Clinical Review Coordinator - LPN (Remote)

Description & Requirements

Maximus is seeking a Clinical Review Coordinator - LPN to support the Illinois SALT (Screening Assessment for Long Term Settings) program.

In this role, you will be responsible for performing Level I PASRR (Preadmission Screening and Resident Review) screenings, which include reviewing intake submissions, verifying clinical details, and ensuring documentation accuracy in accordance with program requirements and state guidelines.

This position requires strong attention to detail, organizational skills, and a commitment to upholding clinical integrity and compliance standards.

Additional responsibilities may be assigned by the supervisor to meet program needs.

About The Program: We have contracted with the State of Illinois Department of Healthcare and Family Services (HFS) to manage the assessment process for Preadmission Screening and Resident Review (PASRR) Level I screens and completing Level II Serious Mental Illness (SMI) evaluations for individuals applying to, or residing in, Medicaid-certified nursing facilities.

Other services include Follow Up Visits, admissions support for Specialized Mental Health Rehabilitation Facilities (SMHRF) and Supported Living Programs (SLP) settings and Colbert Dementia Review.

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.

- • 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...