Part Time Registered Nurse (RN) / Social Worker (LCSW) - Remote

Company: MAXIMUS
Location: San Diego
Posted on: March 20, 2023

Job Description:

The Part Time Senior Clinical Coordinator role reviews clinical documentation and requests submitted by individuals and/or providers to determine appropriate level of care and/or prior authorization.*This is a REMOTE position but must have North Carolina licensure or Compact licensure.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 assignedREQUIRED 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 timelinesEDUCATION AND EXPERIENCE:
    • North Carolina LCSW, LCMHC or equivalent
    • OR RN license
    • Active, unrestricted licensure in the state of North Carolina or compact licensure required
    • LCSW or LCMHC required education- Masters
    • Minimum 4 years of clinical experience requiredHOME 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 workspaceMAXIMUS INTRODUCTIONSince 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.EEO STATEMENTSince 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.PAY TRANSPARENCYMaximus 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.POSTED MIN - USD $21.15/Hr.POSTED MAX - USD $32.00/Hr.

Keywords: MAXIMUS, San Diego , Part Time Registered Nurse (RN) / Social Worker (LCSW) - Remote, Healthcare , San Diego, California