Clinical Assessor (RN - Hybrid)

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. This open invitation encourages problem‑solving and ownership, supporting an ambitious career in the public sector. Job Summary Acentra Health is looking for a Clinical Assessor (MID) to join our growing team. The purpose of this position is to complete needs‑based eligibility determinations for patients applying for Medicaid‑funded personal care services, and to assess level of care to support home‑based, community‑based settings. Responsibilities Conduct assessments to determine whether the beneficiary meets the conditions and criteria for PCS eligibility using state‑approved standardized assessment tools. Ensure PCS are provided on a needs‑basis in quantities appropriate to the beneficiary’s unmet need for services based on severity of medical condition, functional disability, physical, or cognitive impairment. Ensure privacy and dignity of individuals receiving assessment for PCS is maintained at the highest standards. Conduct new, expedited, annual, change‑of‑status, mediation/appeals, reconsideration review, and derivative assessments within established timeframes. Include an interview with family members and informal caregivers present at the time of the assessment. Provide the beneficiary with guidance and assistance, as necessary, to select PCS providers. Conduct service plan reviews as needed. Submit the completed assessments using state‑approved interface. Participate in the beneficiary’s mediation and appeal processes. Respond to state inquiries regarding assessments conducted. Attend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assigned. Provide assessments for initial eligibility determinations for an applicant to participate in a 1915(c) HCBS program, and, when applicable, annual and change‑of‑status assessments for participants currently in a 1915(c) HCBS program. Read, understand, and adhere to all corporate policies including HIPAA and its Privacy and Security Rules. Qualifications Registered Nurse or LCSW license issued by the applicable state. Minimum of two years’ experience in a home care setting preferred. Compensation $80,000 per year, plus additional considerations based on experience and skill level. Benefits Comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. EEO Statement Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. #J-18808-Ljbffr