Remote RN Assessor for Medicaid PCS Needs Assessments

Vaya Health; Danbury (NC); Remote; USD 65,000 - 90,000; Full time

Job summary

Vaya Health in North Carolina is seeking a Registered Nurse to perform needs-based assessments for Medicaid beneficiaries applying for State Plan Personal Care Services in home or community settings. The PCS Assessor will schedule assessments, conduct telephonic and in-person visits, collaborate with healthcare professionals, and submit Service Authorization requests on behalf of PCS providers.

Requirements include a Bachelor's degree in Nursing or related field, active RN licensure in NC, two

Qualifications

• Bachelor's degree in Nursing or related field required.
• Active RN licensure in North Carolina.
• Minimum two years of home care or PCS experience preferred.
• Ability to travel within NC counties.
• Good communication and documentation skills.

Responsibilities

• Schedule assessments with members and families.
• Determine PCS eligibility using standardized tools.
• Interview with family members and caregivers.
• Submit Service Authorization requests (SARs) for PCS providers.
• Maintain privacy and dignity of beneficiaries.
• Participate in staff meetings and trainings.

Skills

RN licensure

Needs-based assessments

Medicaid knowledge

Home health

Communication

Computer skills

Education

Bachelor's degree in Nursing or related field

Tools

Excel

Word

Outlook

Job description

Vaya Health in North Carolina is seeking a Registered Nurse to perform needs-based assessments for Medicaid beneficiaries applying for State Plan Personal Care Services in home or community settings. The PCS Assessor will schedule assessments, conduct telephonic and in-person visits, collaborate with healthcare professionals, and submit Service Authorization requests on behalf of PCS providers.

Requirements include a Bachelor's degree in Nursing or related field, active RN licensure in NC, two