RN Clinical Assessor — Hybrid/Travel, PCS Expert

Acentra Health; Fayetteville (NC); Hybrid; USD 77,000 - 80,000; Full time

Benefits offered by this job

Laptop provided

Travel reimbursement

Job summary

Acentra Health is seeking a Clinical Assessor, RN, to perform needs-based eligibility determinations for Medicaid-funded personal care services in home or community settings. Travel up to ~120 miles daily is required, with expenses reimbursed and all necessary home-office equipment provided.

You will evaluate level of care, interview family members, and assist beneficiaries in selecting PCS providers while adhering to HIPAA and policy standards.

Qualifications

• RN license (NC or Compact) required.
• Minimum 2 years of nursing experience.
• Travel up to 120 miles roundtrip required.
• Proficiency in Microsoft Excel, Word and Outlook.

Responsibilities

• Conduct PCS eligibility assessments using state-approved tools.
• Determine level of care to match home and community-based services.
• Interview family members and informal caregivers during assessments.
• Provide guidance to beneficiaries for selecting PCS providers.
• Submit completed assessments using state-approved interface.
• Participate in mediation and appeals processes.
• Maintain HIPAA/privacy and security compliance.

Skills

RN license (NC or Compact)

2+ years nursing experience

Travel up to 120 miles

Microsoft Excel

Microsoft Word

Microsoft Outlook

Tools

Microsoft Excel

Microsoft Word

Microsoft Outlook

Job description

Acentra Health is seeking a Clinical Assessor, RN, to perform needs-based eligibility determinations for Medicaid-funded personal care services in home or community settings. Travel up to ~120 miles daily is required, with expenses reimbursed and all necessary home-office equipment provided.

You will evaluate level of care, interview family members, and assist beneficiaries in selecting PCS providers while adhering to HIPAA and policy standards.