Clinical Reviewer, LPN (Remote)
Description & Requirements Maximus is hiring a Clinical Reviewer, LPN to support the IN LCAR program. In this vital role, you'll play a key part in evaluating clinical service requests and ensuring alignment with state, federal, and contractual guidelines. About the Program: The Indiana Level of Care Assessment and Referral (IN LCAR) program is a statewide initiative focused on evaluating and determining the appropriate level of care for individuals seeking long-term services and support. The program ensures that individuals receive assessments tailored to their needs, facilitates connections to the appropriate resources, and supports efficient transitions between care settings. As part of a collaborative team, professionals in this program play a critical role in improving access to services and promoting quality outcomes for the people of Indiana. This position will require working Monday through Friday, from 7:00 AM to 4:00 PM Central Standard Time. 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. -
- 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. Minimum Requirements - Current Licensed Practical Nurse (LPN) license valid in the state of practice is required - High School Degree or equivalent required - Minimum 1 year of clinical experience required - Active, unrestricted LPN licensed valid in Indiana, or compact License. - Minimum 2 years experience with mental health and psychiatric patients - Minimum 2 years experience with individuals diagnosed with IDD - Highly skilled using Microsoft Office - Ability to provide close attention to detail - Able to work independently, managing tasks without supervision, completing tasks in a timely manner. Preferred Requirements - Experience with MDS (Minimum Data Set) Home Office Requirements - Maximus provides company-issued computer equipment - Reliable high-speed internet service
- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
- Minimum 5 Mpbs upload speeds - Private and secure workspace #ClinicalServices EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Minimum Salary $ 23.00 Maximum Salary $ 30.00
Salary: USD 46000 - 62000 per year Experience: 3 years required