Remote RN PCS Assessor for NC Medicaid

Vaya Health; Raleigh (NC); Remote; USD 65,000 - 88,000; Full time

Job summary

Vaya Partners in North Carolina is seeking a Registered Nurse to perform needs-based assessments for Medicaid Personal Care Services in home and community settings. You will schedule visits, conduct telephonic and face-to-face assessments, and submit SARs for PCS providers while ensuring privacy and dignified care.

The ideal candidate holds a NC RN license, a Bachelor's in nursing or related field, and at least two years in home care.

Qualifications

• Bachelor’s degree in Nursing or healthcare field required.
• Two years of experience in home care setting preferred.
• Experience conducting PCS assessments preferred.

Responsibilities

• Schedule assessments with members and families.
• Determine PCS eligibility using standardized tools.
• Conduct interviews with family members and caregivers.
• Submit SARs for PCS providers.
• Protect privacy and dignity of beneficiaries.
• Participate in mediation and appeals as needed.

Skills

Medicaid policy knowledge

HCBS/PCS knowledge

Public sector services understanding

Microsoft Excel

Communication

Detail-oriented

Independent work

PCS stakeholder training

Disability awareness

Education

Bachelor’s degree in Nursing or healthcare

2 years home care experience

Tools

Excel

Word

Outlook

Job description

Vaya Partners in North Carolina is seeking a Registered Nurse to perform needs-based assessments for Medicaid Personal Care Services in home and community settings. You will schedule visits, conduct telephonic and face-to-face assessments, and submit SARs for PCS providers while ensuring privacy and dignified care.

The ideal candidate holds a NC RN license, a Bachelor's in nursing or related field, and at least two years in home care.