Clinical Assessor, Registered Nurse
- (Hybrid Remote
- Lowell, MA) Maximus
- 3.
5 Andover, MA Job Details $37.98 an hour 1 day ago Benefits Paid holidays Disability insurance Health insurance Paid time off Retirement plan Qualifications Caregiving documentation requirements Working with individuals with neurodevelopmental disorders Electronic health records (EHR) management RN License Initial assessment (medical evaluation) Working with individuals with cognitive disabilities High school diploma or GED Medicaid health insurance Managing patients as a nurse case manager Care planning in social services Overseeing care coordination Intellectual disabilities support Clinical assessment documentation Adults with developmental disabilities Medicaid Productivity software Behavioral and mental health screening Patient assessment visits Social work care coordination Working with individuals with intellectual disabilities Disability services
Full Job Description 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 #marn #ClinicalServices #LI-Hybrid #maxPriority 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. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews
- please contact People Operations at .
Minimum Salary $37.98 Maximum Salary $37.98