Clinical Case Manager in Folsom, CA at Maximus

Date Posted: 5/16/2021

Job Snapshot

Job Description

 Job Summary

Essential Duties and Responsibilities:
- Manage participants through their period of participation in the Diversion Program by monitoring overall program compliance, oversight of recovery activities, recommendations for treatment, and liaison with the Board.
- Serve as liaison for assigned Board/Committee and their designee (Diversion Program Manager, (DPM), Diversion Evaluation Committee (DEC) Case Consultant, DEC Chair).
- Respond to incoming calls on the toll-free line, as needed, and after-hour, weekend, and holiday calls on a rotating basis with other Diversion Program staff.
- Prepare applicant Pre-DEC Entry Agreements and participant Recovery Terms and Conditions Agreements, and ensure delivery of all applicant, contract, transition materials, and the like.
- Conduct remote, telephonic assessment and reassessments of impaired health professional licensees to evaluate their overall compliance with program requirements and progress in recovery.
- Evaluate incoming information submitted by treatment providers, facilities, participants, and labs to monitor participant's progress and compliance with the Recovery Terms and Conditions Agreement.
- Contact the participant, the appropriate Board/Committee (or their designee) or treatment providers, facilities and labs in response to participant non-compliance with the Recovery Terms and Conditions Agreement.
- Meet with applicant/participant telephonically weekly until seen by DEC, and monthly thereafter, to review compliance and progress in recovery.
- Ensure time requirements are met in regard to all Diversion Program policies, procedures and contract performance standards.
- Compile, produce, review and ensure timely distribution of the History and Profile (H&P) reports prior to submission to Diversion Program Managers (DPMs).
- Review Monthly Compliance/Non-Compliance reports and letters, as well as other reports and correspondence, as required.
- Produce other reports and letters as requested, including the 'Letter of Successful Completion.'
- Attend and present clinical case input at DEC and review committee meetings.
- Attend and present at other meetings as required, including educational presentations and conferences.
- Engage in quality assurance monitoring and evaluation for the Diversion Program, as necessary.

Minimum Requirements:
- Bachelor's degree with 3 - 5 years of experience consulting within designated function.

Education and Experience Requirements

Active California RN license required 

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

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’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.