Maximus

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.

 
- 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

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.

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.

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 applicantaccommodations@maximus.com.