Clinical Manager Registered Nurse – (Hybrid Remote - Massachusetts)
About the role
The Clinical Manager (Registered Nurse) role oversees a team of registered nurses conducting in-person evaluations, ensuring all assessments meet organizational standards, regulatory requirements, and evidence-based clinical guidelines. This role also involves reviewing clinical documentation, coaching and developing nursing staff, collaborating with interdisciplinary teams, and performing assessments throughout the state of Massachusetts.
Responsibilities
- Manage clinical and nursing team in the planning, monitoring and execution of all projects within the portfolio.
- Directly responsible for contract performance including financial, quality, outcomes and client satisfaction.
- Primary point of contact for client and some stakeholders to meet project needs and minimize exposure to risk.
- Contribute to division growth through work on bids and proposals, client communication and related activities.
- Work with Operations and shared services to increase quality, efficiency and cost-effectiveness.
Requirements
- RN license valid in the state of practice is required.
- Bachelor's degree 5 years of related experience or equivalent combination of education and experience required.
- Minimum 3 years of experience in project or program management required.
- Bachelor’s degree in Nursing.
- An active, unencumbered Registered Nurse (RN) license in the state of Massachusetts.
- Residency in the state of Massachusetts is required.
- Minimum of 5 years of clinical nursing experience or equivalent relevant experience.
- Minimum 3 years of experience Supervising clinical staff.
- Familiarity with Home and Community Based Services waivers (HCBS) and prior experience conducting clinical assessments.
- Subject matter expertise in Medicaid LTSS.
Qualifications
- Master’s degree in Nursing.
- Proficiency in Adobe applications.
- Proficiency in Smartsheet.
- Familiarity with the Time to Test (TTT) assessment.
- Experience in utilization review or utilization management.
- Prior experience working remotely.
- Prior experience with data analytics, including preparation of monthly reports and collaboration with state partners.
- Minimum understanding of the following: Program clinical eligibility requirements for the MA EOHHS LTSS Programs (AFC/GAFC/ADH/ PCA); Documentation requirements for Assessment processes, including physician and medical information forms or other TTT Tool documents; Caregiver and Surrogate participation in the Assessment process; Understanding of the Appeals and pre-Board of Hearing mediation process and how to complete the process, including documentation of activities.
SkillsUse of Microsoft Office products (Outlook/ Word).
Benefits
Work/Life Balance Support - Flexibility tailored to your needs!
Cash Compensation - Bonuses based on performance included!
Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
Unlimited Time Off Package - Enjoy UTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage.
Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
Awards and Recognition - Acknowledge and appreciate outstanding employee contributions.
Tuition Reimbursement - Invest in your ongoing education and development.
Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
Professional Development Opportunities - Participate in training programs, workshops, and conferences.
Licensures and Certifications - Maximus assumes the expenses associated with renewing licenses and certifications for its employees.
Pay
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.
Schedule
This role requires approximately 50% travel within Massachusetts, averaging 3 days per week, to conduct in-person assessments. This role requires availability during standard business hours (Monday–Friday, 8:00 AM – 5:00 PM) with availability for evenings and weekends depending on contract needs.
Application Instructions
To apply, please visit our careers page and submit your resume and cover letter detailing your qualifications and experience.