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Acentra Health · 1 month ago

Clinical Assessor

West Virginia, United States

Full-time

Hybrid

Entry, Mid Level

$67K/yr - $68K/yr

2+ years exp

Acentra Health is dedicated to empowering better health outcomes through technology and clinical expertise. They are seeking a Clinical Assessor to conduct needs-based eligibility determinations for patients applying for Medicaid-funded waiver services and to assess the level of care for individuals in home and community-based settings.

Health Care

Responsibilities

Conduct assessments to determine whether the beneficiary meets the conditions and criteria for waiver services eligibility, using state-approved standardized assessment tool(s)

Ensure waiver 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

Ensure the privacy and dignity of individuals receiving assessment for waiver services 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 waiver services 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

Qualification

Licensed Clinical Social WorkerLicensed Professional CounselorRegistered NurseBachelor's degreeMedical assessment skillsTBIW policiesCSED policiesCustomer service skillsComputer skillsMicrosoft Office proficiencyInterpersonal communicationOrganizational skillsFlexibility

Required

Valid, unrestricted Licensed Clinical Social Worker (LCSW), Licensed Graduate Licensed Social Worker (LGSW), Professional Counselor (LPC), Licensed Psychologist (LP), or Registered Nurse (RN) license for the state of West Virginia

Bachelor's degree in a related field (Master's preferred)

Must have a valid 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