PCS Assessor, RN

Job not on LinkedIn

🔥 1 minute ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $68k - $88.4k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👻 Ghost score 1%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Vaya Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1972

🛡️ Insurance

💼 Consulting

📦 Logistics

Insurance • Consulting • Logistics

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 and eligibility determinations for Medicaid beneficiaries applying for State Plan Personal Care Services • Schedule telephonic and face-to-face assessments with members, families, caregivers, and healthcare professionals • Conduct standardized PCS eligibility assessments in beneficiaries’ homes and communities • Conduct interviews with family members and informal caregivers • Complete assessments within established timeframes • Perform expedited assessments by telephone as needed • Educate and assist members in selecting PCS providers • Collaborate with prescribers and healthcare professionals to ensure requests are accurate and complete • Submit service authorization requests on behalf of PCS providers • Maintain the privacy and dignity of individuals receiving PCS assessments • Participate in mediation and appeal processes • Respond to state inquiries regarding completed assessments • Attend staff meetings and conduct case consultations, peer reviews, and internal auditing as assigned • Develop level-of-care recommendations based on clinical evaluations • Participate in training PCS stakeholders as needed

🎯 Requirements

• Bachelor’s degree in Nursing or other healthcare field required • Two years of experience in a home care setting • Active licensure in North Carolina as a Registered Nurse (RN) required • Experience with community-based individuals needing personal assistance with ADL and IADL tasks highly preferred • Experience conducting PCS assessments highly preferred • Knowledge of North Carolina Medicaid Clinical Coverage Policy 3L and PCS Program Provider Manual • Knowledge of standards of practice related to Medicaid-funded State Plan Personal Care Services, HCBS programs, and EPSDT • Knowledge and understanding of public sector services and supports • Computer proficiency in Microsoft Excel, Word, and Outlook • Ability to use computer equipment and web-based software • Ability to communicate effectively through spoken, written, and electronic media • Ability to work independently without a high degree of supervision • Ability to use person-centered thinking and planning, with competency in awareness of the needs of persons with disabilities • Must reside in North Carolina or within 40 miles of the North Carolina border • Ability to travel as needed to Alamance, Chatham, and Caswell counties

🏖️ Benefits

• Exempt position; not eligible for overtime compensation • Equal opportunity employer