Clinical Assessor

Acentra Health is seeking a skilled Clinical Assessor to join our team in North Carolina. As a Clinical Assessor, you will work from your home office and travel to assessment locations in your region to conduct needs-based eligibility determinations for North Carolinians applying for Medicaid-funded personal care services. You will also assess the level of care for individuals participating in the Community Alternatives (CAP) Program.

• Conduct assessments to determine eligibility for personal care services and level of care for CAP participants
• Ensure that services are provided on a needs basis in quantities appropriate to the beneficiary's unmet needs
• Maintain the privacy and dignity of individuals receiving assessment
• Submit completed assessments using state-approved interfaces
• Participate in mediation and appeal processes
• Attend staff meetings and conduct case consultations/peer reviews/internal auditing as assigned

• Registered Nurse or LCSW license by the state of North Carolina
• 2+ years of experience in home care setting preferred
• Experience with community-based individuals needing personal assistance with ADL and IADL tasks is 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

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. We are a vital partner for health solutions in the public sector, and we are committed to empowering better health outcomes through technology, services, and clinical expertise.

Acentra Health offers a comprehensive benefits package, including comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.