Clinical Evaluator (PRN) NC

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, encouraging problem‑solving, ownership of work, and unparalleled career opportunities in the public sector. Job Summary Join Acentra Health as a Clinical Evaluator (PASRR) in North Carolina. In this role, you will conduct PASRR Level II Pre‑Admission Screening and Resident Review assessments, working directly with patients in local care settings such as hospitals, nursing homes, and community‑based centers throughout Wilkes, Caldwell or Catawba Counties. You will evaluate individuals to determine appropriate next‑level‑of‑care recommendations, supporting continuity of quality care while ensuring compliance with industry standards and applicable government regulations. This PRN hybrid position offers the flexibility to work remotely from your home office while also traveling locally to complete in‑person assessments. Travel expenses, including paid mileage and parking, are fully reimbursed. Your work will play a vital role in guiding care decisions and improving patient well‑being and health outcomes. Acentra Health also provides the essential technology and equipment needed for both remote and field‑based work, including a company‑issued laptop. Eligibility The position is hybrid. Candidates must be comfortable commuting to Wilkes, Caldwell, or Catawba County, North Carolina, to support the fieldwork required for the role. Job Responsibilities Complete accurate PASRR Level II assessments by reviewing relevant records, gathering information from collateral sources, and evaluating the individual’s physical, behavioral, and psychological functioning. Conduct Preadmission Screening and Resident Review (PASRR) assessments, develop evidence‑based level‑of‑care recommendations, and determine the most appropriate next level of care for individuals requiring long‑term care placement. Review and verify medical records and provide clinical recommendations in accordance with regulatory requirements, including evaluating psychiatric input, physician notes, and meeting established turnaround time standards. Interact with healthcare professionals, patients, their families, and internal partners as needed to support the assessment and review process. Apply strong clinical knowledge of psychiatric disorders as defined in the most current Diagnostic and Statistical Manual of Mental Disorders (DSM) used in North Carolina. Maintain a working knowledge of applicable federal regulations, including 42 CFR, Chapter 483, and ensure compliance in all assessment activities. Leverage technology, computer systems, web‑based applications, and proprietary software platforms to efficiently perform job functions and manage assessment activities. Read, understand, and adhere to all corporate policies, including policies related to HIPAA and its Privacy and Security Rules. Required Qualifications Active, unrestricted licensure in North Carolina in a healthcare discipline such as Licensed Clinical Psychologist (LCP), Licensed Clinical Social Worker (LCSW), Licensed Clinical Mental Health Counselor (LCMHC), Licensed Psychological Associate (LPA), or Registered Nurse (RN) with a master’s degree in Psychiatric Nursing or a closely related field. Graduation from an accredited college or university with a relevant degree program and a minimum of 2–3 years of experience in the assessment and/or diagnosis of individuals with mental or psychiatric disorders, including complex differential diagnoses involving substance use, medical conditions, cognitive impairment, and dementia. Minimum of 1 year of experience working with individuals with intellectual and developmental disabilities, serious mental illness, or related conditions. Proficiency in medical record abstraction and review. Strong clinical judgment, evidence‑based assessment, and critical‑thinking skills. Excellent interpersonal, verbal, and written communication skills, with the ability to communicate clearly and effectively across spoken, written, and electronic formats. Preferred Qualifications Working knowledge of Federal Regulation 42CFR, Chapter483. Knowledge of psychiatric disorders as defined by the most current DSM adopted by the applicable state. Knowledge of best practices related to mental health, intellectual and developmental disabilities, geriatrics, and other conditions commonly requiring long‑term care services and supports. Knowledge of medical record structure, medical terminology, and disease processes. Strong organizational skills, attention to detail, and the ability to manage priorities and complete work accurately within established timelines. Experience working with the geriatric population preferred. Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook, Teams) and experience using other web‑based tools and platforms. Compensation The compensation for this role is $37.00 per hour. Based on our compensation program, an applicant’s position placement in the pay range will depend on years of applicable experience and skill level. Pay range: up to USD$37.00/Hr. 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