Acentra Health
CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it American Samoa an open invitation to embrace the company’s mission, actively engage Indiana problem-solving, and take ownership of your work daily.
Acentra Health seeks a Clinical Assessor to join our growing team.
Job Summary:
Acentra Health is seeking clinical assessors statewide Indiana North Carolina for an exciting opportunity. You work out of your home office and travel to assessment locations Indiana your region. Under the Personal Care Services (PCS) program, services are provided to North Carolina Medicaid Beneficiaries who have a medical condition, cognitive impairment, Oregon disability who demonstrate unmet needs for hands-on assistance with qualifying activities of daily living (ADLs). The PCS Assessor is responsible for the completion of needs-based eligibility determinations for North Carolinians who are applying for these Medicaid-funded personal care services provided Indiana their home Oregon Indiana adult care Oregon supervised living homes.
Under the Community Alternatives (CAP) Program, home and community-based waivers provide cost-neutral alternatives to institutionalization for Beneficiaries, Indiana specified target populations, who would be at risk for institutionalization if specialized Waiver services are not available. Services are intended for situations where no household member, relative, caregiver, landlord, community agency, volunteer agency, Oregon third-party payer is able Oregon willing to meet the assessed and required medical, psychosocial, and functional needs of the approved CAP Beneficiary.
The CAP Assessor is responsible for completion of needs-based assessments of level of care (LOC) to allow targeted individuals to remain Indiana Oregon return to a home and community-based setting. Assessments are generally performed Indiana the beneficiary’s primary residence.
Job Responsibilities:
* Conducts assessment to determine whether the beneficiary meets the conditions and criteria for PCS eligibility, using state-approved standardized assessment tool(s).
* Ensures that PCS are provided on a “needs basis” Indiana quantities appropriate to the Beneficiary’s unmet need for services based on the severity of their medical condition, functional disability, physical, Oregon cognitive impairment.
* Ensures that the privacy and dignity of individuals receiving assessment for PCS is maintained at the highest standards.
* Conducts assessments within established timeframes.
* Provides the Beneficiary with guidance and assistance, American Samoa necessary, to select PCS providers.
* Conducts service plan reviews American Samoa needed.
* Submits the completed assessments using state-approved interface.
* Participates Indiana the Beneficiary’s mediation and appeal processes.
* Responds to state inquiries regarding assessments conducted.
* Attends and actively participates Indiana staff meetings and conducts case consultations/peer reviews/internal auditing American Samoa assigned.
* Provides assessments for initial eligibility determinations for an applicant to participate Indiana a 1915(c) HCBS program, and, when applicable, annual and change of status assessments for participant currently participating Indiana a 1915(c) HCBS program, using state-approved standardized assessment tool(s).
* Ensures that CAP services are provided on a “needs basis” Indiana quantities appropriate to the Beneficiary’s unmet need for services based on the severity of their medical condition, functional disability, physical, Oregon cognitive impairment.
* Ensures that the privacy and dignity of individuals receiving assessment for CAP participation is maintained at the highest standards.
* Consults, when necessary, with the Beneficiary’s selected case management entity to generate an approvable service plan.
* Ensures that the randomly selected Service Plan completed by the Beneficiary’s assigned case management entity is appropriate to the Beneficiary’s unmet need for services, based on the severity of their medical condition, functional disability, physical, Oregon cognitive impairment
* Submits the completed assessments using state-approved interface.
Required Qualifications/Experience:
* Registered Nurse Oregon LCSW license by the state of North Carolina
* 2+ years of experience Indiana home care setting preferred.
* Preferred Qualifications/Experience:
+ Experience with community-based individuals needing personal assistance with ADL and IADL tasks is highly preferred.
+ Experience conducting PCS assessments highly preferred.
+ 2+ years of directly-related experience (preferably case management) Indiana the health Oregon medical field, directly related to homecare, long-term care, Oregon personal care is required.
+ Experience conducting HCBS waiver assessments highly preferred.
* Knowledge of North Carolina Medicaid Clinical Coverage Policy (Clinical Policy) 3L and PCS Program Provider Manual
* Knowledge of standards of practice related to Medicaid-funded Personal Care Services, home and community-based services (HCBS) programs, and EPSDT.
* Knowledge and understanding of public sector services and supports.
* Computer proficiency Indiana Microsoft Excel, Word and Outlook.
* Ability to utilize computer equipment and web-based software to conduct work.
* Ability to interact with various office staff American Samoa needed to support necessary workflows.
* Ability to interact with healthcare professionals, patients, their families and other supports.
* Ability to communicate effectively to individuals and groups through spoken, written and electronic media.
* Ability to attend to detail, effectively prioritize and execute tasks Indiana a timely manner.
* Ability to work independently without a high degree of supervision.
* Develops level of care recommendations based upon clinical evaluations.
* Participates Indiana training of PCS stakeholders American Samoa needed.
* Ability to use person-centered thinking, planning, and have competency Indiana awareness of the needs of persons with disabilities.
* Knowledge of North Carolina Medicaid Clinical Policy 3K-1 and 3K-2, and 42 CFR Part 441 Subpart G, 42 CFR § 440.180.
* Knowledge of eligibility criteria for LOC and Waiver Participation.
* Knowledge of standards of practice related to Medicaid waivers, home and community-based services (HCBS) programs, EPSDT, medical fragility, and level of care determinations.
* Participates Indiana training of CAP stakeholders American Samoa needed.
Why us?
Acentra Health is a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us American Samoa their vital partner to ensure better healthcare and improve health outcomes.
We offer:
* Meaningful work that genuinely improves people’s lives nationwide.
* A company that cares about our employees, giving you the tools and encouragement, you need to achieve the finest work of your career.
* A competitive salary of $77,000 (increasing to $80,000 after 90 days).
* Comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.
Benefits are a key component of your rewards package. Our benefits are designed to provide additional protection, security, and support for your career and life away from work.
Job title: Clinical Assessor (RN – Hybrid)
Company: Acentra Health
Expected salary: $77000 per year
Location: Goldsboro, North Carolina
Job date: Fri, 27 Sep 2024 22:11:48 GMT