PCS Assessor, RN

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

📋 Description

• Arrange assessments with members, their families, and healthcare professionals.

• Execute standardized assessments to assess eligibility for PCS.

• Conduct interviews with family members and informal caregivers.

• Complete assessments within specified time limits.

• Perform expedited assessments via phone when necessary.

• Educate and assist members in choosing PCS providers.

• Collaborate with prescribers and healthcare professionals to ensure requests are precise and thorough.

• Submit service authorization requests (SARs) for PCS providers.

• Uphold the privacy and dignity of individuals undergoing PCS assessments.

• Engage in mediation and appeal processes.

• Address state inquiries concerning completed assessments.

• Attend and actively participate in staff meetings.

• Conduct case consultations, peer reviews, and internal audits as assigned.

• Formulate level-of-care recommendations based on clinical evaluations.

• Participate in training for PCS stakeholders as necessary.

• Perform sedentary tasks involving prolonged sitting, close visual acuity, repetitive hand movements, walking, crouching, and lifting up to 10 pounds.

⛳️ Requirements

• Bachelor’s degree in Nursing or a related healthcare field is mandatory.

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

• Valid North Carolina Registered Nurse (RN) license is required.

• Preferred experience with community-based individuals requiring assistance with ADL and IADL tasks.

• Preferred experience in conducting PCS assessments.

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

• Understanding of standards of practice related to Medicaid-funded State Plan Personal Care Services, HCBS programs, and EPSDT.

• Knowledge of public sector services and supports.

• Proficient in Microsoft Excel, Word, and Outlook.

• Capable of using computer equipment and web-based software.

• Ability to interact effectively with office staff, healthcare professionals, patients, families, and other support systems.

• Strong spoken, written, and electronic communication skills.

• Competence in attention to detail, prioritizing tasks, and executing them promptly.

• Ability to work independently with minimal supervision.

• Proficient in person-centered thinking and planning, with a keen awareness of the needs of individuals with disabilities.

• Must reside in North Carolina or within 40 miles of the North Carolina border.

• Willingness to travel as required to Rowan, Forsyth, Iredell, Yadkin, Davie, and Davidson counties.

🏝️ Benefits

• Exempt position; not eligible for overtime compensation.

• Equal opportunity employer.