RN Clinical Assessor

About the role

Acentra Health is seeking a RN Clinical Assessor (Aged & Disabled Waiver) to join our growing team. This position educates and performs medical eligibility assessments of WV Medicaid recipients seeking community-based services.

Responsibilities

• Document contacts, schedule appointments, travel to conduct and appropriately administer/document Pre-Admission Screening assessments within prescribed timelines
• Participate in inter-rater reliability activities to ensure consistent administration of assessments and adherence to assessment protocols
• Participate in denial hearings as necessary
• Contact physicians and facilities to confirm medical information
• Conduct assessments to determine whether the beneficiary meets the conditions and criteria for ADW eligibility, using state-approved standardized assessment tool(s)
• Ensure ADW are provided on a "needs basis" in quantities appropriate to the Beneficiary's unmet need for services based on the severity of their medical condition, functional disability, physical, or cognitive impairment
• Ensure the privacy and dignity of individuals receiving assessment for ADW is maintained at the highest standards
• Include an interview with family members and informal caregivers who are present at the time of the assessment
• Provide the Beneficiary with guidance and assistance, as necessary, to select ADW providers
• Conduct service plan reviews as needed
• Submit the completed assessments using state-approved interface
• Respond to state inquiries regarding assessments conducted
• Attend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assigned
• Provide assessments for initial eligibility determinations for an applicant to participate in a 1915(c) HCBS program, and, when applicable, annual and change of status assessments for participants currently participating in a 1915(c) HCBS program, using state-approved standardized assessment tool(s)
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules

Qualifications

• Valid, unrestricted Registered Nurse (RN) license for the state of West Virginia or compact license
• Must have a valid driver's license and access to reliable transportation
• Willingness to travel to homes and facilities within the catchment area (travel outside one's catchment area is occasionally required to fill-in for others or to attend staff meetings/events)
• Candidate should be organized and have excellent customer service skills, good interpersonal communication and be flexible
• Applicant must be able to accurately assess medical conditions and symptoms and functional abilities
• Applicant must possess computer skills, specifically with Microsoft Outlook, Microsoft Word, Microsoft Edge, Google Chrome

Preferred Qualifications

• Minimum of two years' experience in a home care setting
• Minimum of two years' experience with aging population or with persons with disabilities (preferably working within the WV Aged and Disabled Waiver Program)
• Knowledge of the Aged and Disabled Waiver program policies and procedures

Benefits

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