Description & Requirements

Maximus is currently hiring a Regional Nurse Manager !

The Nurse Manager is responsible for supervising the Nurse Evaluators in designated regions, reviewing clinical documentation for completeness, accuracy, and consistency and promoting project image and goals .

About Children & Youth Evaluation Services

The Children and Youth Evaluation Service (C-YES) is a New York State Program that determines Home and Community Based Service/Level of Care (HCBS/LOC) eligibility for youth with medical, behavioral, and/or developmental needs aged 0-21 years. The C-YES program also provides Medicaid application assistance services to children who appear HCBS eligible and are either without Medicaid and/or have Medicaid but opt out of HH Care Management. C-YES also develops person-centere d Plans of Care (POCs) and provides ongoing HCBS service coordination for those families who elect to remain with C-YES and opt out of more comprehensive case management provided by Health Home Care Management Staff. HCBS are meant to help youths remain in their community as opposed to going to a higher level of care (i.e., facility or institution). A Care Coordination team comprised of Nurse Evaluators and Family Support Coordinators are responsible for ongoing support to all families referred to C-YES.

This is a remote position in the state of New York.

Why Maximus?

• Competitive Compensation - Performance-based bonuses included!
• Comprehensive Insurance Coverage - Choose from Medical, Dental, Vision, and Prescription plans, plus partially funded HSA . Enjoy Life Insurance and discounts on Auto, Home, Renter’s, and Pet Insurance .
• Future Planning - Secure your future with a 401K Retirement Savings Plan + Company Matching .
• Time Off Package - UTO, Holidays, Extended Sick Leave, and Short & Long-Term Disability coverage .
• Holistic Wellness Support - Access resources for physical, emotional, and financial well-being via our Employee Assistance Program (EAP) .
• Recognition Platform - Celebrate outstanding contributions.
• Tuition Reimbursement - Invest in your education and career growth.
• Exclusive Employee Perks & Discounts - Enjoy extra savings and benefits.
• Maximus Wellness Program - Access specialized wellness programs and resources.
• Professional Development Opportunities - Engage in training programs, workshops, and conferences to grow in your career

Essential Duties and Responsibilities:

- Serve as the lead content knowledge expert concerning the review and research of provided clinical information.

- Perform clinical case reviews and consultations

- Provide direct supervision to assigned team of nursing and/or other clinical staff

- Provide subject matter expertise related to medical necessity and level of care criteria and application thereof

- Provides education and clinical training to staff in area of expertise

- Performs other related duties as assigned.

- Supervise the Independent Nurse Evaluators as assigned

- Oversee the training and development of Independent Nurse Evaluators

- Monitor the activities, schedules, productivity and assessment results of an assigned group of Independent Nurse Evaluators

- Review clinical documentation for completeness, accuracy, and consistency for assigned group of Independent Nurse Evaluators.

- Collects QA information from assigned Independent Nurse Evaluators

- Disseminates policy, protocol change, and ensures implementation across the team.

- Lead regular team meetings and act as the point-person for the Independent Nurse Evaluators

- Conduct scheduled and random assessment/home visits to evaluate customer satisfaction through the observation of the Independent Nurse Evaluator’s interaction and communication with consumers as well as the application of CANS NY

- Promote project image and goals

- Meet all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position

- Perform other duties as may be assigned by the Project Director and Senior Nurse Manager

Minimum Requirements

- Current Registered Nurse (RN) license valid in the state of practice is required
- Bachelor's degree and 5 years of experience or equivalent combination of education and experience required
- Minimum of 5 years of clinical experience
- Minimum 1 year supervisory experience preferred
- Some travel (within NY State)
- Reliable transportation
- NY State ID

Preferred Requirements

- MA degree in a health, social services, or communications field
- Working with pediatric and behavioral health populations
- UAS-CANS-NY system experience

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 just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.

Minimum Salary

$100,000.00

Maximum Salary

$108,000.00

As a leading strategic partner to governments across the globe, Maximus helps improve the delivery of public services amid complex technology, health, economic, environmental, and social challenges. With a deep understanding of program service delivery, acute insights that achieve operational excellence, and an extensive awareness of the needs of the people being served, our employees advance the critical missions of our partners. Maximus delivers innovative business process management, impactful consulting services, and technology solutions that provide improved outcomes for the public and higher levels of productivity and efficiency of government-sponsored programs.