• Job Description

  Req#: 91924
  Maximus is currently seeking Quality Assurance Clinical Analysts to support the Independent Practitioner Panel (IPP) Program. Joining our team offers numerous benefits, including opportunities for professional growth, a collaborative work environment, and the chance to make a positive impact on the lives of New Yorkers in need of long-term in-home care.
  
  Education and Experience Requirements:
  
  - Active New York Registered Nurse License
  - 2+ years of RN experience in home care, medical, surgical, geriatric, LTC, and/or ambulatory care
  - Strong working ability with all forms of technology
  - Excellent verbal and written communication skills
  - Detail and solution-oriented
  - Exceptional analytical skills
  
  Primary Responsibilities:
  
  - Collaborate with the Quality Assurance Manager to develop an effective quality monitoring program.
  - Provide QA training to Independent Practitioners for quality actions in their daily practice.
  - Audit Practitioner Orders and Care Plan Reviews for completeness, accuracy, and consistency.
  - Research consumer complaints and forward them for investigation.
  - Collect data related to Practitioner Order and Care Plan Reviews.
  - Examine cases for completeness, accuracy, and consistency.
  - Analyze data for outliers and conduct research on such cases.
  - Develop and complete reports tracking and trending activities/outcomes.
  - Act as an advisor to program staff on all QA and Compliance issues related to the IPP program.
  - Perform other duties as assigned by Management.
  
  Preferred Qualifications:
  
  - Bachelor's degree in Nursing or Health Care Management.
  - 2+ years of previous work experience in Quality and Risk Management in a hospital or health plan setting conducting peer reviews.
  
  Home Office Requirements:
  
  - Employer 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.
  
  Additional Information:
  As a large employer and Federal contractor, Maximus is subject to various vaccine mandates across our lines of business. Maximus is committed to complying with any applicable vaccine mandates. The specific vaccine requirements for this position will be outlined throughout the selection process. Individuals who believe they may qualify for a medical or religious accommodation will have the opportunity to apply for an accommodation following an offer of employment.
  
  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.
  
  Maximus compensation is based on various factors including but not limited to 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 shall be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation.

• About the company

  Maximus Inc., trademarked as MAXIMUS, is an American outsourcing company that provides business process services to government health and human services agencies in the United States, Australia, Canada, Saudi Arabia and the United Kingdom.

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