Maximus is currently hiring for RN Quality Assurance Specialists to support the New York Independent Assessor Program (NYIA)! This position is fully remote and located in the state of New York.

About the New York Independent Assessor Program (NYIA):

The NYIA Program serves the State of New York by conducting a UAS assessment to determine eligibility for community-based long-term services. The Quality Assurance Specialist will bring robust qualifications and a strong desire to contribute their knowledge and expertise to a meaningful program. Specialists are on the front line of ensuring consistent and accurate assessment results by reviewing assessments and communicating with Nurse Assessors.

About the Position

We are hiring for Quality Assurance Nurse Specialists! As a member of the NYIA QA team, you'll bring robust qualifications and a strong desire to contribute your knowledge and expertise to a meaningful program. The Department is composed of small teams of QA Nurse Specialists, each led by a supportive Supervisor. Specialists are on the front line of ensuring consistent and accurate assessment results by reviewing assessments and communicating with Nurse Assessors. We're looking for team members with great attention to detail and strong communication skills. If this sounds like you, we're looking forward to meeting you!

Education and Experience Requirements

Position Responsibilities:

• Conduct standardized review/audit of Community Health Assessments (CHA) that are conducted by the Nurse Assessors.
• Review findings/audit and provide feedback in a collaborative manner to promote quality improvement of the CHA process
• Collect data related to assessments and assessment outcomes
• Examine cases at random for completeness, accuracy and consistency
• Examines data for outliers and researches such cases
• Conducting ad hoc reviews of submissions by Health Plans and the Local Department of Social Services that are clinical in nature
• Analyze UAS recommended scores in relation to Nurse Assessor determinations
• Attend Fair Hearing cases and prepare case packets, as required. This may require travel if the Fair Hearings are resumed in person
• Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position
• Performs other duties as may be assigned by Management

Minimum Requirements:

• Active RN license in the state of New York
• Graduate of an accredited nursing program
• Must have or be able to obtain a New York State ID card
• 2+ years RN experience in-home care, medical, surgical, geriatric, LTC and/or ambulatory care
• Prior experience using the UAS-NY Community assessment tool, OASIS or MDS preferred
• Strong technological skills
• Strong analytical skills
• Detail and solution oriented
• Ability to work independently
• Excellent written and oral communication and presentation skills
• Ability to use spreadsheet or database software
• Preferred 2+ years previous work experience in Quality and Risk Management in a hospital setting conducting peer reviews

Home Office Requirements:

• Reliable high-speed internet service
  • Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
  • Minimum 5 Mpbs upload speeds

MAXIMUS Introduction

Since 1975, Maximus has operated under its founding mission of Helping Government Serve the People, enabling citizens around the globe to successfully engage with their governments at all levels and across a variety of health and human services programs. Maximus delivers innovative business process management and technology solutions that contribute to improved outcomes for citizens and higher levels of productivity, accuracy, accountability and efficiency of government-sponsored programs. With more than 30,000 employees worldwide, Maximus is a proud partner to government agencies in the United States, Australia, Canada, Saudi Arabia, Singapore and the United Kingdom. For more information, visit https://www.maximus.com .

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.

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 are 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 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. Min:USD $92,000.00/Yr. - Max: USD $106,000.00/Yr.

Posted Max

USD $106,000.00/Yr.

Posted Min

USD $92,000.00/Yr.

As a leading strategic partner to governments across the globe, Maximus helps improve the delivery of public services amid complex technology, health, economic, environmental, and social challenges. With a deep understanding of program service delivery, acute insights that achieve operational excellence, and an extensive awareness of the needs of the people being served, our employees advance the critical missions of our partners. Maximus delivers innovative business process management, impactful consulting services, and technology solutions that provide improved outcomes for the public and higher levels of productivity and efficiency of government-sponsored programs.