Essential Duties and Responsibilities:

- Review requests for services including admission, discharges and continued stays for adherence to clinical criteria, state and federal policy, and  related requirements.

- Issue approvals, denials or recommendations based on contract requirements.

- Identify need for additional clinical documentation or consultation.

- Complete documentation of activities within contract systems.

- Communicate with providers, individuals and their designees, or state workers as required.

- Performs other related duties as assigned.

Minimum Requirements

- Current Licensed Practical Nurse (LPN) license valid in the state of practice is required

- High School Degree or equivalent required

- Minimum 1 year of clinical experience required

- Active, unrestricted LPN licensed valid in Indiana, or compact License.- Minimum 2 years experience with mental health and psychiatric patients- Minimum 2 years experience with individuals diagnosed with IDD- Highly skilled using Microsoft Office- Ability to provide close attention to detail- Able to work independently, managing tasks without supervision, completing tasks in a timely manner.
Preferred Requirements- Experience with MDS (Minimum Data Set)
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 EEO Statement 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. 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.