IL PASRR Regional Case Manager - (Remote - Illinois)

Maximus is seeking a IL PASRR Regional Case Manager responsible for reviewing the admission process for Medicaid placement. *This position is remote, however requires residence in one of the following counties in Illinois: Mason, Logan, Cass, Menard, Scott, Morgan, Sangamon, Christian, Greene, Jersey, Macoupin or Montgomery. Primary Responsibilities: ● Responsible for pre-admission and concurrent reviews for admissions and continued placement in Medicaid certified nursing facilities, utilizing federal and State''s criteria ● Review and communicate all information with providers, utilizing computer database system for determining nursing facility placement appropriateness ● Utilize both referral screens and medical records review to make determinations ● Develop and document a clinical rationale supporting the review decision as the final step in the review process. ● Must work within a tight turnaround time assuring contract compliance ● Conduct on-site follow-up assessments to identify resources for successful community placement based on individual''s specific needs ● Use effective, person-centered clinical interviewing techniques to elicit necessary information ● Synthesize information from multiple sources, including reports from individual and participants ● Comprehensive medical record review

Created: 2021-11-29