Clinical Assessor, Registered Nurse - (Hybrid Remote - Springfield, MA)

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.

-Conduct assessments using standardized tools (UCA, TTT) to identify medical, functional, and social needs
-Develop and manage service plans for complex or high-acuity members, coordinating with healthcare providers, case managers, and community resources
-Evaluate eligibility for recommended referrals to other professionals or agencies
-Maintain compliance with state and federal regulations, Medicaid/LTSS program guidelines, and electronic health record systems
-Collaborate with care teams to revise care plans as needs change, ensuring alignment with member goals
-Provide education to members, families, and caregivers on available services and options
-Document assessments and care activities accurately to support billing, compliance, and quality reporting
-Advocate for members to help them remain in preferred living environments and maintain independence

Minimum Requirements

- Current Registered Nurse (RN) license valid in the state of practice is required

- High School Degree or equivalent required

- Minimum 2 years of clinical experience required

- An active, unencumbered Registered Nurse (RN) license in the state of Massachusetts.

- Minimum of two (2) years of relevant post-graduate clinical experience as a Registered Nurse.

- Experience working with vulnerable populations, including individuals with behavioral health needs, intellectual and developmental disabilities (I/DD), and those requiring long-term services and supports (LTSS).

- Experience conducting clinical or functional assessments in home or community-based settings, such as behavioral health evaluations, level of care determinations, or utilization reviews.

- Knowledge of community-based services, care coordination, and person-centered care planning.

- Familiarity with MassHealth programs, LTSS, and Home and Community-Based Services (HCBS) waiver programs.

- Proficiency in Microsoft Office applications.

-
Experience documenting assessments in electronic systems.

Home Office Requirements

- Maximus provides company-issued computer equipment

- Reliable high-speed internet service

- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity

- Minimum 5 Mpbs upload speeds

- Private and secure workspace

#ClinicalServices

EEO Statement

Maximus is an equal opportunity employer.

We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, vetera...