PCS Assessor, Registered Nurse

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Accountable for conducting needs-based assessments and determining eligibility for Medicaid beneficiaries.

• Perform assessments to establish if members fulfill the conditions and criteria for PCS eligibility.

• Arrange assessments and carry out interviews with family members and informal caregivers.

• Submit service authorization requests (SARs) on behalf of PCS providers.

• Ensure the privacy and dignity of individuals undergoing assessment is upheld to the highest standards.

• Engage in mediation and appeal processes as necessary.

⛳️ Requirements

• A Bachelor’s degree in Nursing or a related healthcare discipline is required.

• A minimum of two years of experience in a home care environment.

• Experience with community-based individuals requiring personal assistance with ADL and IADL tasks is strongly preferred.

• Prior experience in conducting PCS assessments is highly desirable.

• Must hold an active Registered Nurse (RN) license in North Carolina.

• Familiarity with North Carolina Medicaid Clinical Coverage Policy (Clinical Policy) 3L and the PCS Program Provider Manual.

• Awareness and understanding of public sector services and supports.

• Proficient in Microsoft Excel, Word, and Outlook.

• Capability to use computer equipment and web-based software for work-related tasks.

• Proficient in communicating effectively with individuals and groups through spoken, written, and electronic media.

🏝️ Benefits

• Health insurance.

• Retirement plans.

• Paid time off.

• Flexible work arrangements.

• Opportunities for professional development.