Clinical Reviewer - (Hybrid/Remote - Illinois)

Description & Requirements

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 role includes periodically conducting quality control reviews of field assessors' work to ensure accuracy and compliance.

Additionally, the Clinical Reviewer will perform in-person field assessments as required.

Candidates must be available to work a schedule of Tuesday through Saturday, with shifts from either 9:00 AM to 5:30 PM CST or 10:00 AM to 6:30 PM CST.

Travel is on an as-needed basis and may occasionally reach up to 85% to conduct in-person interviews and assessments

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.

Essential Duties and Responsibilities:
- Responsible for completing medical and/or behavioral health assessments within contract requirements
- Conducts on-site, video call and/or telephonic assessments to determine an individual's needs for services and supports, eligibility, level of care or related outcome
- Perform all job duties in compliance with Person First standards, HIPAA guidelines, and company confidentiality policies and procedures.
- Travel may be required based on program contract requirements
- Performs other related duties as assigned.

- 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 d...