About the position
Maximus is hiring a Clinical Reviewer to support the Illinois SALT program. The Clinical Reviewer is responsible for evaluating assessments and making determinations regarding individuals' needs for additional supports and services. This is a remote position requiring Illinois residency, and follows a schedule of four 10-hour days, Thursday through Sunday. 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. Continues to expand assessment services in the state.
Responsibilities
• Responsible for reviewing documentation and/or assessments and applying clinical criteria to complete determinations, approvals or recommendations.
• Determine need for and obtain any additional information required to complete actions.
• Determine when escalation or consultation is required with supervisor, physician or related medical or related clinical discipline.
• Complete reports or documentation in accordance with contract requirements.
• Performs other related duties as assigned.
Requirements
• 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.
• Master's degree in Social Work, Mental Health, or a related field OR an active and unrestricted Nursing or compact Illinois state license.
• Minimum 2 years post-graduate work experience in the mental health field.
• Minimum 2 years experience conducting mental health assessments.
• Highly skilled using Microsoft office.
Nice-to-haves
• Demonstrates outstanding interpersonal and verbal communication skills.
• Demonstrates strong proficiency in written communication, producing concise and impactful documentation.
• IM+CANS certification or willingness to obtain IM+CANS certification.
Benefits
• 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.
• Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
• Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
• Enjoy PTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage.
• Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
• Acknowledge and appreciate outstanding employee contributions.
• Tuition Reimbursement - Invest in your ongoing education and development.
• Additional benefits and discounts exclusively for employees.
• Access a range of wellness programs and resources tailored to your needs.
• Participate in training programs, workshops, and conferences.
• Maximus assumes the expenses associated with renewing licenses and certifications for its employees.