Zone**
Enjoy a fully remote work environment! About the program: We partner with the Department of Social Services to perform Preadmission Screening and Resident Review (PASRR) for individuals who are applying to, or residing in, Medicaid-certified nursing homes. The primary goal of this federally mandated assessment is to determine whether the nursing home is the appropriate placement for individuals with mental illness, intellectual disabilities or developmental disabilities. PASRR also works as a critical function to help match individuals with the care and services they need. 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. - Diversity, Equity, and Inclusion Initiatives - Join a workplace committed to fostering diversity and inclusion. - 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 for its employees. 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. Required Skills/Abilities: - Preferred knowledge may include community support programs, long-term care assessment and level of care in medical, behavioral health or related programs - Knowledge and understanding of medical and/or behavioral health diagnoses and prescribed medications - Ability to collect data, define problems, establish facts, and draw valid conclusions - Excellent written and verbal communication skills - Excellent interpersonal and customer service skills - Proficient in Microsoft Office Suite - Excellent organizational skills and attention to detail - Ability to work in a fast-paced environment - Ability to work independently and meet timelines Minimum Requirements - Education and licensure requirements are based on program contract requirements and are outlined in job posting - High School Degree or equivalent required - Minimum 1 year of clinical experience required - LPN, RN, LCSW, or related licensure preferred and may be required based on contract requirements - High School Degree or equivalent with LPN technical program completion or an Associate's degree required - Active, unrestricted LPN license in Connecticut or a compact license required - 3 years of mental health experience required - 3 years of long term care experience required Preferred Skills: - PASRR experience - Time management #ClinicalServices #LI Remote 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 retir Apply tot his job Apply To this Job