Clinical Assessor, Mid

About the role

Acentra Health is seeking a Clinical Assessor, Mid to join our dynamic team. This role involves conducting needs-based eligibility determinations and assessing level of care for beneficiaries applying for Medicaid-funded personal care services.

Responsibilities

• Conduct assessments to determine eligibility for PCS using state-approved standardized assessment tools.
• Ensure services are provided on a "needs basis" based on beneficiary's medical condition, functional disability, or cognitive impairment.
• Maintain privacy and dignity during assessments.
• Interview family members and informal caregivers during assessments.
• Select appropriate PCS providers for beneficiaries.
• Review service plans as needed.
• Submit completed assessments via state-approved interfaces.
• Participate in mediation and appeal processes for beneficiaries.
• Respond to state inquiries regarding assessments.
• Attend and contribute to staff meetings and case consultations.
• Conduct internal audits and peer reviews as assigned.
• Assess initial eligibility for 1915(c) HCBS programs and annual/changes of status assessments.
• Adhere to corporate policies, including HIPAA and Privacy and Security Rules.

Qualifications

• Registered Nurse licensed by the state of North Carolina or compact.
• Valid driver's license and ability to travel to various locations, including extended periods of driving (up to 8 hours/day and up to 120 miles/day).
• Proficient in computer-based software and tools, including Microsoft Office Suite.
• Detail-oriented with strong organizational skills and the ability to prioritize tasks efficiently.

Preferred Qualifications

• Minimum of 2 years of experience in a home care setting.