Clinical Evaluator

4 days ago


Norfolk, Nebraska, United States Acentra Health Full time
About the Role

Acentra Health is seeking a skilled Clinical Evaluator to join our team in Norfolk, Nebraska. As a Clinical Evaluator, you will conduct onsite assessments to facilitate appropriate placement and care for local populations. Your role involves providing essential evaluations and recommendations to enhance patient well-being and quality of life.

Key Responsibilities
  • Conduct accurate screenings, evaluations, and determinations to ensure the best possible outcomes for patients.
  • Develop informed level of care recommendations based on thorough clinical evaluations, taking into account the unique needs and circumstances of each patient.
  • Conduct assessments in various environments, including nursing homes, hospitals, and community settings, to understand and address the diverse needs of those we serve.
  • Adhere to the state's best standards of mental health practices, intellectual and developmental disabilities, geriatrics, and other conditions requiring nursing care services and supports.
  • Ensure compliance with contractual and regulatory standards while developing level of care recommendations.
  • Utilize independent judgment, deep clinical expertise, exceptional communication skills, and problem-solving abilities to navigate complex situations, ensuring the best outcomes for members, providers, and clients.
  • Foster effective collaboration with a diverse range of healthcare professionals, patients, families, and support networks while monitoring personal metrics to ensure compliance with turnaround time requirements.
  • Leverage technology by utilizing the state's electronic system and our proprietary platforms to efficiently manage and track all assessment activities.
  • Stay informed on current literature, regulations, and research pertaining to long-term care, mental illness, medical conditions, and geriatrics.
  • Ensure compliance with necessary workflows to maintain quality and efficiency.
  • Efficiently prioritize and execute tasks with attention to detail.
Requirements
  • Active, unrestricted licensure in Nebraska in a healthcare or related field, such as Registered Nurse, Licensed Clinical Social Worker, Licensed Clinical Psychologist, Nurse Practitioner, or other qualified Licensed Mental Health Professional.
  • Minimum of 3 years' experience in assessing and diagnosing individuals with mental/psychiatric disorders, including expertise in complex differential diagnoses related to substance use, medical conditions, cognitive issues, and dementia.
  • At least 1 year of experience working with individuals with intellectual disabilities or related conditions.
  • Graduation from an accredited college with a degree relevant to the field.
  • Working knowledge of the Preadmission Screening and Resident Review (PASRR) requirements as per Federal Regulation 42 CFR, Chapter 483, and the state PASRR rule, 471 NAC 12.
  • Skilled in assessing and analyzing psychological, emotional, behavioral, and physical functioning to develop appropriate level of care recommendations based on clinical evaluations.
  • Knowledge of psychiatric disorders as outlined by the latest Diagnostic and Statistical Manual in use in Nebraska.
  • Understanding of standards of practice for determining Level of Care per 471 NAC 12.
  • Strong familiarity with public mental health and medical programs.
  • Demonstrated experience working with the geriatric population.
  • Proven ability to formulate clinical diagnoses, considering psychological and behavioral factors.
  • Strong communication skills, capable of effective interaction with individuals and groups via spoken, written, and electronic media.
  • Skilled in using computer equipment-based software and proficiency in Microsoft Office Suites.

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