Clinical Assessor, Mid - Registered Nurse (RN) - PRN (Remote U.S. with Maine RN Licensure)

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 (Remote U.S. with Maine RN License) 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. Work Location: Remote within the U.S. with the Maine RN Licensure as listed in the "Required Qualifications/Experience" section below. Work Schedule: Flexible. Work Hours: PRN (as needed).

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.