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    Clinical Quality Analyst - Chicago, United States - MAXIMUS

    MAXIMUS
    MAXIMUS Chicago, United States

    1 week ago

    Maximus background
    Description




    General information



    Job Posting Title

    Clinical Quality Analyst (Hybrid Remote - Chicago, IL)

    Date

    Friday, May 10, 2024

    City

    Chicago

    State

    IL

    Country

    United States

    Working time

    Full-time



    Description & Requirements

    The Clinical Quality Analyst will support the IL SALT program by completing both retrospective QA of the SMHRF CSR as well as onsite QA of each staff member on a quarterly basis. The incumbent participates in the ongoing operation of an effective quality monitoring program by developing work instructions, conducting quality reviews, providing related training and guidance to program staff, and participating in audits to support completeness, accuracy, and consistency.

    **This position is mostly remote located in Cook County, IL and will require quarterly travel.

    About the Program: We have contracted with the State of Illinois Department of Healthcare and Family Services (HFS) to manage comprehensive assessment processes for various screening and assessment services including:

    • 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. The federally mandated PASRR screening and assessment are used to determine whether the nursing facility is the appropriate placement for individuals with mental illness, intellectual disabilities, or developmental disabilities. PASRR also works as a critical function to help match individuals with the care and services they need.

    • Follow Up Visits, in-person visits scheduled between the 30th and 60th day of Nursing Facility (NF) stays for persons who have previously received a PASRR Level II Mental Health Assessment

    • Assessment processes for all persons indicating preference for placement in a Specialized Mental Health Rehabilitation Facility (SMHRF) setting

    • Assessment processes for all persons indicating preference for placement in a Supported Living Program (SLP) setting

    • Colbert Dementia Review conducted to facilitate HFS compliance with Colbert Consent Decree requirements and appropriate services for Cook County residents
    Why Maximus?
    - Tuition Reimbursement Program
    - Internet Reimbursement
    - 401K plan with company matching
    - Paid Time Off
    - Quarterly Bonus Opportunities
    - Employee Assistance Program (EAP) for your well-being
    - Employee wellness programs and enticing discount programs

    The Analyst Clinical QA is supporting the Independent Practitioner Panel and is actively engaged with their immediate team and communicating with staff across the program to support of program quality. The incumbent participates in the ongoing operation of an effective quality monitoring program by developing work instructions, conducting quality reviews, providing related training and guidance to program staff, and participating in audits to support completeness, accuracy, and consistency.

    Essential Duties and Responsibilities:

    Collaborates with the Clinical Operation Manager to develop an effective quality monitoring program

    Provides QA training to the Clinical Assessors, Clinical Monitors, and the QA staff in order that quality actions are incorporated into their daily practice

    Collects data related to assessments and assessment outcomes

    Examines cases at random for completeness, accuracy and consistency

    Examines data for outliers and researches such cases

    Analyzes UAS recommended scores in relation to Nurse Assessor determinations

    Develops / completes reports that track and trend activities / outcomes

    Acts as an advisor to program staff on all QA and Compliance issues related to the IPP program

    Attends Fair Hearing cases and prepare case packets, as required

    Performs other duties as may be assigned by the Nurse Director.

    Minimum Requirements

    Minimum Requirements:

    Masters Degree from a Nurse Practitioner or Physician Assistant Program required

    NYS Licensed Nurse Practitioner or Physician Assistant required

    Preferred Specialties for Nurse Practitioners: Internal Medicine, Adult Health, Community Health, Family Practice, Psychiatry

    Two (2) or more years practicing experience as a Nurse Practitioner / Physician Assistant required

    2+ years previous work experience in Quality and Risk Management in a hospital setting conducting peer reviews preferred

    Strong working ability with all forms of technology, ability to navigate multiple systems, intermediate knowledge of Microsoft Office programs, ability to learn and adapt to new technology quickly; exceptional analytical skills; detail and solution-oriented; ability to work independently as well as with a team; excellent verbal and written communication skills including the ability to communicate effectively with a diverse range of individuals

    - Minimum 2 years work experience in mental illness required
    - Highly skilled using Microsoft office required
    - Must be able to work independently, managing tasks without supervision and getting them completed in a timely manner required
    - Ability to travel on a quarterly basis - some travel will require one to two weeks at a time
    - Attention to detail

    - Flexibility - able to handle last minute schedule changes

    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
    • Private and secure workspace
    #ClinicalServices #HighlightedJobs0416X #HighlightedJobs0416LI

    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. Were 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

    $

    54,400.00

    Annual Base Pay Maximum for this Position

    $

    60,000.00
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