Clinical Assessor, Mid - PRN (Hybrid within Maine)

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Acentra Health is looking for a Clinical Assessor, Mid - PRN (Hybrid within Maine) to join our growing team.

Job Summary:

• The purpose of this position is to complete needs-based eligibility determinations for Katie Beckett program, program for children with complex medical needs.

Responsibilities:

• Conduct assessments to determine if the beneficiary meets medical eligibility.
• Ensure timely completion of new, expedited, annual, change of status, mediation/appeals, reconsideration review, and derivative assessments.
• Interview family members and informal caregivers present during the assessment.
• Submit completed assessments via state-approved interfaces.
• Participate in the beneficiary's mediation and appeal processes.
• Respond to state inquiries regarding conducted assessments.
• Actively participate in staff meetings, case consultations, peer reviews, and internal audits as assigned.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.

Work Schedule: Flexible.

Work Hours: PRN (as needed).

Required Qualifications/Experience:

• Active, unrestricted Registered Nurse (RN) with Licensure issued by the State of Maine, Department of Professional & Financial Regulation Board of Nursing.
• 1+ years of Nurse work experience with children with complex medical needs.
• Computer proficiency with MS Office (Word, Excel, PowerPoint, Outlook, MS Teams).

Why us?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Compensation

The pay range for this position is listed below.

"Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level."

Thank You!

We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!

~ The Acentra Health Talent Acquisition Team

Visit us at Acentra Health

EEO AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.