Clinical Review Coordinator - Limited Service - (Remote)

Description & Requirements

Maximus is seeking a committed and detail-oriented Clinical Review Coordinator to ensure the quality and accuracy of assessments and clinical operations.

This role is predominantly focused on writing, with 80% dedicated to drafting determination reports that are essential for documenting critical recommendations and eligibility decisions.

The remaining 20% involves reviewing clinical documentation for completeness, ensuring adherence to contract standards, and providing valuable input to maintain our high quality standards and support the overall quality of our services.

We are seeking professionals with the following credentials: LCSW, LMSW, LCT, LMFT, or equivalent licensures.

This position requires a master's degree in psychology, social work, counseling, or a related field, and at least four years of experience in the mental health or social services sectors, including reviewing clinical assessments.

Additionally, a minimum of four years' experience working specifically with child and adolescent mental health is required.



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*This is a remote position.

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:
- Responsible for reviewing documentation and/or assessments and applying clinical criteria to complete determinations, approvals or recommendations.
- Determine need for and obtain any additional information required to complete actions.
- Determine when escalation or consultation is required with supervisor, p...