Clinical Assessor

Maximus, Inc. Queens , NY 11424

Posted 11 months ago

Job Description: Summary-The incumbent performs quality management processes on document-based reviews for contracted services.-Conducts quality management processes on assessments completed by contracted field assessors and/or other clinical reviewers to ensure assessments adhere to state-directed criteria.-Attends and participates in scheduled contract, committee, and all-staff meetings.-Cross-trains with another Quality Coordinator within the company as identified by the Division Manager.-Performs other job duties as assigned.Licensed Mental Health Counselor, licensed in New YorkMinimum of 2 years of experience working with persons with a variety of physical and behavioral health needs

Working knowledge of the SSA Sequential Evaluation process

Ability to perform all job duties in compliance with Person First standards, HIPAA guidelines and company policies

Working knowledge and understanding of behavioral health diagnoses, psychotropic medications, medical diagnoses and prescribed medications

Works on assignments that are routine in nature, with responsibilities easily learned on the job.Acquires job skills and learns applicable policies and procedures to complete routine tasks.Able to read, understand & perform assignments within prescribed guidelines.Communicates routine information in a clear and accurate way with internal & external contacts.Excellent knowledge of diverse cultures and issues, with the ability to incorporate special needs into utilization review decisions

Excellent ability to multitask while effectively performing job duties, which include prioritizing tasks; ensure all voice mail and email messages are monitored and responded to within 2 business hours of receipt

Ability to work independently, as well as within a team while exhibiting excellent interpersonal skills

Excellent written and verbal communication skills

Ability to interact professionally and collegially with providers (hospital & nursing facility, physicians, community service workers, etc.), state contract officers, and coworkers while seeking or providing information

Ability to collect data, define problems, establish facts, and draw valid conclusions for supporting a superior written rationale for review determination

Excellent computer skills with experience in word processing, email and spreadsheets {Microsoft Word, Outlook and Excel preferred); ability to work with dual computer monitors, research information on the internet, utilize company resources/ tools stored on company

  • Bachelor's degree with 5+ years of experience.

  • Advanced degree or professional designation preferred.

  • Develops solutions to a variety of complex problems.

  • Work requires considerable judgment and initiative.

  • Exerts some influence on the overall objectives and long-range goals of the organization.

EEO StatementEEO Statement: Active military service members, their spouses, and veteran candidates often embody the core competencies MAXIMUS deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We're proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. MAXIMUS is an Affirmative Action/Equal Opportunity Employer. MAXIMUS provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status.

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Clinical Assessor

Maximus, Inc.