Job Description

Description & Requirements

The program provides a virtual triage service in support of patient care and treatment for a targeted audience. Using a patient-centric approach, the clinical and non-clinical team will assess and direct callers to the appropriate level of care, source providers, facilitate medical appointments and answer program questions.

This person will manage an effective and cohesive team to ensure consistent delivery of services, lead the team members to deliver on the goals of the program, and support the Program Manager in developing and refining policies and procedures for the project’s operational and clinical domains. Serve as Key Personnel for the program.

Position is contingent upon contract award

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.
• Maintain clinical competency in accordance with licensure requirements
• Supervision of the Clinical Team including but not limited to monitoring activities, schedules, productivity of nurses
• Support development and implementation of training for nurse and non-nurse staff
• Disseminate policy, protocol change, and ensure implementation across the teams
• Lead regular team meetings and act as the point-person for the nurses
• Collaborate with project management to monitor and ensure departmental performance and operational goals are met
• Address identified opportunities to improve the project, i.e., quality implementation, and efficient processing of cases
• Participate in the nurse team meetings on a rotational schedule to ensure contract compliance
• Promote project image and goals through public speaking engagements and local professional presentations
• Audit, review, and approve timesheets
• Perform other duties as may be assigned by the Senior Program Manager
• Comply and ensure program compliance with HIPAA privacy rules
• Occasional travel, as needed

Minimum Requirements

• 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
• Ability to obtain US Security Clearance
• Bachelor's Degree in nursing from an accredited School of Nursing
• Must have current licensure as a Registered Nurse with a minimum of 15 years’ experience
• Must have 5 years of leadership or supervisory experience as an RN
• Prior experience supporting a Call Center environment

Preferred Qualifications

• Master's Degree
• Current BLS certification
• Experience in customer service, performance evaluation, and process improvement
• Experience in large volume staff training and coaching
• Excellent written and oral communication skills
• Strong interpersonal skills with the ability to build relationships at all levels
• Proactive, self-starter with the ability to work well in a team environment
• Detail-oriented with good organizational skills and capable of effectively prioritizing and multi-tasking
• Experience working remotely and leading a remote team including using Microsoft Office Suite, Teams, Zoom, SharePoint, and other digital tools

Home Office Requirements

• Maximus provides company-issued computer equipment
• Reliable high-speed internet service
• Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
• Minimum 5 Mpbs upload speeds

EEO 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.

Pay Transparency

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.

Annual Base Pay Minimum for this Position

$120,000.00

Annual Base Pay Maximum for this Position

$160,000.00

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