RN Clinical Assessor - I/DD Waiver - (Hybrid role within West Virginia)

Following a 2022 merger of CNSI and Kepro, Acentra Health combines clinical services, technology solutions, and data analytics to accelerate better health outcomes. This is a great time to join our team of passionate individuals working together to pursue the most effective solutions to today’s complex healthcare challenges. Our culture is fueled by passion and driven by purpose.

Singularly Focused. Mission Driven

Accelerating Better Outcomes is our Mantra! We are mission-driven to innovate health solutions that deliver maximum value and impact.

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. Benefits are a key component of your rewards package. Our benefits are designed to provide you additional protection, security, and support for both your career and your life away from work. We offer competitive salaries/pay, fantastic benefits including comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts and more.

Position Overview

Join our team as an RN Clinical Assessor and be part of the transformative West Virginia I/DD Waiver Program. This Medicaid home and community-based services (HCBS) initiative empowers individuals with intellectual and developmental disabilities to thrive within their communities while receiving personalized support.

As an RN Clinical Assessor within the I/DD Waiver Program's Intensively Supported Settings and Licensed Group Homes (ISS/GH), you'll play a crucial role in ensuring members receive 24/7 services tailored to their needs. These services are designed based on individualized person-centered plans, providing a comprehensive approach to support.

Your responsibilities will include conducting reviews in collaboration with WV I/DD Waiver provider agencies, focusing on compliance with HCBS settings rules, policy requirements, and the overall well-being of program participants. You'll have the unique opportunity to visit members in their homes, observe living conditions, interview members about their satisfaction, collect vital information from staff regarding HCBS services and supports, and review associated documentation to identify areas of compliance or concern.

Your goal is to guarantee that program participants enjoy the full benefits of community living, with access to services in the most integrated and least restrictive settings possible. You'll champion their rights, freedoms, and dignity to the maximum extent by performing onsite reviews at provider agency offices and members' residences throughout the state.

Job Responsibilities:

• Conduct comprehensive onsite health and safety assessments for I/DD Waiver members residing in Intensively Supported Settings/Group Homes (ISS/GH).
• Thoroughly review and analyze various documentation, including treatment plans, medication records, incident reports, care recommendations, training certifications, and associated records.
• Conduct interviews and observations involving program members, direct care staff, and professional staff.
• Identify and meticulously document specific quality indicators to monitor and track program performance.
• Collect, assess, and report review-related data, ensuring compliance with policy and safety indicators.
• Summarize findings from reviews, recognize trends, and prepare comprehensive reports.
• Provide education and guidance on compliance and issue remediation.
• Attend training sessions, scheduled meetings, and maintain up-to-date information for conducting reviews.
• Travel to homes and facilities within the state of West Virginia is required, and occasional overnight stays may be necessary.

Required Qualifications, Knowledge, Skills and Experience:

• Hold a current, unrestricted West Virginia RN license; a bachelor's degree is highly preferred.
• Possess a minimum of two years of medical experience.
• Reside within the state of West Virginia.
• Preferred experience with the WV I/DD Waiver program.
• Experience in working with individuals with intellectual and/or developmental disabilities is desirable.
• Prior exposure to Medicaid/Public Sector services is a plus.
• Familiarity with the WV I/DD Waiver CareConnection is a plus.
• Knowledge of WV I/DD Waiver program policies, procedures, and other available services for program members.
• Understanding of Medicaid-funded home and community-based services (HCBS) standards.
• Effective interaction with healthcare professionals,