Job Description
Registered Nurse, Quality Assurance (Remote located in New York) - Maximus Services, LLC - New York - work from home job
Company: Maximus Services, LLC
Job description: Job Introduction
Maximus is currently hiring for a Quality Assurance Nurse Specialist to support our CYES program! This is a full time position that is temporarily remote and located in the state of New York.
Maximus has partnered with the New York State Department of Health to establish the Children and Youth Evaluation Service (CYES) program to determine whether a child or youth is eligible for home and community-based services (HCBS) covered by Medicaid. CYES makes eligibility determinations primarily for children and youth aged 0-21 years who have been identified as being Medically Fragile (MDF) or having a Serious Emotional Disturbance (SED). CYES Nurse Evaluators conduct conflict-free evaluations of these children and youth to assess their needs for HCBS and develop person-centered plans of care. CYES Family Support Coordinators provide coordination and referral services and assist HCBS-eligible children or youth to apply for Medicaid.
This position applies the practices and procedures developed for the CYES QA Department to help maintain an effective quality assurance program. The Quality Assurance Nurse Specialist will provide both quality assurance and education to community-based Nurse Evaluators who are working to assess and support families who have children with identified behavioral health/psychiatric issues. The QANS will monitor and support the completion of high quality CANS-NY assessments and family-driven Plans of Care that are focused on supporting access to Home and Community Based Services. The specialist will conduct peer reviews and simultaneously identify trends to support the provision of additional education (1:1 and in larger group settings) to ensure high quality standards for service delivery.
Education and Experience Requirements
Primary Responsibilties:
• Collect data related to assessments and assessment outcomes
• Examine cases at random for completeness, accuracy and consistency
• Examine data for outliers and researches such cases
• Develop/complete reports that track and trend activities/outcomes
• Analyze CANS recommended scores in relation to Nurse Evaluator determinations
• Act as an advisor to staff on all QA and Compliance issues related to the CYES
• Investigate and document complaints
• Participate in and prepare for consumer conferences
• Attend Fair Hearing cases and prepare case packets, as required
• Participate in the development of project goals and objectives, and monitoring achievement of those goals
• Collaborate with the QA Supervisor and Sr. Manager - QA and Training to develop an effective quality monitoring program
• Develop and teach training modules for C-YES educational activities including Nurse Evaluator Orientation and ongoing C-YES In-Services
• Implement enhancements to the C-YES orientation and educational activities based on updates provided by HCS/CANS and CYES QA data
• Meet all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position
• Perform other duties as may be assigned by the QA Supervisor and Sr. Manager - QA and Training
Minimum Requirements :
• Graduate of an accredited nursing program
• Active RN licensure in the state of New York
• Active New York State ID
• 2+ years of related RN experience
• Ability to travel as needed
• Ability to work with technology in the workplace including proficiency with Microsoft Office products
• Knowledge of the theory, principles, and practices of general professional nursing
• Knowledge of state and agency laws and regulations governing general professional nursing practices
• Excellent organizational, interpersonal, written, and verbal communication skills
• Ability to communicate and work effectively with multi- generational consumers
• Ability to demonstrate sensitivity to the concerns of others
• Ability to perform comfortably in a fast-paced, deadline-oriented work environment
• Ability to successfully execute many complex tasks simultaneously
• Strong ability to work independently
• Ability to provide effective training in group or 1:1 setting
Preferred Requirements:
• Bachelor's Degree in Nursing or Health Care Management from an accredited college or university
• 2+ years previous work experience in Quality and/or Risk Management in a hospital or community setting; conducting peer reviews. work experience with the UAS-CANS-NY; behavioral health and pediatric nursing. Work experience providing education and QA training.
• Bilingual in either Spanish, Russian, Haitian-Creole, Mandarin, Cantonese or Bengali
Home Office Requirements:
• Reliable high-speed internet service
+ Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
+ Minimum 5 Mpbs upload speeds
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MAXIMUS Introduction
Since 1+75, 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, ****** 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 $+2,000.00/Yr. - Max: USD $106,000.00/Yr.
Posted Max
USD $106,000.00/Yr.
Posted Min
USD $+2,000.00/Yr.
Expected salary: $+2000 per year
Location: New York
Job date: Fri, 08 Sep 2026 22:10:31 GMT
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