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PASRR Clinical Evaluator (LPCC, LMHC, LMFT, LCSW, NP, or PMHNP)

$74,480 - $93,600 / 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 PASRR Clinical Evaluator to join our growing team. Job Summary: This position is responsible for PASRR evaluations, making level of care recommendations, and ensuring that the quality of care provided meets industry standards and complies with government regulations. *This is a full-time position that is a hybrid mix of telehealth and face to face assessments in nursing facilities and hospitals in the Yakima, Washington area. Responsibilities: Complete accurate Preadmission Screening and Resident Review (PASRR) Level II assessments by reviewing relevant records, gathering information from collateral sources, and evaluating the individual’s physical, behavioral, and psychological functioning. Develop informed and evidence-based level-of-care recommendations and determine the most appropriate next level of care for individuals who may require long-term care placement. Review and verify medical records and provide clinical recommendations in accordance with regulatory requirements, including evaluating psychiatric input, physician notes, completing required assessments, and meeting established turnaround time standards. Interact with healthcare professionals, patients, their families, and internal partners as needed to support the assessment and review process Leverage technology, computer systems, web-based applications, and proprietary software platforms to efficiently perform job functions and manage and track assessment activities. Ensure compliance with established workflows and complete assessments in a timely manner and within scope of practice to meet all contractual and program requirements. Determine a clinical diagnosis accounting for psychological and behavioral issues. Assess and analyze psychological, emotional, behavioral, and physical functioning. Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules. Qualifications: Required Qualifications Active, unrestricted Washington state licensure in healthcare or related field, such as Licensed Professional Clinical Counselor (LPCC), Licensed Mental Health Counselor (LMHC), Licensed Marriage and Family Therapist (LMFT), Licensed Clinical Social Worker (LCSW), Nurse Practitioner (NP), or Psychiatric Mental Health Nurse Practitioner (PMHNP) Graduation from an accredited college or university with a degree in a relevant field 3+ years of experience in the assessment and/or diagnosis of individuals with mental or psychiatric disorders, including complex differential diagnoses such as substance use, medical conditions, cognitive impairment, dementia, and geriatric populations 1+ years of experience working with individuals with intellectual and developmental disabilities, serious mental illness, or related conditions Preferred Qualifications Strong clinical judgment, evidence-based assessment, and critical-thinking skills Proficiency in medical record abstraction and review, including knowledge of medical terminology and disease processes Knowledge of Federal Regulation 42 CFR, Chapter 483 Knowledge of psychiatric disorders as defined by the most current Diagnostic and Statistical Manual in use in applicable state Knowledge of standards of practice related to level of care determinations, mental health, intellectual and developmental disabilities, geriatrics, and other disorders typically requiring long-term care services and support Ability to communicate effectively with individuals and groups through spoken, written, and electronic media Strong organizational skills, attention to detail, and the ability to manage priorities and complete work accurately within established deadlines Proficiency in Microsoft Office Suite, including Excel, Word, PowerPoint, Outlook, and Teams, as well as experience using other web-based tools and platforms 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. This position includes access to select Acentra Health benefits and programs, such as participation in the Acentra Health 401(k) Plan with company match, access to wellness and employee discount programs, and Employee Assistance Program (EAP) resources. 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 http://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.” #LI-AF1 Pay Range: USD $74,480.00 - USD $93,600.00 /Yr.

Per Diem

2 months ago

PASRR Clinical Evaluator - PRN (LPCC, LMHC, LMFT, LCSW, NP, or PMHNP)

Acentra Health Woodland Hills, CA

$34.58 - $42 / hour

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 PASRR Clinical Evaluator - PRN to join our growing team. Job Summary: This position is responsible for PASRR evaluations, making level of care recommendations, and ensuring that the quality of care provided meets industry standards and complies with government regulations. *This position is PRN (as needed) with a flexible schedule. It is a hybrid mix of telehealth and face to face assessments in nursing facilities and hospitals in the Los Angeles, CA area. Responsibilities: Complete accurate Preadmission Screening and Resident Review (PASRR) Level II assessments by reviewing relevant records, gathering information from collateral sources, and evaluating the individual’s physical, behavioral, and psychological functioning. Develop informed and evidence-based level-of-care recommendations and determine the most appropriate next level of care for individuals who may require long-term care placement. Review and verify medical records and provide clinical recommendations in accordance with regulatory requirements, including evaluating psychiatric input, physician notes, completing required assessments, and meeting established turnaround time standards. Interact with healthcare professionals, patients, their families, and internal partners as needed to support the assessment and review process Leverage technology, computer systems, web-based applications, and proprietary software platforms to efficiently perform job functions and manage and track assessment activities. Ensure compliance with established workflows and complete assessments in a timely manner and within scope of practice to meet all contractual and program requirements. Determine a clinical diagnosis accounting for psychological and behavioral issues. Assess and analyze psychological, emotional, behavioral, and physical functioning. Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules. Qualifications: Required Qualifications Active, unrestricted California licensure in healthcare or related field, such as Licensed Professional Clinical Counselor (LPCC), Licensed Mental Health Counselor (LMHC), Licensed Marriage and Family Therapist (LMFT), Licensed Clinical Social Worker (LCSW), Nurse Practitioner (NP), or Psychiatric Mental Health Nurse Practitioner (PMHNP) Graduation from an accredited college or university with a degree in a relevant field 3+ years of experience in the assessment and/or diagnosis of individuals with mental or psychiatric disorders, including complex differential diagnoses such as substance use, medical conditions, cognitive impairment, dementia, and geriatric populations 1+ years of experience working with individuals with intellectual and developmental disabilities, serious mental illness, or related conditions Preferred Qualifications Strong clinical judgment, evidence-based assessment, and critical-thinking skills Proficiency in medical record abstraction and review, including knowledge of medical terminology and disease processes Knowledge of Federal Regulation 42 CFR, Chapter 483 Knowledge of psychiatric disorders as defined by the most current Diagnostic and Statistical Manual in use in applicable state Knowledge of standards of practice related to level of care determinations, mental health, intellectual and developmental disabilities, geriatrics, and other disorders typically requiring long-term care services and support Ability to communicate effectively with individuals and groups through spoken, written, and electronic media Strong organizational skills, attention to detail, and the ability to manage priorities and complete work accurately within established deadlines Proficiency in Microsoft Office Suite, including Excel, Word, PowerPoint, Outlook, and Teams, as well as experience using other web-based tools and platforms 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. This position includes access to select Acentra Health benefits and programs, such as participation in the Acentra Health 401(k) Plan with company match, access to wellness and employee discount programs, and Employee Assistance Program (EAP) resources. 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 http://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.” #LI-AF1 Pay Range: USD $34.58 - USD $42.00 /Hr.

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

Acentra Health Raleigh, 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: 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. *Position is hybrid. Candidates should be based within Wake County of North Carolina (Raleigh & surrounding cities) to be able to cover the field work involved. 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. 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. 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 $67,300.00 - USD $93,050.00 /Yr.

Home Health

Per Diem

3 months ago

RN (PRN)

Acentra Health Queens, NY

$32.36 - $44.74 / hour

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: Position Overview In this pivotal role, you will empower individuals grappling with mental illness to thrive within seamlessly integrated environments. Your work involves conducting face-to-face clinical assessments that are critical for admission into transitional adult homes. Assessments are conducted in nursing homes, hospitals, and community settings and are completed using the state's electronic system and internal systems that support determinations and notifications to applicable parties. This PRN Hybrid role combines remote work with fieldwork across Queens in New York. The position requires approximately 5–20 hours per month, including travel to patient homes and supervised living facilities. Job Responsibilities Demonstrate comprehensive knowledge of psychiatric disorders as outlined in the current Diagnostic and Statistical Manual used in New York. Utilize expertise in standards of practice related to determining the appropriate level of care. Apply an understanding of mental health disorders requiring long-term care services and support. Exhibit familiarity with public sector services and support systems. Utilize Microsoft Excel, Word, and Outlook for effective task management. Assess and diagnose psychological and behavioral issues, delivering accurate clinical diagnoses. Use computer equipment and web-based software proficiently for job-related tasks. Collaborate with office staff to streamline workflows. Communicate effectively with healthcare professionals, patients, families, and support networks. Demonstrate strong verbal, written, and electronic communication skills. Exhibit attention to detail, task prioritization, and timely execution. Analyze and evaluate psychological, emotional, behavioral, and physical functioning. Develop recommendations regarding the appropriate level of care based on clinical evaluations. Qualifications: Required Qualifications, Skills, Knowledge and Experience Minimum of 2+ years of experience assessing individuals with mental and psychiatric disorders. Must possess either an unrestricted active Registered Nurse OR LCSW license from New York. Must be a bona fide resident of the State of New York Hold a valid and current driving license in good standing in New York State. Associate Degree or Bachelor’s Degree Proficiency in medical record abstraction, medical record organization, medical terminology, and disease processes. Strong clinical assessment and critical thinking skills. Exceptional verbal and written communication skills. Ability to collaborate effectively within a team-oriented environment. Strong organizational skills and flexibility. Proficiency in Microsoft Office and internet/web navigation tools. Two years' experience in a home care setting preferred. 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. This position includes access to select Acentra Health benefits and programs, such as participation in the Acentra Health 401(k) Plan with company match, access to wellness and employee discount programs, and Employee Assistance Program (EAP) resources. 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 http://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 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 $32.36 - USD $44.74 /Hr.