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Acentra Health · 2 days ago

Clinical Assessor - RN - (CAP - Community Alternatives Program) - Team Lead

North Carolina, United States

Full-time

Onsite

Mid, Senior Level

$76K/yr - $82K/yr

3+ years exp

Acentra Health is dedicated to empowering better health outcomes through technology and clinical expertise. They are seeking a CAP Clinical Team Lead (RN) to oversee the clinical team, coordinate activities, and manage work plan projects to ensure compliance with performance standards.

Health Care

Responsibilities

Under the direction of the CAP Program Manager, coordinate and monitor all clinical team activities

Lead team members in developing skills, creativity, and problem solving

Serve as the primary contact for CAP IAs, SRF Team, and MDT Review Team

Serve as the primary contact and CAP orientation coordinator for new CAP hires

Conduct ongoing training and education for staff to ensure competency in CAP program requirements, documentation standards, and nursing protocols related to SRFs, Assessments, MDT Reviews, and Due Process

Serve as a point of contact for CAP program inquiries, providing guidance and support to staff and stakeholders

Oversee and participate in the completion of SRFs and MDT Reviews

Under the direction of the CAP Program Manager, oversee clinical staff productivity and performance to ensure alignment with standards outlined in the NCLIFTSS (CIAE) contract

Oversee completion of monthly assessment quality checks

Serve as a member of CAP’s Due Process Team by providing RN support and completing deliverables outlined in the NCLIFTSS (CIAE) contract

Manage and complete assigned work plans and projects in a timely manner

Complete monthly reports as assigned by CAP Program Managers

Collaborate with Program Managers to develop and enhance processes, policies, procedures, and systems

Represent the clinical department by participating in committees, task forces, work groups, and multidisciplinary teams

Maintain professional relationships with provider communities and external customers and identify opportunities for improvement

Qualification

Active RN licenseMedicaid policies knowledgeSupervisory experienceData analysisQuality improvementProgram evaluationTask prioritizationLeadership skillsCommunication skillsInterpersonal skillsIndependent workProject management

Required

Active Registered Nurse (RN) license in the state of North Carolina

Minimum of three years of experience in a supervisory role or leading programs or projects, preferably in Medicaid, healthcare, or Long Term Services and Supports

Strong understanding of Medicaid policies, regulations, and reimbursement mechanisms, particularly related to long term services and supports for children with disabilities

Knowledge of the North Carolina healthcare system, Medicaid programs, and community resources