Clinical Assessor

Acentra Health; Cary (NC); Hybrid; Part time

Benefits offered by this job

Retirement savings

Corporate wellness programs

Educational assistance

Job summary

Acentra Health is seeking a Clinical Assessor to join their team in North Carolina. This hybrid position requires travel within a 60-mile radius and involves conducting comprehensive assessments for Medicaid-funded personal care services.

Applicants must hold a Registered Nurse or LCSW license, with at least two years of nursing experience. Training will be provided, and the role offers flexibility in scheduling.

Compensation ranges from $35.00 to $37.08 per hour based on experience.

Qualifications

• Registered Nurse or LCSW license required.
• Minimum of two years nursing experience.
• Knowledge of standards related to Medicaid waivers and HCBS programs.

Responsibilities

• Complete CAPDA and CAPC assessments.
• Travel for assessments up to 60 miles radius.
• Process CAP SRFs and manage communication logs.

Skills

Knowledge of North Carolina Medicaid Clinical Policy

Two years of nursing experience

Computer proficiency

Ability to interact with healthcare professionals

Education

Registered Nurse or LCSW license

Tools

Microsoft Excel

Microsoft Word

Microsoft Outlook

Job description

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. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem‑solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes—making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Job Summary and Responsibilities

Acentra Health is looking for a Clinical Assessor to join our growing team.

• 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.

*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.

Key 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 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 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

Required 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.

Preferred Qualifications

• Knowledge of North Carolina Medicaid Clinical Policy 3K‑1 and 3K‑2, and 42 CFR Part 441 Subpart G, 42 CFR 440.180.
• Knowledge of eligibility criteria for LOC and waiver participation.
• Minimum of two years' experience in a home care setting preferred.
• Knowledge of standards of practice related to Medicaid waivers, home and community‑based services (HCBS) programs, EPSDT, medical fragility, and level of care determinations.
• Knowledge and understanding of public sector services and supports.
• Understanding of services provided under the CAP waivers.
• Computer proficiency in Microsoft Excel, Word and Outlook.
• Ability to utilize computer equipment and web‑based software to conduct work.
• Ability to interact with various office staff as needed to support necessary workflows.
• Ability to interact with healthcare professionals, patients, their families and other supports.
• Ability to communicate effectively to individuals and groups through spoken, written and electronic media.
• Ability to attend to detail, effectively prioritize and execute tasks in a timely manner.
• Ability to work independently without a high degree of supervision.
• Develops level of care recommendations based upon clinical evaluations.
• Participates in training of CAP stakeholders as needed.
• Ability to use person‑centered thinking, planning, and have competency in awareness of the needs of persons with disabilities.

Benefits

Benefits are a key component of your rewards package. 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.

Compensation

Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.

USD $35.00 - $37.08 /Hr.

EEO Statement

EEO AA M/F/Vet/Disability. 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.