Clinical Evaluator (PASRR) Part Time Hybrid Role in Yakima, Washington

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 Evaluator to join our growing team. 

Job Summary:

As a Clinical Evaluator (PASRR) - Preadmission Screening and Resident Review, you will conduct face-to-face assessments to facilitate appropriate placement and next level of care in Yakima, Washington. Your role involves providing essential evaluations to enhance patient well-being and improve their quality of life. These assessments, primarily conducted in nursing homes, hospitals, or community-based settings, play a crucial role in determining the level and scope of care required for each patient.

As a trusted expert, you will evaluate, determine, and recommend the next level of care to improve overall quality of life. This is a (Part-Time) Hybrid role, combining work from your home office with travel to evaluate patients in your local area, including the Yakima area. Travel expenses, all mileage and parking will be fully reimbursed.

Job Responsibilities:

• Review medical records, and interact with healthcare professionals, patients, their families, and other support systems to conduct accurate screenings, evaluations and determinations
• Assess and analyze psychological, emotional, behavioral and physical functioning.
• Develop informed level of care recommendations based on thorough clinical evaluations.
• Conduct assessments in various environments, including nursing homes, hospitals, and community settings, to understand and address the diverse needs of those we serve.
• Adhere to the state's best standards of mental health practices, intellectual and developmental disabilities, geriatrics, and other conditions requiring nursing care services and supports.
• Ensure compliance with contractual and regulatory standards while developing level of care recommendations.
• Utilize independent judgment, deep clinical expertise, exceptional communication skills, and problem-solving abilities to navigate complex situations, ensuring the best outcomes for members, providers, and clients.
• Foster effective collaboration with a diverse range of healthcare professionals, patients, families, and support networks while monitoring personal metrics to ensure compliance with turnaround time requirements.
• Leverage technology by utilizing the state's electronic system and our proprietary platforms to efficiently manage and track all assessment activities.
• Monitor personal metrics to ensure compliance with turnaround time requirements.
• Stay updated on current regulations, and research related to long-term care, mental illness, medical conditions, and geriatrics.
• Efficiently prioritize and execute tasks with attention to detail.

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary.
Required Qualifications/Experience:

• Minimum 3 years of experience assessing individuals with mental or psychiatric disorders, including complex differential diagnoses related to substance use, medical conditions, cognitive issues, and dementia.
• Active unrestricted licensure in Washington in a healthcare or related field, such as a Licensed Psychologist, Psychiatric Nurse, Social Worker, Mental Health Counselor, Marriage and Family Therapist, or Social Worker Independent Clinical License.
• Graduation from an accredited college with a relevant degree program.
• Expertise in assessing and analyzing psychological, emotional, behavioral, and physical functioning.
• Working knowledge of Preadmission Screening and Resident Review (PASRR) requirements per Federal Regulation 42 CFR, Chapter 483.
• Knowledge of psychiatric disorders as defined by the most current Diagnostic and Statistical Manual in use in Washington.
• Experience in determining a clinical diagnosis accounting for psychological and behavioral issues.
• Knowledge of standards of practice related to the determination of Level of Care and standards of practice related to mental health, geriatrics, and other disorders commonly necessitating long