UNKNOWN

FEED

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. 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.

YEAR

Company OverviewAcentra 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 ResponsibilitiesAcentra Health is looking for a RN Clinical Assessor (Personal Care) 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. *This is a hybrid role based in West Virginia, combining remote work from home with field assessments and quarterly in-office meetings. Applicants should reside in Harrison, Preston, Taylor, Tucker, or Marion County for best coverage of field work required. Responsibilities:Document contacts, schedule appointments, travel to conduct and appropriately administer/document Pre-Admission Screening assessments within prescribed timelinesParticipate in inter-rater reliability activities to ensure consistent administration of assessments and adherence to assessment protocols Participate in denial hearings as necessaryContact physicians and facilities to confirm medical informationConduct 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 impairmentEnsure the privacy and dignity of individuals receiving assessment for PCS is maintained at the highest standardsEnsure that new, expedited, annual, change of status, mediation/appeals, reconsideration review, and derivative assessments are conducted within established timeframesInclude an interview with family members and informal caregivers who are present at the time of the assessmentProvide the Beneficiary with guidance and assistance, as necessary, to select PCS providersSubmit the completed assessments using state-approved interfaceParticipate in the Beneficiary''s mediation and appeal processesAttend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assignedRead, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules QualificationsRequired qualifications:Valid, unrestricted Registered Nurse (RN) license for the state of West Virginia or compact licenseAssociate of Science in Nursing (ASN) degree from an accredited college/university (BSN preferred) Must have a valid West VA driver''s license and access to reliable transportationWillingness 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 flexibleApplicant must be able to accurately assess medical conditions and symptoms and functional abilitiesApplicant must possess computer skills, specifically with Microsoft Outlook, Microsoft Word, Microsoft Edge, Google Chrome Preferred qualifications:Minimum of two years'' experience in a home care settingMinimum of two years'' experience with aging population or with persons with disabilities (preferably working within the WV Personal Care program)Knowledge of the Personal Care and Aged and Disabled Waiver program policies and procedures 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 Visit us at <a href="https://careers.acentra.com/jobs" rel="nofollow">https://careers.acentra.com/jobs</a> 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 RangeUSD $53,840.00 - USD $70,000.00 /Yr.

Acentra Health

RN Clinical Assessor (Personal Care)

Calendar Management

Case Management

Communication Skills

Computer Skills

Customer Support/Service

Driver's License

Federal Government

Google Chrome Browser

Government

HIPAA (Health Insurance Portability and Accountability Act)

Healthcare

Healthcare Providers

Home Care

Internal Audit

Interpersonal Skills

Medicaid

Medical Conditions

Microsoft Outlook

Microsoft Product Family

Microsoft Word

Nursing

Organizational Skills

Patient Care Denials

Personal Care

Privacy Controls

Problem Solving Skills

Registered Nurse (RN)

Willing to Travel

Work From Home

OTHER

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. 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.

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 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.  *This is a hybrid role based in West Virginia, combining remote work from home with field assessments and quarterly in-office meetings. Applicants should reside in Hancock, Brooke, Ohio, Marshall, Wetzel, Marion, Monongalia or Harrison.  County for best coverage of field work required.  Responsibilities:<ul><li>Document contacts, schedule appointments, travel to conduct and appropriately administer/document Pre-Admission Screening assessments within prescribed timelines</li><li>Participate in inter-rater reliability activities to ensure consistent administration of assessments and adherence to assessment protocols Participate in denial hearings as necessary</li><li>Contact physicians and facilities to confirm medical information</li><li>Conduct assessments to determine whether the beneficiary meets the conditions and criteria for PCS eligibility, using state-approved standardized assessment tool(s)</li><li>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</li><li>Ensure the privacy and dignity of individuals receiving assessment for PCS is maintained at the highest standards</li><li>Ensure that new, expedited, annual, change of status, mediation/appeals, reconsideration review, and derivative assessments are conducted within established timeframes</li><li>Include an interview with family members and informal caregivers who are present at the time of the assessment</li><li>Provide the Beneficiary with guidance and assistance, as necessary, to select PCS providers</li><li>Submit the completed assessments using state-approved interface</li><li>Participate in the Beneficiary's mediation and appeal processes</li><li>Attend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assigned</li><li>Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules</li></ul>

Qualifications:
Required qualifications:<ul><li>Valid, unrestricted Registered Nurse (RN) license for the state of West Virginia or compact license</li><li>Associate of Science in Nursing (ASN) degree from an accredited college/university (BSN preferred) </li><li>Must have a valid West VA driver's license and access to reliable transportation</li><li>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)</li><li>Candidate should be organized and have excellent customer service skills, good interpersonal communication and be flexible</li><li>Applicant must be able to accurately assess medical conditions and symptoms and functional abilities</li><li>Applicant must possess computer skills, specifically with Microsoft Outlook, Microsoft Word, Microsoft Edge, Google Chrome </li></ul>Preferred qualifications:<ul><li>Minimum of two years' experience in a home care setting</li><li>Minimum of two years' experience with aging population or with persons with disabilities (preferably working within the WV Personal Care program)</li><li>Knowledge of the Personal Care and Aged and Disabled Waiver program policies and procedures </li></ul> 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 <a href="https://acentrahealth-my.sharepoint.com/personal/jayson_miller_acentra_com/Documents/Documents/JD's/Visit%20us%20at%20Acentra.com/careers/" rel="noopener nofollow noreferrer" target="_blank">Visit us at https://careers.acentra.com/jobs</a> 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 $67,300.00 - USD $70,000.00 /Yr.

Acentra Health, LLC

RN Clinical Assessor

Medical Records

[AW]-iCims

FULL_TIME

The Mission Assurance Analyst/Assessor shall provide effective solutions against threats and hazards at the state and federal levels of government by conducting mission assurance assessments in accordance with assessment requirements defined in the DoD Mission Assurance Construct (DoDI 3020.45). Watermark provides salary ranges with job postings in states where it is legally required; any other salary ranges associated with our postings are third party estimates and may not be an accurate reflection of Watermark’s total compensation package.

Come make your mark with Watermark!️ FOUNDED BY USAF VETERANS in 2007, we are proud to be a Service-Disabled Veteran Owned Small Business.  SUBJECT MATTER EXPERTS specializing in security and risk management. We’re intimately familiar with DOD security programs and mission requirements. ⭐ OUR CORE VALUES drive every action we take as a company. We strive to exhibit PERSPECTIVE, PASSION, COMMUNICATION, INTEGRITY AND ETHICS, and BALANCE in all we do.<div style="border-bottom:solid 1pt;padding:0in 0in 1pt 0in"> COMPETITIVE BENEFITS PACKAGE to address our employees’ physical, mental, emotional, and financial well-being. This includes 100% employer- paid medical insurance, ample paid leave, a free employee assistance program, and a competitive 401k savings plan.  At Watermark, our people come first!  </div> The Mission Assurance Analyst/Assessor shall provide effective solutions against threats and hazards at the state and federal levels of government by conducting mission assurance assessments in accordance with assessment requirements defined in the DoD Mission Assurance Construct (DoDI 3020.45). ** This position is contingent upon contract award ** In this role you will….<ul><li style="margin-left:8px">Provide effective solutions against threats and hazards at the state and federal levels of government by conducting mission assurance assessments in accordance with assessment requirements defined in the DoD Mission Assurance Construct (DoDI 3020.45).</li><li style="margin-left:8px">Assess the impact of utilities, dependency on external facilities and commodities, transportation and disposal, and other services required.  Traces the source of utilities / resources such as water, electric, gas, fuel, food, heating/ ventilation/and air conditioning, office supplies, sewage, and trash disposal.</li><li style="margin-left:8px">Assess overall security operations of a site or asset to include applicable threats and related vulnerability factors.</li><li style="margin-left:8px">Research, analyze, and develop recommendations on topics related to Mission Assurance and critical infrastructure protection.</li><li style="margin-left:8px">Utilize specialized computer programs to identify vulnerabilities in DoD/CIKR systems.</li><li style="margin-left:8px">Perform assessments on support systems to identify vulnerabilities related to UAS threats.</li><li style="margin-left:8px">Plan, organize, and coordinate efforts across organizational lines, ensuring the progress of requirements development.</li><li style="margin-left:8px">Monitor ongoing operations and anticipate potential challenges.</li><li style="margin-left:8px">Develop and instruct training curricula focused on the protection of Civilian-Defense Critical Infrastructure.</li><li style="margin-left:8px">Instruct state, local, and private sector partners on Mission Assurance best practices across the United States and its territories.</li></ul>Experience Requirements: <ul><li style="margin-left:8px">Minimum of 10 years of related experience. </li><li style="margin-bottom:11px;margin-left:8px">Strong understanding of Mission Assurance Assessments and the DoD Mission Assurance Construct (DoDI 3020.45)</li></ul>Education Requirements: <ul><li style="margin-bottom:11px;margin-left:8px"> Bachelor's degree or equivalent work experience (4 years)</li></ul>Security Clearance Requirements: <ul><li style="margin-bottom:11px;margin-left:8px">Active DOD Secret Clearance</li></ul>Other Requirements: <ul><li style="margin-left:8px">May be required to move equipment/files weighing up to 50 pounds</li><li style="margin-left:8px">Requires ability to consistently perform repetitive tasks including filing and scanning </li><li style="margin-left:8px">May require sedentary work at least 50% of the time</li><li style="margin-left:8px">Reports to a physical location which occasionally requires the ability to traverse between buildings </li><li style="margin-left:8px">Ability to manage stress with a high degree of maturity/professionalism</li><li style="margin-left:8px">Demonstrated critical thinking and leadership skills and the ability to work well with others</li><li style="margin-left:8px">Effective verbal and written communication skills</li><li style="margin-left:8px">Other duties as assigned</li></ul>Watermark provides salary ranges with job postings in states where it is legally required; any other salary ranges associated with our postings are third party estimates and may not be an accurate reflection of Watermark’s total compensation package.  Multiple considerations are taken into account when determining the final salary/hourly rate, including but not limited to, Contract Wage Determination, education and certifications, relevant work experience, related skills and competencies, as well as Federal Government Contract Labor Categories.  Central to Watermark’s employment philosophy is the wellbeing of our employees which is why we offer a robust benefits package and wellness program alongside of annual base compensation. Watermark is an equal opportunity employer.  All terms and conditions of employment are established without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, veteran status, or any other protected category under applicable federal, state, and local laws.Powered by JazzHR

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Assessor Jobs in West Virginia

RN Clinical Assessor (Personal Care) Acentra Health

RN Clinical Assessor Acentra Health, LLC

Mission Assurance Analyst/Assessor Watermark Risk Management International

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