Clinical Assessor

Acentra Health is seeking a skilled Clinical Assessor to join our team in North Carolina. As a Clinical Assessor, you will conduct assessments to determine the eligibility of individuals for Medicaid-funded personal care services and home and community-based services. You will work independently, traveling to assessment locations in your region, and will be responsible for ensuring that services are provided on a needs basis, in quantities appropriate to the beneficiary's unmet needs.

• Conduct assessments to determine eligibility for Medicaid-funded personal care services and home and community-based services.
• Ensure that services are provided on a needs basis, in quantities appropriate to the beneficiary's unmet needs.
• Develop level of care recommendations based on clinical evaluations.
• Participate in training of PCS stakeholders as needed.
• Consult with the beneficiary's selected case management entity to generate an approvable service plan.
• Ensure that the randomly selected Service Plan completed by the beneficiary's assigned case management entity is appropriate to the beneficiary's unmet needs.

• 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 committed to providing high-quality services and supports to individuals and families in need. If you are passionate about making a difference in the lives of others, we encourage you to apply for this exciting opportunity.