Acentra is looking for a Clinical Reviewer to join our growing team.Job Summary: Are you passionate about making a meaningful impact in the lives of individuals with complex care needs? Join our team as a Clinical Reviewer PASRR and play a pivotal role in shaping person-centered care solutions. In this dynamic and rewarding position, you will conduct comprehensive Preadmission Screening and Resident Review (PASRR) assessments for individuals requiring nursing facility-level care due to serious mental illness, intellectual disabilities, or related conditions. Leveraging your expertise, you will evaluate medical and behavioral health records, conduct detailed assessments, and collaborate closely with treatment teams to confirm diagnoses and develop tailored care recommendations. Your work will ensure access to specialized services and integrated care settings that prioritize the well-being and dignity of each individual. If you thrive in a collaborative environment, are dedicated to upholding the highest standards of clinical excellence, and are motivated by the opportunity to drive meaningful outcomes, this role is perfect for you. Job Responsibilities
- Conduct PASRR Level I screenings and PASRR Level II evaluations to deliver comprehensive, person-centered determinations that align with federal, state, and contractual standards.
- Perform timely and precise clinical assessments by reviewing relevant patient records, staff evaluations, and conducting interviews with collateral sources, in collaboration with the Medical Director.
- Thoroughly evaluate whether individuals meet established criteria for Serious Mental Illness (SMI), Intellectual Disability, or Other Related Conditions (ID/RC) based on rigorous federal, state, and contractual guidelines.
- Ensure the accurate completion of PASRR reviews by assessing the patient's physical, behavioral, and psychological functioning, as well as their medical, behavioral health, and social histories, to determine the appropriate level of care.
- Maintain strict adherence to required workflow timelines, including re-reviewing records as necessary, incorporating feedback from the Clinical Director, Quality Manager, and Medical Director.
- Actively participate in staff meetings, conduct case consultations, peer reviews, and internal audits as assigned to promote team collaboration and quality assurance.
- Stay informed on current literature, regulations, and research related to long-term care, mental health, intellectual disabilities, medical conditions, and geriatrics to ensure evidence-based practice.
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 and Knowledge
- Minimum of 2 - 3 years' experience in assessing and diagnosing individuals with mental and psychiatric disorders, including managing complex differential diagnoses involving substance use, medical conditions, cognitive impairments, and dementia.
- At least 1 year of experience working with individuals with intellectual disabilities or related conditions.
- Holds an active license as a Registered Nurse in the state of Florida, Licensed Clinical Social Worker, Licensed Clinical Psychologist, Nurse Practitioner, or another qualified Mental Health Professional/Qualified Intellectual Disability Professional.
- A degree from an accredited college in a relevant field of study.
- Experience working with the geriatric population is preferred.
- In-depth knowledge of psychiatric disorders as defined by the most current Diagnostic and Statistical Manual in use in Florida.
- Capable of developing Level of Care recommendations based on clinical evaluations, with a good familiarity with standards of practice for determining appropriate Levels of Care.
- Strong understanding of standards of practice related to mental health, intellectual and developmental disabilities, geriatrics, and other disorders typically requiring long-term care services and supports.
- Knowledge and understanding of public sector services and support systems.
- Proficient understanding of Federal Regulation 42 CFR, Chapter 483.
- Proven ability to establish clinical diagnoses that account for psychological and behavioral issues.
- Effective at interacting with office staff to support workflow and operational needs.
- Strong interpersonal skills to engage with healthcare professionals, patients, families, and support networks effectively.
- Excellent verbal and written communication skills, with the ability to convey information to individuals and groups through spoken, written, and electronic formats.
- Proficient in assessing and analyzing psychological, emotional, behavioral, and physical functioning.
- Skilled in using computer equipment and web-based software to complete assigned tasks.
- Advanced computer proficiency in Microsoft Excel, Word, and Outlook.
- Highly detail-oriented, with the ability to prioritize and complete tasks within deadlines.
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. 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 TeamEOE 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. Benefits Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your 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 compensation for this role is $70,000 to $75,000 base salary. Based on our compensation program, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level. #LI-JS1