RN Clinical Assessor: Home Health & HCBS Eligibility

Acentra Health, LLC; West Virginia; On-site; USD 67,000 - 70,000; Full time

Benefits offered by this job

Comprehensive health plans

Paid time off

Retirement savings

Educational assistance

Job summary

Acentra Health is seeking a Clinical Assessor, Mid to join our growing team. This role conducts eligibility determinations for Medicaid-funded personal care services and assesses level of care to keep eligible individuals in home and community-based settings.

Responsibilities include interviews with families, guidance on ADW providers, and timely submission of assessments using state systems, while maintaining privacy and HIPAA compliance. Travel is required.

Qualifications

• Must have a valid RN license in the applicable state.
• Minimum of two years' experience in a home care setting preferred.
• Ability to travel to multiple locations, up to ~8 hours driving per day.
• Lift up to 50 pounds as required.

Responsibilities

• Conduct assessments to determine whether the beneficiary meets eligibility conditions for ADW eligibility.
• Assess level of care to determine needs-based services in home and community settings.
• Ensure privacy and dignity of individuals receiving assessments.
• Complete assessments within established timeframes (including various status changes).
• Interview family members and informal caregivers during assessments.
• Guide beneficiaries to select appropriate ADW providers.
• Conduct service plan reviews as needed.
• Submit assessments using state-approved interface.
• Participate in mediation and appeal processes.
• Respond to state inquiries regarding assessments.
• Attend staff meetings and conduct case consultations.

Skills

Valid driver’s license

Education

Registered Nurse license

Job description

Acentra Health is seeking a Clinical Assessor, Mid to join our growing team. This role conducts eligibility determinations for Medicaid-funded personal care services and assesses level of care to keep eligible individuals in home and community-based settings.

Responsibilities include interviews with families, guidance on ADW providers, and timely submission of assessments using state systems, while maintaining privacy and HIPAA compliance. Travel is required.