Clinical Assessor

Clinical Opportunities at Astyra

**Job Summary**

A clinical assessor is sought by Astyra to work out of a home office and travel to assessment locations in the region. The assessor will be responsible for conducting needs-based eligibility determinations for North Carolinians applying for Medicaid-funded personal care services.

**Key Responsibilities**

* Conduct assessments to determine eligibility for personal care services using state-approved standardized assessment tools
* 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
* Conduct service plan reviews as needed
* Submit completed assessments using state-approved interfaces
* Participate in mediation and appeal processes
* Respond to state inquiries regarding assessments
* Attend staff meetings and conduct case consultations/peer reviews/internal auditing as assigned

**Qualifications**

* Registered Nurse, licensed by the state of North Carolina
* Minimum of two years experience in home care setting preferred
* Experience with community-based individuals needing personal assistance with ADL and IADL tasks is highly preferred
* Experience conducting PCS assessments highly preferred

**Skills and Knowledge**

* 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 in Microsoft Excel, Word, and Outlook
* Ability to utilize computer equipment and web-based software to conduct work
* Ability to interact with various office staff as 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 in a timely manner
* Ability to work independently without a high degree of supervision
* Develops level of care recommendations based upon clinical evaluations
* Participates in training of PCS stakeholders as needed
* Ability to use person-centered thinking, planning, and have competency in awareness of the needs of persons with disabilities

**About Astyra**

Astrya is seeking clinical assessors statewide in North Carolina for an exciting opportunity.