Clinical Assessor (Remote - LPEI, LPC, LMSW, LCSW, LAC, LPE)

CNSI and Kepro are now Acentra Health! 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 company’s mission, actively engage in problem-solving, and take ownership of your work daily. 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 seeks a Clinical Assessor (Remote - LPEI, LPC, LMSW, LCSW, LAC, LPE) to join our growing team.

Job Summary:

The Clinical Assessor (Remote - LPEI, LPC, LMSW, LCSW, LAC, LPE) is responsible for:

A Behavioral Health clinician to function as an Independent Assessor to evaluate documentation, administer the CANS and complete utilization review services. Work with a multi-disciplinary team to render determination and completion of the authorization process.

** This is a full-time, remote-based, direct-hire opportunity with Benefits. **

Job Responsibilities:

• Conducts member and/or provider assessments, audits, training and consultation to assure plans and interventions are appropriate. As appropriate, monitors and evaluates the services and community based resources necessary to respond to the individual member’s health needs.
• Uses independent judgment, clinical knowledge/competence, communication skills, problem solving and conflict resolution to ensure optimal member, provider and client outcomes with consideration to payor requirements.
• Ensures day-to-day processes are conducted in accordance with NCQA, URAC and other regulatory standards.
• Seeks consultation from physicians, clinical and other disciplines and departments as required to ensure appropriate care is being rendered.
• Ongoing reassessment of processes to offer opportunity for improvement and/or change.
• Foster positive and professional relationships and act as liaison with internal and external customers to ensure effective working relationships and team building in order to facilitate the review process.
• Responsible for attending training and scheduled meetings and for maintenance and use of current/updated information for review.
• Maintains medical records confidentiality at all times through proper use of computer passwords, maintenance of secured files, adherence to HIPAA polices.
• Utilizes proper telephone etiquette and judicious use of other verbal and written communications, following KEPRO policies, procedures and guidelines
• Cross-trains to perform duties of other contracts within the KEPRO network to provide a flexible workforce to meet client/consumer needs.

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary from time to time.

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 nationwide. Our company cares about our employees, giving you the tools and encouragement, you need to achieve the finest work of your career.

Benefits are a key component of your rewards package. Our benefits are designed to provide additional protection, security, and support for your career and life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.  

Compensation

The pay range for this position is $65,000-75,000 annually.

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

Thank You!

Requirements

Required Qualifications

• Master’s level licensed behavioral health clinician (LPEI, LPC, LMSW, LAC, LPE).

Benefits

Knowledge, Skills, Abilities

• Knowledge of NCQA/URAC st