Hybrid RN Clinical Assessor – Medicaid PCS

Acentra; Gastonia (NC); Hybrid; USD 67,000 - 80,000; Full time

Benefits offered by this job

Health plans

Paid time off

Job summary

Acentra Health is seeking an RN Clinical Assessor to perform needs-based eligibility determinations for Medicaid-funded PCS in Gaston and Cleveland counties, focusing on home and community-based services. The role combines remote work with field visits, requiring travel in designated NC counties.

Responsibilities include conducting assessments with state tools, ensuring timely reviews, protecting patient privacy, and guiding beneficiaries to PCS providers.

Qualifications

• Registered Nurse license for North Carolina or compact state
• Valid driver’s license and reliable transportation
• 2+ years of experience in a home care setting preferred
• Proficiency with Microsoft Office Suite preferred

Responsibilities

• Conduct assessments to determine PCS eligibility using state-approved tools
• Ensure PCS are provided on a needs basis based on unmet needs
• Maintain privacy and dignity of individuals during assessments
• Ensure timely cohesion of initial, annual, change of status, and appeals assessments
• Interview family members and informal caregivers during assessments
• Guide beneficiaries to PCS providers and assist with service plan reviews
• Submit assessments via state-approved interface
• Participate in mediation and appeal processes
• Respond to state inquiries about assessments
• Attend staff meetings and conduct peer reviews

Skills

RN license NC

Driver's license

Travel readiness

Microsoft Office

Tools

Microsoft Office

Job description

Acentra Health is seeking an RN Clinical Assessor to perform needs-based eligibility determinations for Medicaid-funded PCS in Gaston and Cleveland counties, focusing on home and community-based services. The role combines remote work with field visits, requiring travel in designated NC counties.

Responsibilities include conducting assessments with state tools, ensuring timely reviews, protecting patient privacy, and guiding beneficiaries to PCS providers.