Jobs · Analyst

Clinical Reviewer - (Remote)

Maximus · United States · 1 mo ago
RemoteRemoteAnalyst$25.07/hrFull-time
We need to output HTML fragment with sections: headings

for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Use
  • for lists,

    for prose. Do not repeat job title. Do not include Job ID etc. Remove boilerplate. Include sections only when posting has real specific content. Must preserve all substantive info. We need to parse the posting. Key info: - Role: Clinical Reviewer for Illinois SALT program. - Responsibilities: evaluating assessments, making determinations regarding individuals' needs for additional supports and services; conducting quality control reviews of field assessors' work to ensure accuracy and compliance. - Training Schedule: Monday to Friday, 8:00 AM - 5:00 PM CST - Post-Training Work Schedule: Thursday to Sunday, 8:00 AM - 6:30 PM CST - About The Program: description of contract with Illinois HFS, managing assessment process for PASRR Level I screens and Level II SMI evaluations, etc. Also other services: Follow Up Visits; admissions support for SMHRF and SLP settings and Colbert Dementia Review. Continues to expand assessment services. - Why Maximus? list of benefits: Work/Life Balance Support - Flexibility; Competitive Compensation - Bonuses; Comprehensive Insurance Coverage (Medical, Dental, Vision, Prescription, partially funded HSA, Life insurance, discounts on Auto, Home, Renter's, Pet); Future Planning - 401K Retirement Savings plan and Company Matching; Paid Time Off Package - PTO, Holidays, extended sick leave, Short- and Long-Term Disability; Holistic Wellness Support - EAP; Recognition Platform; Tuition Reimbursement; Employee Perks and Discounts; Maximus Wellness Program and Resources; Professional Development Opportunities. - Essential Duties and Responsibilities: list of duties (review service requests, issue approvals/denials/recommendations, identify need for additional documentation, complete documentation, communicate with providers, may write high-quality clinical determination reports). - Minimum Requirements: high school diploma or GED required and 2+ years relevant professional experience required, or equivalent combination; Master’s degree in counseling, social work, psychology, closely related field OR must have an active, unrestricted RN license; Minimum of two (2) years post-graduate work experience in the mental health field; Minimum of two (2) years' experience conducting mental health assessments; Proficiency in Microsoft office Applications. - Preferred Requirements: outstanding interpersonal and verbal communication skills; strong proficiency in written communication; IM+CANS certification or willingness to obtain; Strong computer skills; Knowledgeable about PASRR. - Home Office Requirements: Maximus provides company-issued computer equipment; Reliable high-speed internet service; Minimum 20 Mbps download speeds/50 Mbps for shared internet connectivity; Minimum 5 Mbps upload speeds; Private and secure workspace. - Pay: Minimum Salary $25.07, Maximum Salary $30.67 (presumably hourly). Also earlier mention "Competitive Compensation - Bonuses based on performance included!" but we have specific salary range. - Schedule: Training schedule and Post-Training Work Schedule given. We need sections: About the role (maybe "About the role" or "About The Program"? The instruction: use

    for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can choose appropriate headings based on content. We should not repeat job title. We'll include sections: - About the role (maybe combine About The Program and description of role) - Responsibilities (Essential Duties and Responsibilities) - Requirements (Minimum Requirements) - Qualifications (maybe Preferred Requirements? Could be Skills) - Skills (maybe Preferred Requirements like communication, IM+CANS, computer skills) - Benefits (Why Maximus list) - Pay (salary range) - Schedule (training and post-training schedule) We need to ensure we only include sections with real content. All have content. We must not include filler like "commensurate with experience" etc. We have specific salary numbers, so Pay section is valid. We must not include duplicated lines. We'll consolidate. We need to output only HTML fragment, no /, no markdown fences. We'll produce something like:

    About the role

    Maximus is hiring a Clinical Reviewer to support the Illinois SALT program. The Clinical Reviewer evaluates assessments and makes determinations regarding individuals' needs for additional supports and services, including conducting quality control reviews of field assessors' work to ensure accuracy and compliance. The role supports the State of Illinois Department of Healthcare and Family Services (HFS) in managing the assessment process for Preadmission Screening and Resident Review (PASRR) Level I screens and completing Level II Serious Mental Illness (SMI) evaluations for individuals applying to, or residing in, Medicaid-certified nursing facilities. Additional services include Follow Up Visits, admissions support for Specialized Mental Health Rehabilitation Facilities (SMHRF) and Supported Living Programs (SLP) settings, and Colbert Dementia Review, with ongoing expansion of assessment services in the state.

    Responsibilities

    • Review service requests that are typically routine, including admissions, discharges, and continued stays, using established clinical criteria, state and federal policy, and contract requirements; escalate complex or non-standard cases that fall outside defined protocols.
    • Issue approvals, denials, or recommendations based on contract requirements and standardized decision frameworks.
    • Identify the need for additional clinical documentation or consultation and seek guidance from senior staff as appropriate.
    • Complete timely and accurate documentation of review activities within contract systems in accordance with established procedures.
    • Communicate with providers, individuals and their designees, or state workers as required.
    • May write high-quality, fully substantiated clinical determination reports by synthesizing assessment findings, interview data, and supporting documentation, including completing the summary of findings.

    Requirements

    • High school diploma or GED required and 2+ years of relevant professional experience required, or equivalent combination of education and experience.
    • Master’s degree in counseling, social work, psychology, or closely related field OR must have an active, unrestricted RN license.
    • Minimum of two (2) years post‑graduate work experience in the mental health field.
    • Minimum of two (2) years' experience conducting mental health assessments.
    • Proficiency in Microsoft Office applications.

    Skills

    • Outstanding interpersonal and verbal communication skills.
    • Strong proficiency in written communication, producing concise and impactful documentation.
    • IM+CANS certification or willingness to obtain IM+CANS certification.
    • Strong computer skills.
    • Knowledgeable about PASRR.

    Benefits

    • Work/Life Balance Support – Flexibility tailored to your needs.
    • Competitive Compensation – Bonuses based on performance included.
    • Comprehensive Insurance Coverage – Medical, Dental, Vision, Prescription, partially funded HSA, Life insurance, and discounts on Auto, Home, Renter's, and Pet insurance.
    • Future Planning – 401K Retirement Savings plan with Company Matching.
    • Paid Time Off Package – PTO, Holidays, extended sick leave, Short‑ and Long‑Term Disability coverage.
    • Holistic Wellness Support – Employee Assistance Program (EAP) for physical, emotional, and financial wellness.
    • Recognition Platform – Acknowledge and appreciate outstanding employee contributions.
    • Tuition Reimbursement – Invest in ongoing education and development.
    • Employee Perks and Discounts – Additional benefits and discounts exclusively for employees.
    • Maximus Wellness Program and Resources – Access to wellness programs and resources.
    • Professional Development Opportunities – Training programs, workshops, and conferences.

    Pay

    Hourly salary range: $25.07 – $30.67.

    Schedule

    • Training Schedule: Monday to Friday, 8:00 AM – 5:00 PM CST.
    • Post‑Training Work Schedule: Thursday to Sunday, 8:00 AM – 6:30 PM CST.
    We also need to include Home Office Requirements? Could be part of Requirements or Skills? It's about equipment and internet. Could be a separate section like "Work Environment" but not in list of allowed headings. The allowed headings are: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We could incorporate Home Office Requirements into Requirements or Skills. Probably under Requirements as bullet: "Home office setup: company‑issued computer, reliable high‑speed internet (minimum 20 Mbps download/5 Mbps upload for shared, 5 Mbps upload), private secure workspace." Let's add that under Requirements. Also we have "Qualifications" heading not used yet. Could combine Minimum Requirements and Preferred Requirements into Requirements and Qualifications? But we already used Requirements for minimum. Could use Qualifications for preferred/skills. But we already have Skills for preferred. Could rename Skills to Qualifications. However instruction says we can use those headings; we can choose which to use. We have Skills already; we could also have Qualifications for something else like education/license. But we already covered education in Requirements. Might be okay to omit Qualifications if not needed. The instruction: "Prefer a few substantive sections over many thin ones." So we can omit Qualifications if we think it's thin. We have Skills covering preferred. That's fine. We need to ensure we didn't repeat job title. We didn't. Check for any boilerplate: We removed EEO statement, Pay Transparency, Accommodations, etc. Good. Check for any duplicated lines: We didn't duplicate. Check for any placeholders like "commensurate with experience": Not present. Check for any missing substantive info: We included training schedule, post-training schedule, pay range, responsibilities, requirements, skills, benefits, about the role. Also we included home office requirements under Requirements. Make sure we included all bullet points from responsibilities: we captured all six. Check we captured all minimum requirements: high school diploma/GED + 2+ years experience; Master's degree or RN license; 2 years post-graduate mental health; 2 years mental health assessments; Proficiency in MS Office. Added home office. Check we captured all preferred requirements: interpersonal/verbal communication; written communication; IM+CANS certification; strong computer skills; knowledgeable about PASRR. Yes. Check benefits: we captured all bullet points from Why Maximus list. Let's verify each: - Work/Life Balance Support - Flexibility tailored to your needs! -> we have. - Competitive Compensation - Bonuses based on performance included! -> we have. - 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. -> we have. - Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching. -> we have. - Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short- and Long-Term Disability coverage. -> we have. - Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP). -> we have. - Recognition Platform - Acknowledge and appreciate outstanding employee contributions. -> we have. - Tuition Reimbursement - Invest in your ongoing education and development.

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