RN Clinical Assessor

About the role

Acentra Health is seeking a RN Clinical Assessor (Aged & Disabled Waiver) to join our team. This position involves educating and performing medical eligibility assessments for WV Medicaid recipients, managing a caseload, and conducting assessments within prescribed timelines.

Responsibilities

• Document contacts, schedule appointments, and travel to conduct Pre-Admission Screening assessments
• Participate in inter-rater reliability activities and denial hearings
• Contact physicians and facilities to confirm medical information
• Determine ADW eligibility using state-approved standardized assessment tools
• Maintain privacy and dignity during assessments
• Conduct service plan reviews and submit assessments using state-approved interfaces
• Respond to state inquiries and participate in mediation and appeal processes
• Attend staff meetings and conduct case consultations/peer reviews
• Conduct assessments for initial eligibility determinations and annual/changes of status assessments
• Provide guidance and assistance to beneficiaries

Qualifications

• Valid, unrestricted RN license for West Virginia or compact license
• Valid driver's license and reliable transportation
• Two years' experience in home care settings or with aging/disabled populations
• Experience with Aged and Disabled Waiver program policies and procedures

Benefits

• Comprehensive health plans
• Paid time off
• Retirement savings
• Corporate wellness programs
• Education assistance
• Corporate discounts