Regional Nurse Manager (Remote, NY)

Description & Requirements

Maximus is currently hiring a Regional Nurse Manager!

The Nurse Manager is responsible for supervising the Nurse Evaluators in designated regions, reviewing clinical documentation for completeness, accuracy, and consistency and promoting project image and goals.

About Children & Youth Evaluation Services

The Children and Youth Evaluation Service (C-YES) is a New York State Program that determines Home and Community Based Service/Level of Care (HCBS/LOC) eligibility for youth with medical, behavioral, and/or developmental needs aged 0-21 years.

The C-YES program also provides Medicaid application assistance services to children who appear HCBS eligible and are either without Medicaid and/or have Medicaid but opt out of HH Care Management.

C-YES also develops person-centered Plans of Care (POCs) and provides ongoing HCBS service coordination for those families who elect to remain with C-YES and opt out of more comprehensive case management provided by Health Home Care Management Staff.

HCBS are meant to help youths remain in their community as opposed to going to a higher level of care (i.e., facility or institution).

A Care Coordination team comprised of Nurse Evaluators and Family Support Coordinators are responsible for ongoing support to all families referred to C-YES.



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*This is a remote position in the state of New York.

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Why Maximus?

• Competitive Compensation - Performance-based bonuses included!
• Comprehensive Insurance Coverage - Choose from Medical, Dental, Vision, and Prescription plans, plus partially funded HSA.

Enjoy Life Insurance and discounts on Auto, Home, Renter's, and Pet Insurance.
• Future Planning - Secure your future with a 401K Retirement Savings Plan + Company Matching.
• Time Off Package - UTO, Holidays, Extended Sick Leave, and Short & Long-Term Disability coverage.
• Holistic Wellness Support - Access resources for physical, emotional, and financial well-being via our Employee Assistance Program (EAP).
• Recognition Platform - Celebrate outstanding contributions.
• Tuition Reimbursement - Invest in your education and career growth.
• Exclusive Employee Perks & Discounts - Enjoy extra savings and benefits.
• Maximus Wellness Program - Access specialized wellness programs and resources.
Professional Development Opportunities - Engage in training programs, workshops, and conferences to grow in your career

Essential Duties and Responsibilities:

- Serve as the lead content knowledge expert concerning the review and research of provided clinical information.

- Perform clinical case reviews and consultations

- Provide direct supervision to assigned team of nursing and/or other clinical staff

- Provide subject matter expertise related to medical necessity and level of care criteria and application thereof

- Provides education and clinical training to staff in area of expertise

- Performs other related duties as assigned.

- Supervise the Independent Nurse Evaluator...