Job Summary
As a Clinical Assessor, you will use your clinical expertise to evaluate level-of-care (LOC) criteria and support informed, person-centered determinations. This role focuses on conducting behavioral health assessments, contributing to eligibility decisions, and supporting individuals in remaining in or transitioning back to home and community-based settings. Your clinical judgment will ensure consistent, well-documented outcomes aligned with program requirements.
This full-time, remote position requires a Maine license and offers the opportunity to apply your clinical expertise in support of statewide healthcare programs.
Job Responsibilities
- Conduct or support behavioral health assessments for pediatric populations, including evaluating functional needs, risk factors, and clinical history.
- Contribute to level-of-care determinations and eligibility decisions for moderate to high-intensity behavioral health services.
- Review and synthesize clinical, behavioral, and psychosocial information to support comprehensive assessment outcomes and care planning.
- Review assigned cases for accuracy, completeness, and timeliness in alignment with program requirements and regulatory standards.
- Manage daily caseload and prioritize work to meet established turnaround times.
- Apply clinical guidelines and criteria to support consistent, well-documented determinations.
- Participate in quality assurance and continuous improvement efforts.
- Stay current on clinical standards, regulatory updates, and review criteria.
- Communicate with providers as needed to clarify information and support issue resolution.
- Handle a variety of review types based on business needs.
- Collaborate with internal teams to ensure efficient workflow and consistent outcomes.
- Participate in training, team meetings, and ongoing professional development.
- Follow all company policies, including strict adherence to HIPAA privacy and security requirements.
Required Qualifications
- Active, unrestricted LCPC or LCSW license.
- Must hold an active license in the State of Maine.
- Experience with medical record review and clinical documentation.
- Working knowledge of medical terminology.
- Strong written and verbal communication skills.
Preferred Qualifications
- Experience supporting public sector or government healthcare programs.
- Strong organizational skills with the ability to manage multiple priorities.
- Comfortable working in a remote, production-driven environment.
- Proficiency with Microsoft Office (Word, Excel, Outlook) and web-based systems.