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Acentra Health

Modernizes public healthcare with claims solutions

PASRR Clinical Evaluator

Mental & Behavioral HealthUpdated on Nov 5
Part-timeYakima, WA, USANo salary listed

About the Job

Requirements

  • An active, unrestricted Washington state license in a healthcare or related field, such as Licensed Professional Counselor, Licensed Mental Health Counselor, Licensed Marriage and Family Therapist, Licensed Clinical Social Worker, Nurse Practitioner, or Psychiatric Mental Health Nurse Practitioner.
  • Graduation from an accredited college or university with a degree in a relevant field.
  • At least 3 years of experience assessing and/or diagnosing individuals with mental or psychiatric disorders, including complex differential diagnoses involving substance use, medical conditions, cognitive impairment, dementia, and geriatric populations.
  • At least 1 year of experience working with individuals with intellectual and developmental disabilities, serious mental illness, or related conditions.

Responsibilities

  • Complete accurate Preadmission Screening and Resident Review (PASRR) Level II assessments by reviewing relevant records, gathering information from collateral sources, and evaluating individuals’ physical, behavioral, and psychological functioning.
  • Develop informed, evidence-based level-of-care recommendations and determine the most appropriate next level of care for individuals who may require long-term care placement.
  • Review and verify medical records and provide clinical recommendations in accordance with regulatory requirements, including evaluating psychiatric input and physician notes, completing required assessments, and meeting established turnaround-time standards.
  • Interact with healthcare professionals, patients, their families, and internal partners as needed to support the assessment and review process.
  • Use technology, computer systems, web-based applications, and proprietary software platforms to perform job functions and manage and track assessment activities.
  • Follow established workflows and complete assessments in a timely manner, within scope of practice, and in accordance with contractual and program requirements.
  • Determine clinical diagnoses accounting for psychological and behavioral issues.
  • Assess and analyze psychological, emotional, behavioral, and physical functioning.
  • Read, understand, and adhere to corporate policies, including policies related to HIPAA and its Privacy and Security Rules.

Desired Qualifications

  • Demonstrate clinical judgment, evidence-based assessment, and critical-thinking skills.
  • Be proficient in medical record abstraction and review, including knowledge of medical terminology and disease processes.
  • Have knowledge of federal regulations under 42 CFR Part 483.
  • Have knowledge of psychiatric disorders as defined by the current Diagnostic and Statistical Manual of Mental Disorders (DSM).
  • Have knowledge of standards of practice related to level-of-care determinations, mental health, intellectual and developmental disabilities, geriatrics, and other conditions requiring long-term care services and supports.
  • Communicate effectively with individuals and groups through spoken, written, and electronic media.
  • Manage priorities and complete work accurately within established deadlines using strong organizational skills and attention to detail.
  • Be proficient with Microsoft Office applications, including Excel, Word, PowerPoint, Outlook, and Teams, as well as other web-based tools and platforms.

About the Company

Acentra Health

Modernizes public healthcare with claims solutions

Acentra Health helps public-sector health programs run better by combining deep knowledge of government health programs with clinical expertise and technology. It designs and delivers software and services for claims, encounter, and provider data to improve processing efficiency and reduce costs, while offering care-management and quality-oversight services that focus on clinically informed decision making. Its products connect providers, payers, and government agencies to streamline workflows and oversight across state and federal programs. The company differentiates itself through its blend of public-sector know-how, clinical focus, and technology, accelerated by the backing of Carlyle, with a goal of delivering measurable outcomes for priority populations. Overall, Acentra Health aims to improve health outcomes, increase program efficiency, and lower costs for government healthcare programs.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
McLean, VA
Founded
2023

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