Clinical Evaluator

2 weeks ago

Yakima, Washington, United States Acentra Health Full time
Job Title: Clinical Evaluator - Preadmission Screening and Resident Review

Acentra Health is seeking a skilled Clinical Evaluator to join our team. As a Clinical Evaluator, you will conduct face-to-face assessments to facilitate appropriate placement and next level of care in Yakima, Washington.

Job Summary:

As a Clinical Evaluator, you will evaluate, determine, and recommend the next level of care to improve overall quality of life. This is a part-time hybrid role, combining work from your home office with travel to evaluate patients in your local area, including the Yakima area. Travel expenses, all mileage and parking will be fully reimbursed.

Responsibilities:
  • Review medical records, and interact with healthcare professionals, patients, their families, and other support systems to conduct accurate screenings, evaluations, and determinations.
  • Assess and analyze psychological, emotional, behavioral, and physical functioning.
  • Develop informed level of care recommendations based on thorough clinical evaluations.
  • 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.
  • Monitor personal metrics to ensure compliance with turnaround time requirements.
  • Stay updated on current regulations, and research related to long-term care, mental illness, medical conditions, and geriatrics.
  • Efficiently prioritize and execute tasks with attention to detail.
Requirements:
  • Minimum 3 years of experience assessing individuals with mental or psychiatric disorders, including complex differential diagnoses related to substance use, medical conditions, cognitive issues, and dementia.
  • Active unrestricted licensure in Washington in a healthcare or related field, such as a Licensed Psychologist, Psychiatric Nurse, Social Worker, Mental Health Counselor, Marriage and Family Therapist, or Social Worker Independent Clinical License.
  • Graduation from an accredited college with a relevant degree program.
  • Expertise in assessing and analyzing psychological, emotional, behavioral, and physical functioning.
  • Working knowledge of Preadmission Screening and Resident Review (PASRR) requirements per Federal Regulation 42 CFR, Chapter 483.
  • Knowledge of psychiatric disorders as defined by the most current Diagnostic and Statistical Manual in use in Washington.
  • Experience in determining a clinical diagnosis accounting for psychological and behavioral issues.
  • Knowledge of standards of practice related to the determination of Level of Care and standards of practice related to mental health, geriatrics, and other disorders commonly necessitating long-term care placement.
  • Experience with public mental health and medical programs, as well as public sector services and supports.
  • Proficient with Microsoft Office applications, including Excel, Word, PowerPoint, Teams, Outlook, and other web-based software.
  • Ability to interact with healthcare professionals, patients, their families, and other support systems.
  • Experience working with the geriatric population.
  • Excellent communication skills for conveying information to individuals and groups through spoken, written, and electronic media.
  • Keen attention to detail, with the ability to prioritize and execute tasks efficiently and in a timely manner.

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