Clinical Assessor-RN (Hybrid-Travel) Durham, NC (PRN)

Clinical Assessor

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.

Acentra Health is looking for a Clinical Assessor to join our growing team. Position is hybrid. Candidates should be based within Durham County of North Carolina to be able to cover the field work involved. This position is PRN.

Acentra Health is seeking clinical assessors statewide in North Carolina for an exciting opportunity. You work out of your home office and travel to assessment locations in your region. Under the Community Alternatives (CAP) Program, home and community-based waivers provide cost-neutral alternatives to institutionalization for Beneficiaries, in specified target populations, who would be at risk for institutionalization if specialized Waiver services are not available. Services are intended for situations where no household member, relative, caregiver, landlord, community agency, volunteer agency, or third-party payer is able or willing to meet the assessed and required medical, psychosocial, and functional needs of the approved CAP Beneficiary. The CAP Assessor is responsible for the completion of needs-based eligibility determinations for North Carolinians who are applying for these Medicaid-funded personal care services provided in their home or in adult care or supervised living homes.

The CAP Assessor is responsible for completion of needs-based assessments of level of care (LOC) to allow targeted individuals to remain in or return to a home and community-based setting. Assessments are generally performed in the beneficiary's primary residence.

Daily tasks include processing CAP SRFs (services referral forms). If there are inquiries related to SRF processing, initiate RAIs (Requests for Additional Information) exclusively for SRFs that have been pending for three days or less. In cases where an SRF is missing the required information, issue a Technical Denial (TD) and document the reasons in the communication log. Monitor the CAP SRF queue each day to comply with the contract's stipulation of a maximum of 14 business days in the queue. Prior to processing SRFs, check for potential duplicate beneficiaries. Additionally, complete CAP SRF 2nd level when necessary.

Responsibilities:

• Your primary role will be completing CAPDA and CAPC comprehensive assessments.
• You may also receive cross-training in up to four additional areas.
• Minimum Hours: 16
• Training Requirements: Training may span up to seven (7) consecutive days. Includes up to four (4) days of remote learning followed by three (3) days of field training.

Travel Expectations:

• Travel time for two assessments can be up to 120 miles per day
• If travel exceeds 120 miles, the schedule will be reduced to one assessment.
• PRN staff are not scheduled on Saturdays
• Durham NC and surrounding counties in Region 4
• A two-week advance schedule is required to allow sufficient time for appointment scheduling.

Qualifications:

• Registered Nurse or LCSW license by the applicable state.
• Minimum of two years of nursing experience.
• This position requires travel up to a 60-mile radius.

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

Pay Range: USD $35.00 - USD $37.08 /Hr.