Charleston, West Virginia, USA
57 days ago
Personal Care RN - Clinical Assessor (hybrid - West Virginia)

CNSI and Kepro are now Acentra Health! 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 company’s mission, actively engage in problem-solving, and take ownership of your work daily. 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.

 

Acentra seeks a Personal Care RN – Clinical Assessor 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 Care CareConnection© within prescribed timelines. This position requires extensive local travel within an assigned catchment area as well as periodic travel outside a catchment area.  

*Travel is required in Charleston, WV and surrounding areas.

 

Job 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.
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