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

$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 Health is looking for a Clinical Assessor to join our growing team.

Job Summary:

Acentra Health is seeking clinical assessors statewide in North Carolina for an exciting opportunity. You work out of your home office and travel to assessment locations in your region. Under the Personal Care Services (PCS) program, services are provided to NC Medicaid Beneficiaries who have a medical condition, cognitive impairment, or disability who demonstrate unmet needs for hands-on assistance with qualifying activities of daily living (ADLs). The PCS Assessor is responsible for the completion of needs-based eligibility determinations for North Carolinians who are applying for these Medicaid-funded personal care services provided in their home or in adult care or supervised living homes.
Under the Community Alternatives (CAP) Program, home and community-based waivers provide cost-neutral alternatives to institutionalization for Beneficiaries, in specified target populations, who would be at risk for institutionalization if specialized Waiver services are not available. Services are intended for situations where no household member, relative, caregiver, landlord, community agency, volunteer agency, or third-party payer is able or willing to meet the assessed and required medical, psychosocial, and functional needs of the approved CAP Beneficiary.
The CAP/PCS Assessor is responsible for completion of needs-based assessments of level of care (LOC) to allow targeted individuals to remain in or return to a home and community-based setting. Assessments are generally performed in the beneficiary’s primary residence.

*Position is hybrid. Candidates should be based within Vance County of North Carolina (Henderson, NC & surrounding cities) to be able to cover the field work involved.

Responsibilities:

Conducts assessment to determine whether the beneficiary meets the conditions and criteria for PCS eligibility, using state-approved standardized assessment tool(s).
Ensures that 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.
Ensures that the privacy and dignity of individuals receiving assessment for PCS is maintained at the highest standards.
Ensures 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 participant currently participating in a 1915(c) HCBS program, using state-approved standardized assessment tool(s).
Ensures that CAP services 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.
Ensures that the privacy and dignity of individuals receiving assessment for CAP participation is maintained at the highest standards.
Consult, when necessary, with the Beneficiary’s selected case management entity to generate an approvable service plan.
Ensure that the randomly selected Service Plan completed by the Beneficiary’s assigned case management entity is appropriate to the Beneficiary’s unmet need for services, based on the severity of their medical condition, functional disability, physical, or cognitive impairment.
Include an interview with family members and informal caregivers who are present at the time of the assessment.
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.
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 60 mile radius.

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.

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 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.”

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.

Pay Range: USD $67,300.00 - USD $93,050.00 /Yr.

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$35.94 - $54.96 / hour

Description Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina. Summary: The Clinical Nurse III practices at the level of a competent to expert practitioner of nursing, as defined by Benner, P. (1984). From Novice to Expert. Addison-Wesley Publishing Company. The nurse at this level demonstrates competence in caring for patients with complex problems. In addition the Clinical Nurse III demonstrates clinical leadership skills through contribution to standards of care and unit goals. The Clinical Nurse III serves as a role model for other staff and a preceptor for new employees and participates in endeavors to increase nursing knowledge. Seeking Clinical Nurse IIIto join the UNC Youth Behavioral Health – New Day Inpatient Unit Team! We are seeking a Clinical Nurse III preferably with child and adolescent mental health experience, to join our multidisciplinary team. This position will primarily support New Day, a 15-bed inpatient unit serving adolescents in crisis with a variety of mental health diagnoses, but will be expected to work across all four units within the facility as needed. Position Details: Hours: This is a 40 hour per week; 12-hour and 8-hour shift position; weekdays and weekends (preferred scheduling) Entity: UNC Medical Center Location: Butner, NC What We Offer Eligible Candidates: C ommitment incentive Relocation assistance Responsibilities: 1. Assessment - Synthesizes data from complex situations to determine priorities for care. Includes appropriate physical, psychosocial and educational needs. Synthesizes assessment data into meaningful whole prior to communication with others. Assesses and anticipates discharge needs of individual patients and families. Develops relationships with families that promote their ability to advocate for the patient and their own needs 2. Education - Participates in identifying and meeting learning needs of self and others. Participates in development and presentation of staff education programs geared to unit needs and staff level. Assists in development of, and utilizes patient education materials relevant to patient population. 3. Evaluation - Evaluates patient progress and revises plan accordingly. Maintains accountability for carrying out components of the plan. 4. Implementation - Demonstrates expertise in care of patients with complex problems, including appropriate physical, psychosocial and educational aspects of care. Performs bedside point of care testing as required for patient care plan. Provides direction in implementation of the plan and serves as a resource to other staff members. Utilizes hospital standards, policies and procedures in delivery of care 5. Leadership - Develops goals to promote professional growth or minimize limitations. Achieves goals and objectives within identified timeframe or renegotiates with supervisor. Participates in activities that facilitate intra/interdepartmental collaboration and serves as role model for nursing involvement. Functions as a consultant in various phases of the nursing process throughout the hospital. Participates in development and achievement of unit goals and performance improvement activities. Effectively uses communication systems. Participates in promoting cost-effective care. Models behaviors that effectively give feedback to coworkers. Incorporates awareness of public policy and regulatory guidelines affecting the health care environment into practice. Promotes a safe, clean environment. 6. Planning - Collaborates with patient/family to prepare or update the plan of care. Consistently makes use of available multidisciplinary resources in planning care. Uses full range of communication means to convey planning. Identifies and addresses cultural and ethnic issues in planning patient care. Consistently demonstrates ability to prioritize tasks for patients with complex problems. 7. Research - Reads journals that contain articles and studies that are applicable to practice and discusses their feasibility of implementation with others. With assistance, applies research findings to practice. Brings ideas and questions to the staff at large for assessment of applicability. Assists with data collection in research being conducted in work area. Shares knowledge with staff. Other Information Other information: Education Requirements: ● Graduation from a state-accredited school of professional nursing. ● If hired after January 6, 2014, must be enrolled in an accredited program within four years of employment, and obtain a Bachelor's degree with a major in Nursing or a Master's degree with a major in Nursing within seven years of employment date. Licensure/Certification Requirements: ● Licensed to practice as a Registered Nurse in the state of North Carolina. ● Basic Life Support (BLS) for Healthcare Provider certification ● For positions at magnet hospitals, professional certification relevant to the practice area and on the ANCC Magnet approved list is required within the probationary period of employment. Professional Experience Requirements: ● One (1) year of nursing experience. Knowledge/Skills/and Abilities Requirements: Job Details Legal Employer: STATE Entity: UNC Medical Center Organization Unit: YBH IP Unit C New Day Work Type: Full Time Standard Hours Per Week: 36.00 Salary Range: $35.94 - $54.96 per hour (Hiring Range) Pay offers are determined by experience and internal equity Work Assignment Type: Onsite Work Schedule: Rotating Location of Job: Butner:NC:27509 Exempt From Overtime: Exempt: No This is a State position employed by UNC Health Care System with UNC Health benefits. If, however, you are presently an employee of another North Carolina agency and currently participate in TSERS or the ORP, you will be eligible to continue participating in those plans at UNC Health. Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation. UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.