Clinical Assessor Specialist

2 days ago


Huntersville, North Carolina, United States CNSI Full time

Acentra Health is a leading healthcare company that empowers better health outcomes through technology, services, and clinical expertise. As a Clinical Assessor, you will play a vital role in our mission to innovate health solutions that deliver maximum value and impact.

We are seeking a highly skilled Clinical Assessor to join our growing team in North Carolina. In this exciting opportunity, you will work from the comfort of your home office and travel to assessment locations in your region. Under the Personal Care Services (PCS) program, you will be responsible for completing needs-based eligibility determinations for North Carolinians who require hands-on assistance with daily living activities.

As a Clinical Assessor, your primary responsibility will be to conduct assessments to determine whether beneficiaries meet the conditions and criteria for PCS eligibility. You will ensure that PCS are provided on a needs basis in quantities appropriate to the beneficiary's unmet need for services based on their medical condition, functional disability, physical, or cognitive impairment.

Your day-to-day tasks will include conducting interviews with family members and informal caregivers, providing guidance and assistance to beneficiaries in selecting PCS providers, and submitting completed assessments using state-approved interfaces. You will also participate in mediation and appeal processes, respond to state inquiries, and attend staff meetings and case consultations/peer reviews/internal auditing as assigned.

To succeed in this role, you must have a registered nurse (RN) or licensed clinical social worker (LCSW) license by the state of North Carolina. Experience with community-based individuals needing personal assistance with ADL and IADL tasks is highly preferred. You should also have strong communication and interpersonal skills, with the ability to interact with various stakeholders, including healthcare professionals, patients, and their families.

The estimated salary for this position is $77,000, which will increase to $80,000 after 90 days. We offer a comprehensive benefits package, including health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.



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