PASRR Clinical Evaluator (PRN) - CA

Job Summary

Join Acentra Health as a Clinical Evaluator (PASRR) in California. In this role, you will conduct PASRR Level II Pre-Admission Screening and Resident Review assessments, working directly with patients in local care settings such as hospitals, nursing homes, and community-based centers throughout Sacramento, California. You will evaluate individuals to help determine appropriate next-level-of-care recommendations, supporting continuity of quality care while ensuring compliance with industry standards and applicable government regulations.

Responsibilities

• Complete accurate PASRR Level II assessments by reviewing relevant records, gathering information from collateral sources, and evaluating the individual’s physical, behavioral, and psychological functioning.
• Develop informed and evidence-based level-of-care recommendations and determine the most appropriate next level of care for individuals who may require long-term care placement.
• Review and verify medical records and provide clinical recommendations in accordance with regulatory requirements, including evaluating psychiatric input, physician notes, completing required assessments, and meeting established turnaround time standards.
• Interact with healthcare professionals, patients, their families, and internal partners as needed to support the assessment and review process.
• Leverage technology, computer systems, web-based applications, and proprietary software platforms to efficiently perform job functions and manage and track assessment activities.
• Ensure compliance with established workflows and complete assessments in a timely manner and within scope of practice to meet all contractual and program requirements.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.

Qualifications

• Must possess an active, unrestricted California license in a healthcare or related field, such as Licensed Professional Clinical Counselor (LPCC), Licensed Mental Health Counselor (LMHC), Licensed Marriage and Family Therapist (LMFT), Licensed Clinical Social Worker (LCSW), Nurse Practitioner (NP), or Psychiatric Mental Health Nurse Practitioner (PMHNP).
• Graduation from an accredited college or university with a degree in a relevant field, along with a minimum of 3 years of experience in the assessment and/or diagnosis of individuals with mental or psychiatric disorders, including complex differential diagnoses involving substance use, medical conditions, cognitive impairment, dementia, and geriatric populations.
• 1+ years of experience working with individuals with intellectual and developmental disabilities, serious mental illness, or related conditions.
• Strong clinical judgment, evidence-based assessment, and critical-thinking skills.
• Proficiency in medical record abstraction and review.
• Excellent interpersonal, verbal, and written communication skills, with the ability to communicate clearly and effectively with individuals and groups across spoken, written, and electronic formats.

Preferred Qualifications

• Working knowledge of Federal Regulation 42 CFR Part 483.
• Strong understanding of psychiatric disorders as defined by the current Diagnostic and Statistical Manual recognized by the applicable state.
• Knowledge of professional standards related to level-of-care determinations.
• Familiarity with standards of practice in mental health, intellectual and developmental disabilities, geriatrics, and other conditions commonly associated with long-term care services and supports.
• Solid understanding of medical record structure, medical terminology, and disease processes.
• Experience working with the geriatric population preferred.
• Strong organizational skills, attention to detail, and the ability to manage priorities and complete work accurately within established deadlines.
• Proficiency in Microsoft Office Suite, including Excel, Word, PowerPoint, Outlook, and Teams, as well as experience using other web-based tools and platforms.