Quality Clinician

MAXIMUS

MAXIMUS

Quality Clinician

Raleigh, NC
Full Time
Paid
  • Responsibilities

    Conduct quality review of completed Preadmission Screening and Resident Review (PASRR) Level II assessments for applicants to and residents of Medicaid-certified nursing facilities with a known or suspected serious mental illness or intellectual/developmental disability.

    ESSENTIAL FUNCTIONS:

    • Perform document-based quality control review of PASRR assessments
    • Responsible for conducting desk-based second-level review of assessments for individuals with medical conditions and/or cognitive impairments which impact their participation in daily living activities.
    • Responsible for completing and submitting assessment reviews within the respective timeline, adhering to quality benchmarks and contractual specifications, utilizing computer database system
    • Responsible for engagement and performance feedback for Assessors, including onboarding assistance, making/following up on referrals, tracking responsiveness, and informing both Recruiting and Credentialing and PASRR Program Manager in writing when performance and/or responsiveness issues arise with any Assessor
    • Must work within a tight turnaround time assuring contract compliance
    • Attends and participates in scheduled contract, committee, and all-staff meetings
    • Completes other job duties as assigned or necessary
  • Qualifications

    Experience

    • The job requires at least four (4) years of experience working with individuals with MH and/or IDD.
    • High School Diploma with 0-2 years of experience.
    • May have additional training or education in area of specialization.
    • Works on assignments that are routine in nature, with responsibilities easily learned on the job.
    • Acquires job skills and learns applicable policies and procedures to complete routine tasks.
    • Able to read, understand & perform assignments within prescribed guidelines.
    • Communicates routine information in a clear and accurate way with internal & external contacts.

    Education

    The job requires a North Carolina-licensed Master’s Level Social Worker, Psych Registered Nurse, or other mental health (MH) and/or intellectual and developmental disability (IDD) professional w/similar training/experience.

    EEO Statement: Active military service members, their spouses, and veteran candidates often embody the core competencies MAXIMUS deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We’re proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. MAXIMUS is an Affirmative Action/Equal Opportunity Employer. MAXIMUS provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status.

  • Industry
    Government Administration
  • About Us
    With a focus on more effective and efficient government programs, MAXIMUS has operated under our founding mission of "Helping Government Serve the People"​ since 1975. Our 30,000+ professionals deliver high-quality business process and technology solutions, as well as specialized consulting services for government agencies across North America, Australia, the United Kingdom, Saudi Arabia and Singapore. Together, we offer better solutions that lead to better lives for participants of health, welfare-to-work, and child support programs.