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Clinical Evaluator
2 months ago
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 within the Sacramento area.
Your role involves providing essential evaluations to enhance patient well-being and improve their quality of life. These assessments, primarily conducted in nursing homes, hospitals, or community-based settings, play a crucial role in determining the level and scope of care required for each patient.
Key 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.
- Minimum 2 to 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.
