Home Health Care Specialist

4 days ago


Asheville, North Carolina, United States Astyra Corporation Full time

About the Role:

We are seeking a skilled Registered Nurse to fill the position of Home Health Care Specialist. This role involves conducting assessments to determine eligibility for Medicaid-funded personal care services, ensuring that these services are provided on a needs basis, and maintaining the privacy and dignity of individuals receiving assessments.

Key Responsibilities:

  • Conducting assessments using state-approved standardized assessment tools.
  • Ensuring that personal care services are provided in accordance with established guidelines.
  • Submitting completed assessments using state-approved interfaces.
  • Participating in mediation and appeal processes, responding to state inquiries, and attending staff meetings.
  • Developing level of care recommendations based on clinical evaluations.

Requirements:

  • Registered Nurse license in the state of North Carolina.
  • Minimum two years' experience in home care settings.
  • Computer proficiency in Microsoft Excel, Word, and Outlook, as well as web-based software.
  • Knowledge of North Carolina Medicaid Clinical Coverage Policy (Clinical Policy) 3L and PCS Program Provider Manual.

What You'll Need:


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