Clinical Assessor (PRN) Remote within State of New Hampshire

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

Join Acentra Health as a Clinical Assessor in New Hampshire. In this role, you will play a vital part in supporting your community by conducting needs-based eligibility assessments for individuals applying for Medicaid-funded personal care services delivered in the home, adult care settings, or supervised living environments.

This position also assesses Level of Care (LOC) to support individuals in remaining in or returning to home and community-based settings. Your work will play a critical role in determining appropriate service needs, placements, and next levels of care for individuals with complex conditions.This PRN role, remote within the State of New Hampshire, provides the flexibility of working from your home office while allowing you to make a meaningful impact in the communities we serve.

Responsibilities:

• Conduct assessments using state-approved standardized tools to determine whether beneficiaries meet eligibility criteria for Personal Care Services (PCS).
• Ensure PCS are authorized based on demonstrated need, aligning service quantities with the beneficiary's medical condition, functional limitations, and physical or cognitive impairments.
• Uphold the highest standards of privacy, dignity, and professionalism when conducting assessments.
• Complete new, expedited, annual, change-of-status, mediation/appeals, reconsideration, and derivative assessments within required timeframes.
• Coduct assessments for initial eligibility, annual reassessment, and change-of-status determinations for individuals applying to or enrolled in a 1915(c) Home and Community-Based Services (HCBS) program, using state-approved standardized assessment tools.
• Submit all completed assessments through the state-approved electronic interface accurately and within established deadlines, and respond promptly and professionally to state inquiries regarding submitted assessments.
• Interview family members and informal caregivers present during assessments to gather additional context relevant to beneficiary needs.
• Provide beneficiaries with guidance and support in selecting appropriate PCS providers, as needed.
• Conduct service plan reviews and updates in accordance with program requirements.
• Attend and actively contribute to staff meetings, case consultations, peer reviews, internal quality audits, and participate in mediation and appeal processes related to assessment determinations.
• Leverage technology by utilizing the state's electronic system and our proprietary platforms to efficiently manage and track activities.
• Understand and adhere to all corporate policies, including those related to HIPAA and its Privacy and Security Rules.

• Maintain compliance with established workflows, regulatory requirements, and best-practice standards.

• Must possess an active and unrestricted Registered Nurse (RN) license from the State of New Hampshire or an active multistate compact RN license. .

• Minimum of two years of experience in a home care, community-based, or similar clinical setting; home care experience preferred.

• Proficiency in medical record abstracting, including a strong understanding of medical record organization, medical terminology, and disease processes.

• Ability to communicate clearly and effectively verbally, in writing, and through electronic media with both individuals and groups.

• Familiarity with mental health, intellectual and developmental disabilities (IDD), geriatrics, and other conditions commonly requiring long-term care services and supports.
• Detail-oriented with excellent organizational skills and the ability to prioritize and complete tasks efficiently within established timeline.
• Knowledge of public mental health systems and medical programs is preferred.
• Proficient in computer-based software and Microsoft Office Suite, including Word, Excel, Outlook, and Teams.

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.

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.