Acentra Health Nursing Jobs

29 jobs | Website

Recent Jobs

Home Health

Full-time

2 days ago

RN Clinical Assessor

Acentra Health Charleston, WV

$67,300 - $72,000 / year

Company Overview: Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. At Acentra Health, we embrace emerging technologies, including artificial intelligence and advanced analytics that can be utilized to improve processes, enhance decision-making, and drive better health outcomes. We value professionals who are curious about new technologies and motivated to use innovative tools to increase efficiency, quality, and impact in their roles. Job Summary and Responsibilities: Acentra Health is looking for a RN Clinical Assessor (Personal Care) to join our growing team. Job Summary: This position educates and performs medical eligibility assessments of WV Medicaid recipients seeking community-based services and follows prescribed guidelines while administering the Pre-Admission Screening for determination of medical eligibility for the Personal Care Program and the Aged & Disabled Waiver Program. Personal Care RNs must manage a caseload of assigned members to ensure that assessments are scheduled, appropriate persons are in attendance, assessments are performed, and data is entered into Atrezzo within prescribed timelines. This position requires extensive local travel within an assigned catchment area as well as periodic travel outside a catchment area * This hybrid role is based in West Virginia and combines remote work from home with field assessments and quarterly in-office meetings. For optimal field coverage, Applicants should reside in Lewis, Barbour, Upshur, Randolph, Pocahontas, or Pendleton County. Responsibilities: Document contacts, schedule appointments, travel to conduct and appropriately administer/document Pre-Admission Screening assessments within prescribed timelines Participate in inter-rater reliability activities to ensure consistent administration of assessments and adherence to assessment protocols Participate in denial hearings as necessary Contact physicians and facilities to confirm medical information Conduct assessments to determine whether the beneficiary meets the conditions and criteria for PCS eligibility, using state-approved standardized assessment tool(s) Ensure PCS are provided on a "needs basis" in quantities appropriate to the Beneficiary's unmet need for services based on the severity of their medical condition, functional disability, physical, or cognitive impairment Ensure the privacy and dignity of individuals receiving assessment for PCS is maintained at the highest standards Ensure that new, expedited, annual, change of status, mediation/appeals, reconsideration review, and derivative assessments are conducted within established timeframes Include an interview with family members and informal caregivers who are present at the time of the assessment Provide the Beneficiary with guidance and assistance, as necessary, to select PCS providers Submit the completed assessments using state-approved interface Participate in the Beneficiary's mediation and appeal processes Attend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assigned Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules The list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time. Qualifications: Required qualifications: Valid, unrestricted Registered Nurse (RN) license for the state of West Virginia or compact license Associate of Science in Nursing (ASN) degree from an accredited college/university (BSN preferred) Must have a valid West VA driver's license and access to reliable transportation Willingness to travel to homes and facilities within the catchment area (travel outside one's catchment area is occasionally required to fill-in for others or to attend staff meetings/events) Candidate should be organized and have excellent customer service skills, good interpersonal communication and be flexible Applicant must be able to accurately assess medical conditions and symptoms and functional abilities Applicant must possess computer skills, specifically with Microsoft Outlook, Microsoft Word, Microsoft Edge, Google Chrome Preferred qualifications: Two years of experience in a home care setting Two years of experience with the aging population or with persons with disabilities (preferably working within the WV Personal Care program) Knowledge of the Personal Care and Aged and Disabled Waiver program policies and procedures Why us? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career. Benefits Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search! We are committed to providing a secure and positive hiring experience. Depending on the role, interviews may be conducted virtually, in person, or through a combination of both. As part of our recruitment process, candidates may be asked to participate in identity verification measures to help ensure the integrity of the hiring process. ~ The Acentra Health Talent Acquisition Team Visit us at https://careers.acentra.com/us/jobs EEO AA M/F/Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Experience in Lieu of Degree For non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education. As such, in cases where a Bachelor's degree may be required, the Company will accept a minimum of six (6) years of directly relevant professional experience in lieu of a degree. In instances where the candidate has an Associate's degree, the Company will accept a minimum of three (3) years of directly relevant professional experience in lieu of the Bachelor's degree. Compensation The pay for this position is listed below. "Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level." Pay Range: USD $67,300.00 - USD $72,000.00 /Yr.

Outpatient

Full-time

3 days ago

EAP On-site Clinician - Boston, MA

Acentra Health Boston, MA

$82,600 - $100,000 / year

Company Overview: Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. At Acentra Health, we embrace emerging technologies, including artificial intelligence and advanced analytics that can be utilized to improve processes, enhance decision-making, and drive better health outcomes. We value professionals who are curious about new technologies and motivated to use innovative tools to increase efficiency, quality, and impact in their roles. Job Summary and Responsibilities: Acentra seeks an Employee Assistance Program (EAP) On-site Clinician to join our growing team in Boston, Massachusetts. Job Summary: This is an on-site role four days a week, with one day telehealth. The licensed clinician will be required to work on-site from Boston's Logan International Airport . As an on-site licensed clinician, you will provide a full range of Employee Assistance Program (EAP) services for employees, managers, and the employer organization for a large government agency. Job Responsibilities: Consistently provide exceptional and proactive services as a licensed clinician, ensuring smooth integration with Acentra Health operations and accounts. Provide direct counseling, critical incident response services, training or psychoeducational presentations, and outreach services that create awareness of EAP services. Make referrals to treatment services where appropriate, ensuring a satisfactory client experience transitioning from EAP services to treatment services. Refer to community resources to support clients’ well-being and mental health. Comply with all Clinical and Professional protocols, processes, and Acentra Health policies. Understand the scope of EAP services and as needed, communicate that scope to external parties, including clients, managers, and other support staff. Consult with Acentra Health supervisors concerning clinical case staffing and high-risk cases. Maintain and manage a caseload of direct service counseling clients, maintaining case records in accordance with Acentra Health policies and practices. Create and manage productive and positive working relationships with local points of contact. Display excellent teamwork, communication, and collaboration with the account manager and other Acentra Health staff. Work in collaboration with other internal and external stakeholders, always displaying professionalism. Using a consultative approach, establish effective relationships with our clients and proactively collaborate on opportunities for product enhancement and optimization services to meet the client’s specific needs. Exhibit excellent interpersonal and problem-solving skills to retain and service our clients and the organization. Maintains the security of areas, materials, and private information. This includes physical and virtual storage and filing. Maintain a professional demeanor with customers and co-workers to represent Acentra Health’s values and standards. Perform daily duties and undertake and complete related projects in the area of expertise with minimal supervision. Additional related projects/tasks/duties as assigned by the position’s manager. Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules. Qualifications: Required Qualifications: An active, unrestricted Independent Massachusetts License in the behavioral health field (e.g., LCHC, LCMH, LCMHC, LCPC, LCSW, LMFT, LMHC, LPC, LPCC, LSAC, LSW) issued by the Massachusetts Board of Registration of Allied Mental Health and Human Services Professions . Master's or Doctoral degree in Social Work, Counseling, Marriage and Family Therapy, or a related field. 2+ years of professional experience in the EAP/mental health/substance abuse/behavioral health field. Ability to pass a federal security clearance for a non-sensitive/high-risk public trust position. Includes fingerprinting and a background investigation that covers a seven-year investigative scope. Preferred Qualifications/Experience: Experience in facilitating training with Managers, Leaders, and employees. Experience working with law enforcement, the military, or the veteran population. Experience in facilitating critical incident responses. Why us? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career. Benefits Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search! We are committed to providing a secure and positive hiring experience. Depending on the role, interviews may be conducted virtually, in person, or through a combination of both. As part of our recruitment process, candidates may be asked to participate in identity verification measures to help ensure the integrity of the hiring process. ~ The Acentra Health Talent Acquisition Team Visit us at https://careers.acentra.com/us/jobs EEO AA M/F/Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Experience in Lieu of Degree For non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education. As such, in cases where a Bachelor's degree may be required, the Company will accept a minimum of six (6) years of directly relevant professional experience in lieu of a degree. In instances where the candidate has an Associate's degree, the Company will accept a minimum of three (3) years of directly relevant professional experience in lieu of the Bachelor's degree. Compensation The pay for this position is listed below. $82,600-$100,000 annually. "Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level." Pay Range: USD $82,600.00 - USD $95,000.00 /Yr.

Telehealth

Full-time

1 week ago

Case Manager, RN - CA

Acentra Health CA

$67,300 - $93,050 / year

Company Overview: Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. At Acentra Health, we embrace emerging technologies, including artificial intelligence and advanced analytics that can be utilized to improve processes, enhance decision-making, and drive better health outcomes. We value professionals who are curious about new technologies and motivated to use innovative tools to increase efficiency, quality, and impact in their roles. Job Summary and Responsibilities: Acentra Health is looking for a Nurse Case Manager to join our growing team now! Job Summary: The Nurse Case Manager will evaluate beneficiaries' needs, develop individualized care plans, and coordinates healthcare team members to ensure optimal client outcomes while adhering to payer requirements. They also facilitate integrated case and disease management activities based on CMSA principles, aiming to stabilize beneficiaries' health and avoid long-term care placement. **Position is remote, but candidates must reside in California, preferably in Los Angeles or San Diego area. ** Responsibilities: Assess, plan, implement, monitor, and evaluate options and services to affect an appropriate, individualized plan with the beneficiary across the continuum of care. Utilize clinical knowledge and competence, communication skills, problem-solving, and conflict resolution to ensure optimal beneficiary outcomes with consideration to client requirements effectively. Develop beneficiary-centered care plans. Demonstrate shared accountability between beneficiaries, caregivers, and providers. Work collaboratively with the beneficiary, provider, and other Health Care team members to coordinate care. Address identified gaps in care or compliance. Maintain strict standards for client confidentiality and client-related information. Comply with all organizational, state, and federal regulations and policies on confidentiality. Manage caseload to ensure all required documentation and entry of assessment results into the web-based database are completed accurately and timely, following regulatory requirements and company policies and procedures. Maintain open communication with all appropriate parties. Pursue ongoing education, certification, and self-development to remain current with case management standards. Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules This position primarily involves working at a desk and using a computer for extended periods of time Other duties as assigned The list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time. Qualifications: Required Qualifications Bachelor’s degree/BSN. Active, unrestricted RN (Register Nurse) license in CA A minimum of 3+ years of clinical experience. A minimum of 1+ years of case management review experience. Must reside in the state of CA Successful communication (written/verbal), with a strong focus on customer service, including building and maintaining relationships with internal/external customers. Ability to work independently and as part of a team. Maintain a high level of confidentiality. Ability to maintain metrics and goals within the department. Preferred Qualifications Bilingual in Spanish Ability to assist members and conduct outreach to members without prior engagement. Strong cultural competency and the ability to work effectively with diverse populations. Flexibility and strong organizational skills. Ability to multi-task and prioritize with variable and sometimes conflicting deadlines; superior attention to detail and demonstrated ability in decision-making. Maintain professionalism, flexibility, and dependability under pressure. Ability to research/identify and apply appropriate standards of care. Interest in continuous learning and a commitment to staying informed on regulatory changes. Why us? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career. Benefits Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. Experience in Lieu of Degree For non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education. As such, in cases where a Bachelor's degree may be required, the Company will accept a minimum of six (6) years of directly relevant professional experience in lieu of a degree. In instances where the candidate has an Associate's degree, the Company will accept a minimum of three (3) years of directly relevant professional experience in lieu of the Bachelor's degree. Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search! We are committed to providing a secure and positive hiring experience. Depending on the role, interviews may be conducted virtually, in person, or through a combination of both. As part of our recruitment process, candidates may be asked to participate in identity verification measures to help ensure the integrity of the hiring process. ~ The Acentra Health Talent Acquisition Team Visit us at https://careers.acentra.com/jobs EEO AA M/F/Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Compensation The pay range for this position is listed below. “Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.” Pay Range: USD $67,300.00 - USD $93,050.00 /Yr.

Case Manager (LPN or RN)

Acentra Health OR

$67,300 - $93,050 / year

Company Overview: Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities: Acentra seeks a Case Manager (LPN or RN) to join our growing team. Job Summary: The Case Manager will contribute to enhancing the company’s success through personalized care planning, ensuring optimal outcomes and compliance with payer standards. Their collaboration with healthcare team members strengthens the overall effectiveness of care delivery, while their expertise in coordinating diverse beneficiary needs reflects the company's commitment to overall well-being. *This position is remote. However, applicants must reside within the state of Oregon. Key Responsibilities: Provide care coordination/care management for beneficiaries, ensuring a high level of clinical knowledge and performance by the clinical team Foster a caring philosophy in leadership and all aspects of the care management process Manage the care of beneficiaries through the healthcare system based on their individual needs for social, physical, vision, dental, behavioral, pharmacy, and preventative health services Use independent judgment and discretion to address and proactively resolve barriers impeding diagnostic, social or treatment progress Interact and collaborate with a multidisciplinary care team, including physicians, nurses, case managers, OHA staff, and social workers/educators to ensure as well as participate in IDT meetings beneficiary needs and preferences for health services/information are shared Educate beneficiaries about community resources/options and advocate on behalf of the beneficiary Complete health and social assessments for the purposes of care planning using motivational interviewing, trauma informed care and equity principles for all engagements Establish a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality outcomes Maintain operational requirements for caseload management, securing PHI, working from a plan of care, documentation standards, and other program standards Maintain strict standards for client confidentiality and client-related information Comply with all organizational, state, and federal regulations and policies on confidentiality Prepare documentation, status updates, event notifications, and other documentation regarding beneficiaries in accordance with regulatory requirements and company policies and procedures Monitor case load to ensure all required documentation, plan of care, and entry of assessment results into a web-based database are completed accurately and promptly Pursue ongoing education, certification, and self-development to remain current with case management standards Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules Other duties as assigned Qualifications: Required Qualifications/Experience: Current, active and unrestricted Oregon Registered Nursing (RN) or Licensed Practical Nursing (LPN) license Associate's degree or practical nursing diploma or practical nursing certificate program, in accordance with state requirements 2+ years in Medicaid-funded case management or care coordination Experience working with individuals from diverse backgrounds and marginalized communities Have training and experience in addressing health disparities and promoting equitable health outcomes Have training on and experience with integrating cultural competencies and are capable of providing culturally appropriate care Experience in communicating with individuals who have a primary language other than English and those with limited English proficiency or who use sign language Experience in actively engaging underserved communities and individuals in their own health care planning and goals Preferred Qualifications/Experience: Certified Case Manager (CCM) B ilingual in English/Spanish 2+ years clinical experience Strong organizational and time management skills, with exceptional attention to detail and the ability to manage competing priorities, adapt to changing demands, and maintain professionalism and dependability under pressure Demonstrated initiative, sound judgment, and effective decision-making skills in performing job responsibilities Excellent written and verbal communication, interpersonal, and customer service skills, with the ability to build and maintain relationships with internal and external stakeholders and facilitate meetings Ability to work independently and collaboratively as part of a team Ability to research, identify, and apply appropriate standards of care Commitment to continuous learning and staying informed on regulatory changes Why us? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career. Benefits Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search! ~ The Acentra Health Talent Acquisition Team Visit us at https://careers.acentra.com/jobs EEO AA M/F/Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Experience in Lieu of Degree For non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education. As such, in cases where a Bachelor's degree may be required, the Company will accept a minimum of six (6) years of directly relevant professional experience in lieu of a degree. In instances where the candidate has an Associate's degree, the Company will accept a minimum of three (3) years of directly relevant professional experience in lieu of the Bachelor's degree. Compensation The pay for this position is listed below. "Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level." #LI-AF1 Pay Range: USD $67,300.00 - USD $93,050.00 /Yr.

Clinical Assessor FT, - RN (Hybrid/Travel) Cumberland County, NC

Acentra Health Spring Lake, NC

$77,000 - $80,000 / year

Company Overview: Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. At Acentra Health, we embrace emerging technologies, including artificial intelligence and advanced analytics that can be utilized to improve processes, enhance decision-making, and drive better health outcomes. We value professionals who are curious about new technologies and motivated to use innovative tools to increase efficiency, quality, and impact in their roles. Job Summary and Responsibilities: Acentra Health is looking for a Clinical Assessor, Mid to join our growing team. Job Summary: The purpose of this position is to complete needs-based eligibility determinations for patients who are applying for Medicaid-funded personal care services provided in their home or in adult care or supervised living homes. This position also assesses level of care (LOC) to allow targeted individuals to remain in or return to a home and community-based setting. ***This role requires a valid driver's license and travel to various locations, which may include extended periods of driving (up to approximately 8 hours in a day and can drive up to 120 miles a day)*** ***Travel expenses—including mileage and parking are covered and reimbursed by Acentra Health. We will provide all necessary technology equipment for your home office, including a laptop for use in the field*** Responsibilities: Conduct assessments to determine whether the beneficiary meets the conditions and criteria for PCS eligibility, using state-approved standardized assessment tool(s). Ensure PCS are provided on a "needs basis" in quantities appropriate to the Beneficiary's unmet need for services based on the severity of their medical condition, functional disability, physical, or cognitive impairment. Ensure the privacy and dignity of individuals receiving assessment for PCS is maintained at the highest standards. Ensure that new, expedited, annual, change of status, mediation/appeals, reconsideration review, and derivative assessments are conducted within established timeframes. Include an interview with family members and informal caregivers who are present at the time of the assessment. Provide the Beneficiary with guidance and assistance, as necessary, to select PCS providers. Conduct service plan reviews as needed. Submit the completed assessments using state-approved interface. Participate in the Beneficiary's mediation and appeal processes. Respond to state inquiries regarding assessments conducted. Attend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assigned. Provide assessments for initial eligibility determinations for an applicant to participate in a 1915(c) HCBS program, and, when applicable, annual and change of status assessments for participants currently participating in a 1915(c) HCBS program, using state-approved standardized assessment tool(s). Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules. The list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time. Qualifications: Required Qualifications Registered Nurse (NC or Compact license) Minimum of two years of nursing experience. This position requires travel up to a 120 miles roundtrip. Preferred Qualifications Experience with community-based individuals needing personal assistance with ADL and IADL tasks is highly preferred. Experience conducting PCS assessments highly preferred. 2+ years of home healthcare experience preferred. 2+ years of directly-related experience (preferably case management) in the health or medical field, directly related to homecare, long-term care, or personal care is preferred. Experience conducting HCBS waiver assessments highly preferred. Knowledge of North Carolina Medicaid Clinical Coverage Policy (Clinical Policy) 3L and PCS Program Provider Manual Knowledge of standards of practice related to Medicaid-funded Personal Care Services, home and community-based services (HCBS) programs, and EPSDT. Knowledge and understanding of public sector services and supports. Computer proficiency in Microsoft Excel, Word and Outlook. Ability to utilize computer equipment and web-based software to conduct work. Ability to interact with various office staff as needed to support necessary workflows. Ability to interact with healthcare professionals, patients, their families and other supports. Ability to communicate effectively to individuals and groups through spoken, written and electronic media. Ability to attend to detail, effectively prioritize and execute tasks in a timely manner. Ability to work independently without a high degree of supervision. Develops level of care recommendations based upon clinical evaluations. Participates in training of PCS stakeholders as needed. Ability to use person-centered thinking, planning, and have competency in awareness of the needs of persons with disabilities. Knowledge of North Carolina Medicaid Clinical Policy 3K-1 and 3K-2, and 42 CFR Part 441 Subpart G, 42 CFR § 440.180. Knowledge of eligibility criteria for LOC and Waiver Participation. Knowledge of standards of practice related to Medicaid waivers, home and community-based services (HCBS) programs, EPSDT, medical fragility, and level of care determinations. Participates in training of CAP stakeholders as needed. Why us? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career. Benefits Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search! ~ The Acentra Health Talent Acquisition Team Pay Range: USD $77,000.00 - USD $80,000.00 /Yr.

Browse All Acentra Health Jobs →