-
Essential Duties and Responsibilities:
- Review requests for services, including admissions, discharges, and continued stays for adherence to clinical criteria, state and federal policy, and contract requirements involving broad clinical complexity and variability; apply subject matter expertise to ensure consistency and drive quality outcomes; and escalate exceptions to policies.
- Issue approvals, denials, or recommendations based on contract requirements; ensure quality, consistency, and adherence to clinical and regulatory standards across cases.
- Identify the need for additional clinical documentation or consultation and analyze information gaps to support accurate and timely determinations.
- Complete accurate documentation of review activities within contract systems.
- Communicate and collaborate with providers, individuals and their designees, state workers, and external stakeholders to clarify requirements, resolve issues, and support program outcomes.
- Provide guidance, coaching, training and quality review for team members; identify opportunities to improve review processes and consistency.
- May meet with external clients to confirm and update clinical guidelines that must be followed internally.
- May write high-quality, fully substantiated clinical determination reports by synthesizing assessment findings, interview data, and supporting documentation, including completing the summary of findings.
Minimum Requirements
- Specific clinical license and experience requirements based on contract requirements.
- Associate degree in Nursing
- An active LPN license in the state of Colorado or a compact license is required
- Minimum 2 years of experience working with people with complex disabilities, including pediatric and geriatric populations
- Familiarity with Home and Community Based Services waivers (HCBS)
- Proficiency in Microsoft Office applications
Preferred Requirements:
- Prior experience conducting document-based reviews
- Excellent written and communication skills
- Previous experience working remotely
- Prior experience conducting document-based reviews
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
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 protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is ju...
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Type: Permanent Location: Tampa, US-FL
Salary / Rate: Not Specified
Posted: 2026-09-11 10:50:26
-
Essential Duties and Responsibilities:
- Review requests for services, including admissions, discharges, and continued stays for adherence to clinical criteria, state and federal policy, and contract requirements involving broad clinical complexity and variability; apply subject matter expertise to ensure consistency and drive quality outcomes; and escalate exceptions to policies.
- Issue approvals, denials, or recommendations based on contract requirements; ensure quality, consistency, and adherence to clinical and regulatory standards across cases.
- Identify the need for additional clinical documentation or consultation and analyze information gaps to support accurate and timely determinations.
- Complete accurate documentation of review activities within contract systems.
- Communicate and collaborate with providers, individuals and their designees, state workers, and external stakeholders to clarify requirements, resolve issues, and support program outcomes.
- Provide guidance, coaching, training and quality review for team members; identify opportunities to improve review processes and consistency.
- May meet with external clients to confirm and update clinical guidelines that must be followed internally.
- May write high-quality, fully substantiated clinical determination reports by synthesizing assessment findings, interview data, and supporting documentation, including completing the summary of findings.
Minimum Requirements
- Specific clinical license and experience requirements based on contract requirements.
- Associate degree in Nursing
- An active LPN license in the state of Colorado or a compact license is required
- Minimum 2 years of experience working with people with complex disabilities, including pediatric and geriatric populations
- Familiarity with Home and Community Based Services waivers (HCBS)
- Proficiency in Microsoft Office applications
Preferred Requirements:
- Prior experience conducting document-based reviews
- Excellent written and communication skills
- Previous experience working remotely
- Prior experience conducting document-based reviews
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
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 protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is ju...
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Type: Permanent Location: Atlanta, US-GA
Salary / Rate: Not Specified
Posted: 2026-09-11 10:50:25
-
Essential Duties and Responsibilities:
- Review requests for services, including admissions, discharges, and continued stays for adherence to clinical criteria, state and federal policy, and contract requirements involving broad clinical complexity and variability; apply subject matter expertise to ensure consistency and drive quality outcomes; and escalate exceptions to policies.
- Issue approvals, denials, or recommendations based on contract requirements; ensure quality, consistency, and adherence to clinical and regulatory standards across cases.
- Identify the need for additional clinical documentation or consultation and analyze information gaps to support accurate and timely determinations.
- Complete accurate documentation of review activities within contract systems.
- Communicate and collaborate with providers, individuals and their designees, state workers, and external stakeholders to clarify requirements, resolve issues, and support program outcomes.
- Provide guidance, coaching, training and quality review for team members; identify opportunities to improve review processes and consistency.
- May meet with external clients to confirm and update clinical guidelines that must be followed internally.
- May write high-quality, fully substantiated clinical determination reports by synthesizing assessment findings, interview data, and supporting documentation, including completing the summary of findings.
Minimum Requirements
- Specific clinical license and experience requirements based on contract requirements.
- Associate degree in Nursing
- An active LPN license in the state of Colorado or a compact license is required
- Minimum 2 years of experience working with people with complex disabilities, including pediatric and geriatric populations
- Familiarity with Home and Community Based Services waivers (HCBS)
- Proficiency in Microsoft Office applications
Preferred Requirements:
- Prior experience conducting document-based reviews
- Excellent written and communication skills
- Previous experience working remotely
- Prior experience conducting document-based reviews
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
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 protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is ju...
....Read more...
Type: Permanent Location: Jacksonville, US-FL
Salary / Rate: Not Specified
Posted: 2026-09-11 10:50:25
-
Essential Duties and Responsibilities:
- Review requests for services, including admissions, discharges, and continued stays for adherence to clinical criteria, state and federal policy, and contract requirements involving broad clinical complexity and variability; apply subject matter expertise to ensure consistency and drive quality outcomes; and escalate exceptions to policies.
- Issue approvals, denials, or recommendations based on contract requirements; ensure quality, consistency, and adherence to clinical and regulatory standards across cases.
- Identify the need for additional clinical documentation or consultation and analyze information gaps to support accurate and timely determinations.
- Complete accurate documentation of review activities within contract systems.
- Communicate and collaborate with providers, individuals and their designees, state workers, and external stakeholders to clarify requirements, resolve issues, and support program outcomes.
- Provide guidance, coaching, training and quality review for team members; identify opportunities to improve review processes and consistency.
- May meet with external clients to confirm and update clinical guidelines that must be followed internally.
- May write high-quality, fully substantiated clinical determination reports by synthesizing assessment findings, interview data, and supporting documentation, including completing the summary of findings.
Minimum Requirements
- Specific clinical license and experience requirements based on contract requirements.
- Associate degree in Nursing
- An active LPN license in the state of Colorado or a compact license is required
- Minimum 2 years of experience working with people with complex disabilities, including pediatric and geriatric populations
- Familiarity with Home and Community Based Services waivers (HCBS)
- Proficiency in Microsoft Office applications
Preferred Requirements:
- Prior experience conducting document-based reviews
- Excellent written and communication skills
- Previous experience working remotely
- Prior experience conducting document-based reviews
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
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 protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is ju...
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Type: Permanent Location: Tallahassee, US-FL
Salary / Rate: Not Specified
Posted: 2026-09-11 10:50:24
-
Essential Duties and Responsibilities:
- Review requests for services, including admissions, discharges, and continued stays for adherence to clinical criteria, state and federal policy, and contract requirements involving broad clinical complexity and variability; apply subject matter expertise to ensure consistency and drive quality outcomes; and escalate exceptions to policies.
- Issue approvals, denials, or recommendations based on contract requirements; ensure quality, consistency, and adherence to clinical and regulatory standards across cases.
- Identify the need for additional clinical documentation or consultation and analyze information gaps to support accurate and timely determinations.
- Complete accurate documentation of review activities within contract systems.
- Communicate and collaborate with providers, individuals and their designees, state workers, and external stakeholders to clarify requirements, resolve issues, and support program outcomes.
- Provide guidance, coaching, training and quality review for team members; identify opportunities to improve review processes and consistency.
- May meet with external clients to confirm and update clinical guidelines that must be followed internally.
- May write high-quality, fully substantiated clinical determination reports by synthesizing assessment findings, interview data, and supporting documentation, including completing the summary of findings.
Minimum Requirements
- Specific clinical license and experience requirements based on contract requirements.
- Associate degree in Nursing
- An active LPN license in the state of Colorado or a compact license is required
- Minimum 2 years of experience working with people with complex disabilities, including pediatric and geriatric populations
- Familiarity with Home and Community Based Services waivers (HCBS)
- Proficiency in Microsoft Office applications
Preferred Requirements:
- Prior experience conducting document-based reviews
- Excellent written and communication skills
- Previous experience working remotely
- Prior experience conducting document-based reviews
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
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 protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is ju...
....Read more...
Type: Permanent Location: Miami, US-FL
Salary / Rate: Not Specified
Posted: 2026-09-11 10:50:23
-
Essential Duties and Responsibilities:
- Review requests for services, including admissions, discharges, and continued stays for adherence to clinical criteria, state and federal policy, and contract requirements involving broad clinical complexity and variability; apply subject matter expertise to ensure consistency and drive quality outcomes; and escalate exceptions to policies.
- Issue approvals, denials, or recommendations based on contract requirements; ensure quality, consistency, and adherence to clinical and regulatory standards across cases.
- Identify the need for additional clinical documentation or consultation and analyze information gaps to support accurate and timely determinations.
- Complete accurate documentation of review activities within contract systems.
- Communicate and collaborate with providers, individuals and their designees, state workers, and external stakeholders to clarify requirements, resolve issues, and support program outcomes.
- Provide guidance, coaching, training and quality review for team members; identify opportunities to improve review processes and consistency.
- May meet with external clients to confirm and update clinical guidelines that must be followed internally.
- May write high-quality, fully substantiated clinical determination reports by synthesizing assessment findings, interview data, and supporting documentation, including completing the summary of findings.
Minimum Requirements
- Specific clinical license and experience requirements based on contract requirements.
- Associate degree in Nursing
- An active LPN license in the state of Colorado or a compact license is required
- Minimum 2 years of experience working with people with complex disabilities, including pediatric and geriatric populations
- Familiarity with Home and Community Based Services waivers (HCBS)
- Proficiency in Microsoft Office applications
Preferred Requirements:
- Prior experience conducting document-based reviews
- Excellent written and communication skills
- Previous experience working remotely
- Prior experience conducting document-based reviews
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
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 protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is ju...
....Read more...
Type: Permanent Location: Dover, US-DE
Salary / Rate: Not Specified
Posted: 2026-09-11 10:50:23
-
Essential Duties and Responsibilities:
- Review requests for services, including admissions, discharges, and continued stays for adherence to clinical criteria, state and federal policy, and contract requirements involving broad clinical complexity and variability; apply subject matter expertise to ensure consistency and drive quality outcomes; and escalate exceptions to policies.
- Issue approvals, denials, or recommendations based on contract requirements; ensure quality, consistency, and adherence to clinical and regulatory standards across cases.
- Identify the need for additional clinical documentation or consultation and analyze information gaps to support accurate and timely determinations.
- Complete accurate documentation of review activities within contract systems.
- Communicate and collaborate with providers, individuals and their designees, state workers, and external stakeholders to clarify requirements, resolve issues, and support program outcomes.
- Provide guidance, coaching, training and quality review for team members; identify opportunities to improve review processes and consistency.
- May meet with external clients to confirm and update clinical guidelines that must be followed internally.
- May write high-quality, fully substantiated clinical determination reports by synthesizing assessment findings, interview data, and supporting documentation, including completing the summary of findings.
Minimum Requirements
- Specific clinical license and experience requirements based on contract requirements.
- Associate degree in Nursing
- An active LPN license in the state of Colorado or a compact license is required
- Minimum 2 years of experience working with people with complex disabilities, including pediatric and geriatric populations
- Familiarity with Home and Community Based Services waivers (HCBS)
- Proficiency in Microsoft Office applications
Preferred Requirements:
- Prior experience conducting document-based reviews
- Excellent written and communication skills
- Previous experience working remotely
- Prior experience conducting document-based reviews
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
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 protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is ju...
....Read more...
Type: Permanent Location: Denver, US-CO
Salary / Rate: Not Specified
Posted: 2026-09-11 10:50:22
-
Essential Duties and Responsibilities:
- Review requests for services, including admissions, discharges, and continued stays for adherence to clinical criteria, state and federal policy, and contract requirements involving broad clinical complexity and variability; apply subject matter expertise to ensure consistency and drive quality outcomes; and escalate exceptions to policies.
- Issue approvals, denials, or recommendations based on contract requirements; ensure quality, consistency, and adherence to clinical and regulatory standards across cases.
- Identify the need for additional clinical documentation or consultation and analyze information gaps to support accurate and timely determinations.
- Complete accurate documentation of review activities within contract systems.
- Communicate and collaborate with providers, individuals and their designees, state workers, and external stakeholders to clarify requirements, resolve issues, and support program outcomes.
- Provide guidance, coaching, training and quality review for team members; identify opportunities to improve review processes and consistency.
- May meet with external clients to confirm and update clinical guidelines that must be followed internally.
- May write high-quality, fully substantiated clinical determination reports by synthesizing assessment findings, interview data, and supporting documentation, including completing the summary of findings.
Minimum Requirements
- Specific clinical license and experience requirements based on contract requirements.
- Associate degree in Nursing
- An active LPN license in the state of Colorado or a compact license is required
- Minimum 2 years of experience working with people with complex disabilities, including pediatric and geriatric populations
- Familiarity with Home and Community Based Services waivers (HCBS)
- Proficiency in Microsoft Office applications
Preferred Requirements:
- Prior experience conducting document-based reviews
- Excellent written and communication skills
- Previous experience working remotely
- Prior experience conducting document-based reviews
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
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 protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is ju...
....Read more...
Type: Permanent Location: Bridgeport, US-CT
Salary / Rate: Not Specified
Posted: 2026-09-11 10:50:21
-
Essential Duties and Responsibilities:
- Review requests for services, including admissions, discharges, and continued stays for adherence to clinical criteria, state and federal policy, and contract requirements involving broad clinical complexity and variability; apply subject matter expertise to ensure consistency and drive quality outcomes; and escalate exceptions to policies.
- Issue approvals, denials, or recommendations based on contract requirements; ensure quality, consistency, and adherence to clinical and regulatory standards across cases.
- Identify the need for additional clinical documentation or consultation and analyze information gaps to support accurate and timely determinations.
- Complete accurate documentation of review activities within contract systems.
- Communicate and collaborate with providers, individuals and their designees, state workers, and external stakeholders to clarify requirements, resolve issues, and support program outcomes.
- Provide guidance, coaching, training and quality review for team members; identify opportunities to improve review processes and consistency.
- May meet with external clients to confirm and update clinical guidelines that must be followed internally.
- May write high-quality, fully substantiated clinical determination reports by synthesizing assessment findings, interview data, and supporting documentation, including completing the summary of findings.
Minimum Requirements
- Specific clinical license and experience requirements based on contract requirements.
- Associate degree in Nursing
- An active LPN license in the state of Colorado or a compact license is required
- Minimum 2 years of experience working with people with complex disabilities, including pediatric and geriatric populations
- Familiarity with Home and Community Based Services waivers (HCBS)
- Proficiency in Microsoft Office applications
Preferred Requirements:
- Prior experience conducting document-based reviews
- Excellent written and communication skills
- Previous experience working remotely
- Prior experience conducting document-based reviews
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
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 protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is ju...
....Read more...
Type: Permanent Location: Hartford, US-CT
Salary / Rate: Not Specified
Posted: 2026-09-11 10:50:21
-
Essential Duties and Responsibilities:
- Review requests for services, including admissions, discharges, and continued stays for adherence to clinical criteria, state and federal policy, and contract requirements involving broad clinical complexity and variability; apply subject matter expertise to ensure consistency and drive quality outcomes; and escalate exceptions to policies.
- Issue approvals, denials, or recommendations based on contract requirements; ensure quality, consistency, and adherence to clinical and regulatory standards across cases.
- Identify the need for additional clinical documentation or consultation and analyze information gaps to support accurate and timely determinations.
- Complete accurate documentation of review activities within contract systems.
- Communicate and collaborate with providers, individuals and their designees, state workers, and external stakeholders to clarify requirements, resolve issues, and support program outcomes.
- Provide guidance, coaching, training and quality review for team members; identify opportunities to improve review processes and consistency.
- May meet with external clients to confirm and update clinical guidelines that must be followed internally.
- May write high-quality, fully substantiated clinical determination reports by synthesizing assessment findings, interview data, and supporting documentation, including completing the summary of findings.
Minimum Requirements
- Specific clinical license and experience requirements based on contract requirements.
- Associate degree in Nursing
- An active LPN license in the state of Colorado or a compact license is required
- Minimum 2 years of experience working with people with complex disabilities, including pediatric and geriatric populations
- Familiarity with Home and Community Based Services waivers (HCBS)
- Proficiency in Microsoft Office applications
Preferred Requirements:
- Prior experience conducting document-based reviews
- Excellent written and communication skills
- Previous experience working remotely
- Prior experience conducting document-based reviews
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
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 protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is ju...
....Read more...
Type: Permanent Location: Sacramento, US-CA
Salary / Rate: Not Specified
Posted: 2026-09-11 10:50:20
-
Essential Duties and Responsibilities:
- Review requests for services, including admissions, discharges, and continued stays for adherence to clinical criteria, state and federal policy, and contract requirements involving broad clinical complexity and variability; apply subject matter expertise to ensure consistency and drive quality outcomes; and escalate exceptions to policies.
- Issue approvals, denials, or recommendations based on contract requirements; ensure quality, consistency, and adherence to clinical and regulatory standards across cases.
- Identify the need for additional clinical documentation or consultation and analyze information gaps to support accurate and timely determinations.
- Complete accurate documentation of review activities within contract systems.
- Communicate and collaborate with providers, individuals and their designees, state workers, and external stakeholders to clarify requirements, resolve issues, and support program outcomes.
- Provide guidance, coaching, training and quality review for team members; identify opportunities to improve review processes and consistency.
- May meet with external clients to confirm and update clinical guidelines that must be followed internally.
- May write high-quality, fully substantiated clinical determination reports by synthesizing assessment findings, interview data, and supporting documentation, including completing the summary of findings.
Minimum Requirements
- Specific clinical license and experience requirements based on contract requirements.
- Associate degree in Nursing
- An active LPN license in the state of Colorado or a compact license is required
- Minimum 2 years of experience working with people with complex disabilities, including pediatric and geriatric populations
- Familiarity with Home and Community Based Services waivers (HCBS)
- Proficiency in Microsoft Office applications
Preferred Requirements:
- Prior experience conducting document-based reviews
- Excellent written and communication skills
- Previous experience working remotely
- Prior experience conducting document-based reviews
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
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 protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is ju...
....Read more...
Type: Permanent Location: Wilmington, US-DE
Salary / Rate: Not Specified
Posted: 2026-09-11 10:50:19
-
Essential Duties and Responsibilities:
- Review requests for services, including admissions, discharges, and continued stays for adherence to clinical criteria, state and federal policy, and contract requirements involving broad clinical complexity and variability; apply subject matter expertise to ensure consistency and drive quality outcomes; and escalate exceptions to policies.
- Issue approvals, denials, or recommendations based on contract requirements; ensure quality, consistency, and adherence to clinical and regulatory standards across cases.
- Identify the need for additional clinical documentation or consultation and analyze information gaps to support accurate and timely determinations.
- Complete accurate documentation of review activities within contract systems.
- Communicate and collaborate with providers, individuals and their designees, state workers, and external stakeholders to clarify requirements, resolve issues, and support program outcomes.
- Provide guidance, coaching, training and quality review for team members; identify opportunities to improve review processes and consistency.
- May meet with external clients to confirm and update clinical guidelines that must be followed internally.
- May write high-quality, fully substantiated clinical determination reports by synthesizing assessment findings, interview data, and supporting documentation, including completing the summary of findings.
Minimum Requirements
- Specific clinical license and experience requirements based on contract requirements.
- Associate degree in Nursing
- An active LPN license in the state of Colorado or a compact license is required
- Minimum 2 years of experience working with people with complex disabilities, including pediatric and geriatric populations
- Familiarity with Home and Community Based Services waivers (HCBS)
- Proficiency in Microsoft Office applications
Preferred Requirements:
- Prior experience conducting document-based reviews
- Excellent written and communication skills
- Previous experience working remotely
- Prior experience conducting document-based reviews
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
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 protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is ju...
....Read more...
Type: Permanent Location: San Diego, US-CA
Salary / Rate: Not Specified
Posted: 2026-09-11 10:50:18
-
Essential Duties and Responsibilities:
- Review requests for services, including admissions, discharges, and continued stays for adherence to clinical criteria, state and federal policy, and contract requirements involving broad clinical complexity and variability; apply subject matter expertise to ensure consistency and drive quality outcomes; and escalate exceptions to policies.
- Issue approvals, denials, or recommendations based on contract requirements; ensure quality, consistency, and adherence to clinical and regulatory standards across cases.
- Identify the need for additional clinical documentation or consultation and analyze information gaps to support accurate and timely determinations.
- Complete accurate documentation of review activities within contract systems.
- Communicate and collaborate with providers, individuals and their designees, state workers, and external stakeholders to clarify requirements, resolve issues, and support program outcomes.
- Provide guidance, coaching, training and quality review for team members; identify opportunities to improve review processes and consistency.
- May meet with external clients to confirm and update clinical guidelines that must be followed internally.
- May write high-quality, fully substantiated clinical determination reports by synthesizing assessment findings, interview data, and supporting documentation, including completing the summary of findings.
Minimum Requirements
- Specific clinical license and experience requirements based on contract requirements.
- Associate degree in Nursing
- An active LPN license in the state of Colorado or a compact license is required
- Minimum 2 years of experience working with people with complex disabilities, including pediatric and geriatric populations
- Familiarity with Home and Community Based Services waivers (HCBS)
- Proficiency in Microsoft Office applications
Preferred Requirements:
- Prior experience conducting document-based reviews
- Excellent written and communication skills
- Previous experience working remotely
- Prior experience conducting document-based reviews
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
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 protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is ju...
....Read more...
Type: Permanent Location: Colorado Springs, US-CO
Salary / Rate: Not Specified
Posted: 2026-09-11 10:50:18
-
Essential Duties and Responsibilities:
- Review requests for services, including admissions, discharges, and continued stays for adherence to clinical criteria, state and federal policy, and contract requirements involving broad clinical complexity and variability; apply subject matter expertise to ensure consistency and drive quality outcomes; and escalate exceptions to policies.
- Issue approvals, denials, or recommendations based on contract requirements; ensure quality, consistency, and adherence to clinical and regulatory standards across cases.
- Identify the need for additional clinical documentation or consultation and analyze information gaps to support accurate and timely determinations.
- Complete accurate documentation of review activities within contract systems.
- Communicate and collaborate with providers, individuals and their designees, state workers, and external stakeholders to clarify requirements, resolve issues, and support program outcomes.
- Provide guidance, coaching, training and quality review for team members; identify opportunities to improve review processes and consistency.
- May meet with external clients to confirm and update clinical guidelines that must be followed internally.
- May write high-quality, fully substantiated clinical determination reports by synthesizing assessment findings, interview data, and supporting documentation, including completing the summary of findings.
Minimum Requirements
- Specific clinical license and experience requirements based on contract requirements.
- Associate degree in Nursing
- An active LPN license in the state of Colorado or a compact license is required
- Minimum 2 years of experience working with people with complex disabilities, including pediatric and geriatric populations
- Familiarity with Home and Community Based Services waivers (HCBS)
- Proficiency in Microsoft Office applications
Preferred Requirements:
- Prior experience conducting document-based reviews
- Excellent written and communication skills
- Previous experience working remotely
- Prior experience conducting document-based reviews
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
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 protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is ju...
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Type: Permanent Location: Fort Smith, US-AR
Salary / Rate: Not Specified
Posted: 2026-09-11 10:50:17
-
Essential Duties and Responsibilities:
- Review requests for services, including admissions, discharges, and continued stays for adherence to clinical criteria, state and federal policy, and contract requirements involving broad clinical complexity and variability; apply subject matter expertise to ensure consistency and drive quality outcomes; and escalate exceptions to policies.
- Issue approvals, denials, or recommendations based on contract requirements; ensure quality, consistency, and adherence to clinical and regulatory standards across cases.
- Identify the need for additional clinical documentation or consultation and analyze information gaps to support accurate and timely determinations.
- Complete accurate documentation of review activities within contract systems.
- Communicate and collaborate with providers, individuals and their designees, state workers, and external stakeholders to clarify requirements, resolve issues, and support program outcomes.
- Provide guidance, coaching, training and quality review for team members; identify opportunities to improve review processes and consistency.
- May meet with external clients to confirm and update clinical guidelines that must be followed internally.
- May write high-quality, fully substantiated clinical determination reports by synthesizing assessment findings, interview data, and supporting documentation, including completing the summary of findings.
Minimum Requirements
- Specific clinical license and experience requirements based on contract requirements.
- Associate degree in Nursing
- An active LPN license in the state of Colorado or a compact license is required
- Minimum 2 years of experience working with people with complex disabilities, including pediatric and geriatric populations
- Familiarity with Home and Community Based Services waivers (HCBS)
- Proficiency in Microsoft Office applications
Preferred Requirements:
- Prior experience conducting document-based reviews
- Excellent written and communication skills
- Previous experience working remotely
- Prior experience conducting document-based reviews
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
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 protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is ju...
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Type: Permanent Location: Los Angeles, US-CA
Salary / Rate: Not Specified
Posted: 2026-09-11 10:50:16
-
Essential Duties and Responsibilities:
- Review requests for services, including admissions, discharges, and continued stays for adherence to clinical criteria, state and federal policy, and contract requirements involving broad clinical complexity and variability; apply subject matter expertise to ensure consistency and drive quality outcomes; and escalate exceptions to policies.
- Issue approvals, denials, or recommendations based on contract requirements; ensure quality, consistency, and adherence to clinical and regulatory standards across cases.
- Identify the need for additional clinical documentation or consultation and analyze information gaps to support accurate and timely determinations.
- Complete accurate documentation of review activities within contract systems.
- Communicate and collaborate with providers, individuals and their designees, state workers, and external stakeholders to clarify requirements, resolve issues, and support program outcomes.
- Provide guidance, coaching, training and quality review for team members; identify opportunities to improve review processes and consistency.
- May meet with external clients to confirm and update clinical guidelines that must be followed internally.
- May write high-quality, fully substantiated clinical determination reports by synthesizing assessment findings, interview data, and supporting documentation, including completing the summary of findings.
Minimum Requirements
- Specific clinical license and experience requirements based on contract requirements.
- Associate degree in Nursing
- An active LPN license in the state of Colorado or a compact license is required
- Minimum 2 years of experience working with people with complex disabilities, including pediatric and geriatric populations
- Familiarity with Home and Community Based Services waivers (HCBS)
- Proficiency in Microsoft Office applications
Preferred Requirements:
- Prior experience conducting document-based reviews
- Excellent written and communication skills
- Previous experience working remotely
- Prior experience conducting document-based reviews
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
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 protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is ju...
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Type: Permanent Location: San Francisco, US-CA
Salary / Rate: Not Specified
Posted: 2026-09-11 10:50:16
-
Essential Duties and Responsibilities:
- Review requests for services, including admissions, discharges, and continued stays for adherence to clinical criteria, state and federal policy, and contract requirements involving broad clinical complexity and variability; apply subject matter expertise to ensure consistency and drive quality outcomes; and escalate exceptions to policies.
- Issue approvals, denials, or recommendations based on contract requirements; ensure quality, consistency, and adherence to clinical and regulatory standards across cases.
- Identify the need for additional clinical documentation or consultation and analyze information gaps to support accurate and timely determinations.
- Complete accurate documentation of review activities within contract systems.
- Communicate and collaborate with providers, individuals and their designees, state workers, and external stakeholders to clarify requirements, resolve issues, and support program outcomes.
- Provide guidance, coaching, training and quality review for team members; identify opportunities to improve review processes and consistency.
- May meet with external clients to confirm and update clinical guidelines that must be followed internally.
- May write high-quality, fully substantiated clinical determination reports by synthesizing assessment findings, interview data, and supporting documentation, including completing the summary of findings.
Minimum Requirements
- Specific clinical license and experience requirements based on contract requirements.
- Associate degree in Nursing
- An active LPN license in the state of Colorado or a compact license is required
- Minimum 2 years of experience working with people with complex disabilities, including pediatric and geriatric populations
- Familiarity with Home and Community Based Services waivers (HCBS)
- Proficiency in Microsoft Office applications
Preferred Requirements:
- Prior experience conducting document-based reviews
- Excellent written and communication skills
- Previous experience working remotely
- Prior experience conducting document-based reviews
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
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 protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is ju...
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Type: Permanent Location: Tucson, US-AZ
Salary / Rate: Not Specified
Posted: 2026-09-11 10:50:15
-
Essential Duties and Responsibilities:
- Review requests for services, including admissions, discharges, and continued stays for adherence to clinical criteria, state and federal policy, and contract requirements involving broad clinical complexity and variability; apply subject matter expertise to ensure consistency and drive quality outcomes; and escalate exceptions to policies.
- Issue approvals, denials, or recommendations based on contract requirements; ensure quality, consistency, and adherence to clinical and regulatory standards across cases.
- Identify the need for additional clinical documentation or consultation and analyze information gaps to support accurate and timely determinations.
- Complete accurate documentation of review activities within contract systems.
- Communicate and collaborate with providers, individuals and their designees, state workers, and external stakeholders to clarify requirements, resolve issues, and support program outcomes.
- Provide guidance, coaching, training and quality review for team members; identify opportunities to improve review processes and consistency.
- May meet with external clients to confirm and update clinical guidelines that must be followed internally.
- May write high-quality, fully substantiated clinical determination reports by synthesizing assessment findings, interview data, and supporting documentation, including completing the summary of findings.
Minimum Requirements
- Specific clinical license and experience requirements based on contract requirements.
- Associate degree in Nursing
- An active LPN license in the state of Colorado or a compact license is required
- Minimum 2 years of experience working with people with complex disabilities, including pediatric and geriatric populations
- Familiarity with Home and Community Based Services waivers (HCBS)
- Proficiency in Microsoft Office applications
Preferred Requirements:
- Prior experience conducting document-based reviews
- Excellent written and communication skills
- Previous experience working remotely
- Prior experience conducting document-based reviews
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
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 protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is ju...
....Read more...
Type: Permanent Location: Little Rock, US-AR
Salary / Rate: Not Specified
Posted: 2026-09-11 10:50:15
-
Essential Duties and Responsibilities:
- Review requests for services, including admissions, discharges, and continued stays for adherence to clinical criteria, state and federal policy, and contract requirements involving broad clinical complexity and variability; apply subject matter expertise to ensure consistency and drive quality outcomes; and escalate exceptions to policies.
- Issue approvals, denials, or recommendations based on contract requirements; ensure quality, consistency, and adherence to clinical and regulatory standards across cases.
- Identify the need for additional clinical documentation or consultation and analyze information gaps to support accurate and timely determinations.
- Complete accurate documentation of review activities within contract systems.
- Communicate and collaborate with providers, individuals and their designees, state workers, and external stakeholders to clarify requirements, resolve issues, and support program outcomes.
- Provide guidance, coaching, training and quality review for team members; identify opportunities to improve review processes and consistency.
- May meet with external clients to confirm and update clinical guidelines that must be followed internally.
- May write high-quality, fully substantiated clinical determination reports by synthesizing assessment findings, interview data, and supporting documentation, including completing the summary of findings.
Minimum Requirements
- Specific clinical license and experience requirements based on contract requirements.
- Associate degree in Nursing
- An active LPN license in the state of Colorado or a compact license is required
- Minimum 2 years of experience working with people with complex disabilities, including pediatric and geriatric populations
- Familiarity with Home and Community Based Services waivers (HCBS)
- Proficiency in Microsoft Office applications
Preferred Requirements:
- Prior experience conducting document-based reviews
- Excellent written and communication skills
- Previous experience working remotely
- Prior experience conducting document-based reviews
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
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 protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is ju...
....Read more...
Type: Permanent Location: Mobile, US-AL
Salary / Rate: Not Specified
Posted: 2026-09-11 10:50:14
-
Essential Duties and Responsibilities:
- Review requests for services, including admissions, discharges, and continued stays for adherence to clinical criteria, state and federal policy, and contract requirements involving broad clinical complexity and variability; apply subject matter expertise to ensure consistency and drive quality outcomes; and escalate exceptions to policies.
- Issue approvals, denials, or recommendations based on contract requirements; ensure quality, consistency, and adherence to clinical and regulatory standards across cases.
- Identify the need for additional clinical documentation or consultation and analyze information gaps to support accurate and timely determinations.
- Complete accurate documentation of review activities within contract systems.
- Communicate and collaborate with providers, individuals and their designees, state workers, and external stakeholders to clarify requirements, resolve issues, and support program outcomes.
- Provide guidance, coaching, training and quality review for team members; identify opportunities to improve review processes and consistency.
- May meet with external clients to confirm and update clinical guidelines that must be followed internally.
- May write high-quality, fully substantiated clinical determination reports by synthesizing assessment findings, interview data, and supporting documentation, including completing the summary of findings.
Minimum Requirements
- Specific clinical license and experience requirements based on contract requirements.
- Associate degree in Nursing
- An active LPN license in the state of Colorado or a compact license is required
- Minimum 2 years of experience working with people with complex disabilities, including pediatric and geriatric populations
- Familiarity with Home and Community Based Services waivers (HCBS)
- Proficiency in Microsoft Office applications
Preferred Requirements:
- Prior experience conducting document-based reviews
- Excellent written and communication skills
- Previous experience working remotely
- Prior experience conducting document-based reviews
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
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 protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is ju...
....Read more...
Type: Permanent Location: Montgomery, US-AL
Salary / Rate: Not Specified
Posted: 2026-09-11 10:50:13
-
Essential Duties and Responsibilities:
- Review requests for services, including admissions, discharges, and continued stays for adherence to clinical criteria, state and federal policy, and contract requirements involving broad clinical complexity and variability; apply subject matter expertise to ensure consistency and drive quality outcomes; and escalate exceptions to policies.
- Issue approvals, denials, or recommendations based on contract requirements; ensure quality, consistency, and adherence to clinical and regulatory standards across cases.
- Identify the need for additional clinical documentation or consultation and analyze information gaps to support accurate and timely determinations.
- Complete accurate documentation of review activities within contract systems.
- Communicate and collaborate with providers, individuals and their designees, state workers, and external stakeholders to clarify requirements, resolve issues, and support program outcomes.
- Provide guidance, coaching, training and quality review for team members; identify opportunities to improve review processes and consistency.
- May meet with external clients to confirm and update clinical guidelines that must be followed internally.
- May write high-quality, fully substantiated clinical determination reports by synthesizing assessment findings, interview data, and supporting documentation, including completing the summary of findings.
Minimum Requirements
- Specific clinical license and experience requirements based on contract requirements.
- Associate degree in Nursing
- An active LPN license in the state of Colorado or a compact license is required
- Minimum 2 years of experience working with people with complex disabilities, including pediatric and geriatric populations
- Familiarity with Home and Community Based Services waivers (HCBS)
- Proficiency in Microsoft Office applications
Preferred Requirements:
- Prior experience conducting document-based reviews
- Excellent written and communication skills
- Previous experience working remotely
- Prior experience conducting document-based reviews
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
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 protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is ju...
....Read more...
Type: Permanent Location: Birmingham, US-AL
Salary / Rate: Not Specified
Posted: 2026-09-11 10:50:13
-
Essential Duties and Responsibilities:
- Review requests for services, including admissions, discharges, and continued stays for adherence to clinical criteria, state and federal policy, and contract requirements involving broad clinical complexity and variability; apply subject matter expertise to ensure consistency and drive quality outcomes; and escalate exceptions to policies.
- Issue approvals, denials, or recommendations based on contract requirements; ensure quality, consistency, and adherence to clinical and regulatory standards across cases.
- Identify the need for additional clinical documentation or consultation and analyze information gaps to support accurate and timely determinations.
- Complete accurate documentation of review activities within contract systems.
- Communicate and collaborate with providers, individuals and their designees, state workers, and external stakeholders to clarify requirements, resolve issues, and support program outcomes.
- Provide guidance, coaching, training and quality review for team members; identify opportunities to improve review processes and consistency.
- May meet with external clients to confirm and update clinical guidelines that must be followed internally.
- May write high-quality, fully substantiated clinical determination reports by synthesizing assessment findings, interview data, and supporting documentation, including completing the summary of findings.
Minimum Requirements
- Specific clinical license and experience requirements based on contract requirements.
- Associate degree in Nursing
- An active LPN license in the state of Colorado or a compact license is required
- Minimum 2 years of experience working with people with complex disabilities, including pediatric and geriatric populations
- Familiarity with Home and Community Based Services waivers (HCBS)
- Proficiency in Microsoft Office applications
Preferred Requirements:
- Prior experience conducting document-based reviews
- Excellent written and communication skills
- Previous experience working remotely
- Prior experience conducting document-based reviews
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
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 protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is ju...
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Type: Permanent Location: Phoenix, US-AZ
Salary / Rate: Not Specified
Posted: 2026-09-11 10:50:12
-
Position: Nurse Practitioner - Palliative Care
Pay: $100,000 - $110,000 per year Depending on Experience
The Nurse Practitioner is a licensed independent practitioner who is responsible for managing health problems and coordinating health care for the palliative care patient in accordance with State and Federal rules and regulations and the nursing standards of care (assessment of health status, diagnosis, development of plan of care and treatment, implementation of treatment plan, and evaluation of patient status).
Palliative care clinical management is conducted in collaboration with other health care team members including hospice and home health
At Caris, you will have a career, not just a job.
Our mission driven culture is evident by our current employees and the impact made on patients and families.
All Caris team members commit to The Better Way, a list of promises we make to each other and our customers.
The Better Way commitment is reflected in the benefits we provide.
Benefits include:
* Competitive Salary
* Bonus Eligibility
* Eligible for benefits within 60 days
* Health Benefits (Medical, Dental, Vision); health savings account
* Paid Time Off/Holidays
* 401 (K) plan with company match
* Paid Training
* Mileage Reimbursement
* Tuition Reimbursement
* Flexible Scheduling
* Career Advancement Opportunities
Responsibilities:
Functions independently to perform age-appropriate history and physical for complex acute, critical, and chronically ill patients.
Orders and interprets diagnostic and therapeutic tests relative to patient's age-specific needs.
Prescribes appropriate pharmacologic and non-pharmacologic treatment modalities
Implements interventions to support the patient with chronic conditions to decrease recurring hospitalizations.
Assists with the provision of palliative care in accordance with facility, state, and federal regulations.
Monitors the effectiveness of interventions.
Facilitates the patient's transition within and between health care settings, e.g.
admitting, transferring, and discharging patients.
Collaborates with primary care physicians/NP by making appropriate referrals, follow up calls, and coordination of care.
Facilitates patient and family decision making by providing education on palliative care for chronic conditions, end of life care, advance directives, and chronic care management.
Provides accurate, bedside, legible documentation in patient's medical records, using appropriate billing codes.
Qualifications:
Graduate of an accredited school of nursing
Graduate of an accredited Nurse Practitioner Program
Current Advanced Practice Registered Nurse (APRN) Licensure
Nurse Practitioner certification in Hospice or Palliative Care within 1 year of starting the position
Strong computer skills, including Word, Excel, and PowerPoint
Minimum of 5 years OR clinical hospice and palliative care experience.
2 yea...
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Type: Permanent Location: Greenville, US-SC
Salary / Rate: Not Specified
Posted: 2026-09-11 10:50:11
-
Why NHC? At NHC, we "Put our Heart in Everything We Do!" We take pride in working together as a team in our family-oriented work environment.
We provide a culture of excellence, recognition, empowerment, and fun.
We offer professional growth opportunities along with competitive compensation wage increases based on performance.
If you want this experience in your career, apply today!
Position: Housekeeping Assistant - NHC HealthCare Rossville
Benefits:Competitive Wages, Insurance, 401K Match, Dental, Vision (All Optional), Fun, Fast Paced Work Environment
Position Highlights:
* Clean patient bathrooms including sinks, toilets, tubs and showers
* Empty garbage cans in patient rooms, patient bathrooms, activity areas and other areas throughout the center
* Clean patient rooms, including mopping and/or buffing floors, dusting furniture both on top and underneath
* Clean hallways, sweeping up debris, mopping, stripping and buffing following company and center policies and procedures
NHC HealthCare Rossville is located at 1425 McFarland Ave Rossville, GA 30741
If you are interested in working for a leader in senior care and share NHC's values of honesty and integrity, please apply today and find out more about us at nhccare.com/locations/rossville/
We look forward to talking with you!! NHC is an Equal Opportunity Employer.
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Type: Permanent Location: Rossville, US-GA
Salary / Rate: Not Specified
Posted: 2026-09-11 10:50:11
-
Life Enrichment Assistant
NHC HealthCare Oakwood | Lewisburg, Tennessee
Employment Type
Part Time
Schedule
Every Other Weekend
Pay
Depends on Experience
Join Our Team at NHC HealthCare Oakwood
NHC HealthCare Oakwood is seeking a compassionate, energetic, and dependable Activities Assistant to join our team on a part-time, every-other-weekend schedule.
The Activities Assistant helps provide meaningful recreational opportunities designed to meet the physical, social, mental, emotional, and spiritual needs of our patients and residents while creating an atmosphere of fun, engagement, and enjoyment.
The ideal candidate is mature, self-motivated, dependable, and has a genuine passion for working with seniors.
Position Responsibilities
• Assist and support the Life Enrichment/Recreation Director in identifying each patient or resident's individual interests, preferences, and activity needs.
• Assist with planning and providing therapeutic and recreational programs designed to meet individual needs.
• Provide activities that support the physical, social, mental, emotional, and spiritual well-being of patients and residents.
• Participate in individualized one-on-one activities with patients and residents as appropriate.
• Encourage participation and help create an engaging, positive, and enjoyable environment.
• Build positive relationships with patients, residents, families, community members, and NHC partners.
• Assist with maintaining positive community and public relations.
• Support the Life Enrichment/Recreation Director with departmental programs, events, and weekend activities.
• Follow NHC standards, policies, procedures, and the Better Way culture.
• Maintain a professional, respectful, and supportive approach when working with patients, residents, families, coworkers, and leadership.
Qualifications
• High school diploma or GED required.
• Ability and desire to work with elderly patients and residents.
• Willingness to learn new ideas, programs, and skills.
• Positive attitude and a good sense of humor.
• Ability to work effectively with NHC partners, families, patients, residents, and members of the community.
• Patience, strong organizational skills, dependability, and attention to detail.
• Professional appearance and strong communication skills.
• Ability to work independently and as part of a team.
• Ability to work an every-other-weekend schedule.
Benefits & Perks
Benefits and eligibility may vary based on position, employment status, location, hours worked, and applicable benefit plans.
• Competitive pay
• Tuition reimbursement
• Same-day pay option
• Flexible scheduling
• Holiday incentive pay
• Earned Time Off
• Health insurance
• Dental insurance
• Vision insurance
• Disability insurance
• Life insurance
• 401(k) with company contributions
• Uniforms
• Career development and advancement opportunities
Why NHC?
For more than 50 year...
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Type: Permanent Location: Lewisburg, US-TN
Salary / Rate: Not Specified
Posted: 2026-09-11 10:50:10
