PCS Assessor, Registered Nurse

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🕒 June 8

🌲 North Carolina – Remote

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💵 $68k - $88.4k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

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Logo of Vaya Health

Vaya Health

501 - 1000 employees

Founded 1972

⚕️ Healthcare Insurance

🌍 Social Impact

Healthcare Insurance • Healthcare • Social Impact

Vaya Health is a North Carolina-based organization that manages services for individuals with behavioral health issues, including mental health and substance use disorders, intellectual and developmental disabilities (I/DD), and traumatic brain injuries (TBI). The organization provides Medicaid services tailored for these populations, focusing on a person-centered approach that connects members to the necessary care and support for their unique health and wellness goals. Vaya Health emphasizes collaboration across various care areas to ensure comprehensive support for its members, fostering healthier communities across the region.

📋 Description

• Complete needs-based assessments/eligibility determinations for Medicaid-beneficiaries • Schedule appointments and perform assessments in beneficiaries’ homes and communities • Work with healthcare professionals and submit service authorization requests (SARs) on behalf of PCS providers • Participate in mediation and appeal processes as needed

🎯 Requirements

• Bachelor’s degree in Nursing or other healthcare field required • 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 • Must have active licensure in North Carolina as a Registered Nurse (RN).

🏖️ Benefits

• Health insurance • Retirement plans • Paid time off • Flexible work arrangements

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