Please Wait...
LOCATION:Remote – must live in or near Rockingham County, Forsyth County, Surry County, Stokes County, North Carolina. The person in this role is required to maintain residency in North Carolina or within 40 miles of the NC border. This position will serve Rockingham County, NC, Forsyth County, NC, Surry County, NC, and Stokes County, NC. Must have ability to travel as needed to those counties.
GENERAL STATEMENT OF JOBThe Personal Care Services (PCS) Assessor Registered Nurse is responsible for completing needs-based assessments/eligibility determinations for Medicaid-beneficiaries in Vaya Partners regions who are applying for State Plan Personal Care Services provided in their home or in adult care or supervised living homes. These Medicaid-beneficiaries have a medical condition, cognitive impairment, or disability and demonstrate unmet needs for hands-on assistance with qualifying activities of daily living (ADLs). The PCS Assessor Registered Nurse is responsible for scheduling appointments, administering telephonic and face-to-face assessments in beneficiaries home and community, working with healthcare professionals, and submitting service authorization requests (SARs) on behalf of PCS providers.
ESSENTIAL JOB FUNCTIONSPCS Assessment and Collaboration
Works with members, family members, and/or other healthcare professionals to schedule assessments. Conducts assessment to determine whether the member meets the conditions and criteria for PCS eligibility, using standardized assessment tool(s). Conducts interviews with family members and informal caregivers who are present at the time of the assessment. Ensures that assessments are conducted within established timeframes. Performs expedited assessments over the phone as needed. Provides education and assistance to the member, as necessary, to select PCS providers. Works with prescribers and/or other healthcare professionals to ensure that requests are accurate and complete. Submits service authorization requests (SARs) on behalf of PCS provider. Ensures that the privacy and dignity of individuals receiving assessment for PCS is maintained at the highest standards. Participates in mediation and appeal processes, as needed. Responds to state inquiries regarding assessments conducted.Other duties as assigned
Including, but not limited to, attending and actively participating in staff meetings and conducting case consultations/peer reviews/internal auditing as assigned.
KNOWLEDGE, SKILLS, & ABILITIESClose visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading. Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists and fingers. Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time. Mental concentration is required in all aspects of work.
EDUCATION & EXPERIENCE REQUIREMENTSBachelor’s degree in Nursing or other healthcare field required and two years of experience in home care setting. Experience with community-based individuals needing personal assistance with ADL and IADL tasks is highly preferred. Experience conducting PCS assessments highly preferred.
Licensure/Certification Required:Must have active licensure in North Carolina as a Registered Nurse (RN).
RESIDENCY REQUIREMENT:The person in this position is required to reside in North Carolina or within 40 miles of the North Carolina border.
SALARY:Depending on qualifications & experience of candidate. This position is exempt and is not eligible for overtime compensation.
DEADLINE FOR APPLICATION:Open Until Filled
APPLY:Vaya Partners accepts online applications in our Career Center, please visit.
Vaya Partners is an equal opportunity employer.
Explore more opportunities that might be a good fit for you.
Explore job opportunities by location and professional field.
Explore opportunities worldwide
Discover jobs near your city
Find roles that fit your skills
Get real-time job updates, apply on the go, and manage your profile easily with our mobile app.
Get it on Google Play