Clinical Review Coordinator - RN/LPN - (Remote)

Description & Requirements

Maximus is hiring a Clinical Review Coordinator - RN/LPN (Remote) to support the IN LCAR program.

The Clinical Review Coordinator Nurse will review summaries of findings by reviewing various information sources to identify service needs related to the individual's mental health or intellectual and developmental disabilities (IDD).



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*This is a remote position.

About the program:

The State of Indiana Family and Social Services Administration (FSSA) has partnered with Maximus to manage the Indiana Level of Care Assessment Representative (LCAR) Services.

this portfolio of services brings a comprehensive, integrated approach to Level of Care (LOC) assessment processes.

Maximus provides online PASRR Level I and Level II IDD screening and online Level of Care utilization review for long-term care populations across Indiana.

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.

- •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

- Educati...