Clinical Manager Registered Nurse - (Hybrid Remote - Boston, MA)

Essential Duties and Responsibilities

- Manage clinical and nursing team in the planning, monitoring and execution of all projects within the portfolio.

- Provides direct supervision to a team of direct reports.

- Directly responsible for contract performance including financial, quality, outcomes and client satisfaction.

- Primary point of contact for client and some stakeholders to meet project needs and minimize exposure to risk.

- Contribute to division growth through work on bids and proposals, client communication and related activities.

- Work with Operations and shared services to increase quality, efficiency and cost-effectiveness.

Minimum Requirements

- RN license valid in the state of practice is required

- Bachelor's degree

- 5 year's of related experience or equivalent combination of education and experience required

- Minimum 3 years of experience in project or program management required

- Bachelor's degree in Nursing

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

- Residency in the state of Massachusetts is required

- Minimum of 5 years of clinical nursing experience or equivalent relevant experience

- Minimum 3 years of experience Supervising clinical staff

- Familiarity with Home and Community Based Services waivers (HCBS) and prior experience conducting clinical assessments

- Subject matter expertise in Medicaid LTSS

- Proficiency in Microsoft Office applications

Preferred Requirements

- Master's degree in Nursing

- Proficiency in Adobe applications

- Proficiency in Smartsheet

- Familiarity with the Time to Test (TTT) assessment

- Experience in utilization review or utilization management

- Prior experience working remotely

- Prior experience with data analytics, including preparation of monthly reports and collaboration with state partners

- Minimum understanding of the following:



* Program clinical eligibility requirements for the MA EOHHS LTSS Programs (AFC/GAFC/ADH/ PCA)


* Documentation requirements for Assessment processes, including physician and medical information forms or other TTT Tool documents;


* Caregiver and Surrogate participation in the Assessment process;


* Understanding of the Appeals and pre-Board of Hearing mediation process and how to complete the process, including documentation of activities


* Use of Microsoft Office products (Outlook/ Word) and experience with inputting assessments into an electronic system

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

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EEO Statement

Maximus is an equal opportunity employer.

We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protecte...