Remote Licensed Practical Nurse (LPN)

Maximus is hiring a Licensed Practical Nurse to fill a Clinical Coordinator position. This role reviews clinical documentation and requests submitted by individuals and/or providers to determine appropriate level of care and/or prior authorization. The LPN Clinical Coordinator will be responsible for the LEVEL 1 PASRR Queue 50% for Delaware and 50% for Illinois.

Why Maximus?

• 401K plan with company matching
• Paid Time Off
• Quarterly Bonus Opportunities
• Employee Assistance Program (EAP) for your well-being
• Employee wellness programs and enticing discount programs

*This position has a Tuesday – Saturday work schedule; 8am- 4:30pm.

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
• Checking for previously completed PASRR Assessments
• Make clinical recommendations
• Performs other related duties as assigned

Required Skills/Abilities:

• Preferred knowledge may include community support programs, longterm 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
• Great clinical judgment skills
• Excellent time management skills

Education and Experience:

• Active, unrestricted LPN Licensure required
• 2 years of Mental Illness experience required
• 2 years of IDD experience required

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

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Since 1975, Maximus has operated under its founding mission of Helping Government Serve the People, enabling citizens around the globe to successfully engage with their governments at all levels and across a variety of health and human services programs. Maximus delivers innovative business process management and technology solutions that contribute to improved outcomes for citizens and higher levels of productivity, accuracy, accountability and efficiency of government-sponsored programs. With more than 30,000 employees worldwide, Maximus is a proud partner to government agencies in the United States, Australia, Canada, Saudi Arabia, Singapore and the United Kingdom. For more information, visit https://www.maximus.com.

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 are 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 retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. Maximus is an Affirmative Action/Equal Opportunity Employer. Maximus provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status.