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Clinical Quality Assurance Supervisor (Remote, NY)

RequirementsDescription & RequirementsMaximus is currently hiring a Clinical QA Supervisor ! This position will support the Children and Youth Evaluation Services program (C-YES).The Clinical QA Supervisor oversees a team of Clinical QA Nurse Analysts for the CYES Clinical QA Department to ensure they are administering and participating in an effective quality assurance and quality control program that plans for, identifies , monitors, and resolves issues.This position is fully remote in the state of New York and an active, unrestricted NY RN license is required.About the program:Maximus, in partnership with the New York State Department of Health, operates the Children and Youth Evaluation Service (CYES) program. It assesses eligibility for home and community-based services (HCBS) under Medicaid for children and youth aged 0-21 identified as Medically Fragile (MDF) or with Serious Emotional Disturbance (SED).Essential Duties and Responsibilities:• Supervise assigned Quality Assurance staff, including the functions associated with quality assurance monitoring and monthly reporting of monitoring results.• Identify and set monthly individual/team goals.• Monitor the performance of Quality Assurance Staff, including providing continuous feedback, coaching and corrective actions, as necessary.• Complete quarterly and annual performance reviews for Department staff.• Manage the timecards, assignments and time off of Quality Assurance staff.• Develop monthly Quality Assurance workflows.• Ensure Quality Assurance staff effectively monitor and assess all areas of operations.• Act as subject matter expert for the Quality Assurance team members.• Provide ongoing training and support to Quality Assurance staff.• Ensure Quality Assurance staff maintain updated knowledge of policy and procedure changes.• Identify avenues to improve business process by analyzing quality evaluations and making recommendations to leadership.• Raise issues of concern and/or problems to the attention of leadership.• Prepare daily and weekly updates for QA Management based upon monthly sample and staff productivity• Participate in internal audits of policies and procedures.Minimum Requirements• Current Registered Nurse (RN) license valid in the state of practice is required• RN Licensure; Graduate of an accredited nursing program.• Minimum of 3 years of related experience in Quality Assurance in a health or social services field or 3+ years of experience with conducting UAS.• 3+ years leadership and/or RN experienceHome 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 speedsEEO StatementActive 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 TransparencyMaximus 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.
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$75K
$85K

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Full-time, remote
DATE POSTED
August 17, 2024

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