Clinical Assessor - RN - (CAP - Community Alternatives Program) - Team Lead

Company Overview:

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.

Job Summary and Responsibilities:

Acentra Health is looking for a CAP Clinical Team Lead to join our growing team.

Job Summary:

The CAP Clinical Team Lead (RN) assists in overseeing the clinical team and functions and manages assigned work plan projects to comply with performance standards. The CAP RN Lead coordinates with the CAP/C and CAP/DA Program Managers and the Clinical Director on decisions and issues and communicates with providers regarding determinations and other clinical matters. The CAP Lead also develops and leads clinical staff in activities that support clinical quality and cost effective outcomes. Occasional travel within North Carolina may be required.

 

Responsibilities:

• Under the direction of the CAP Program Manager, coordinate and monitor all clinical team activities.
• Lead team members in developing skills, creativity, and problem solving.
• Serve as the primary contact for CAP IAs, SRF Team, and MDT Review Team.
• Serve as the primary contact and CAP orientation coordinator for new CAP hires.
• Conduct ongoing training and education for staff to ensure competency in CAP program requirements, documentation standards, and nursing protocols related to SRFs, Assessments, MDT Reviews, and Due Process.
• Serve as a point of contact for CAP program inquiries, providing guidance and support to staff and stakeholders.
• Oversee and participate in the completion of SRFs and MDT Reviews.
• Under the direction of the CAP Program Manager, oversee clinical staff productivity and performance to ensure alignment with standards outlined in the NCLIFTSS (CIAE) contract.
• Oversee completion of monthly assessment quality checks.
• Serve as a member of CAP’s Due Process Team by providing RN support and completing deliverables outlined in the NCLIFTSS (CIAE) contract.
• Manage and complete assigned work plans and projects in a timely manner.
• Complete monthly reports as assigned by CAP Program Managers.
• Collaborate with Program Managers to develop and enhance processes, policies, procedures, and systems.
• Represent the clinical department by participating in committees, task forces, work groups, and multidisciplinary teams.
• Maintain professional relationships with provider communities and external customers and identify opportunities for improvement.

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

Qualifications:

Required Qualifications

• Active Registered Nurse (RN) license in the state of North Carolina.
• Minimum of three years of experience in a supervisory role or leading programs or projects, preferably in Medicaid, healthcare, or Long Term Services and Supports.
• Strong understanding of Medicaid policies, regulations, and reimbursement mechanisms, particularly related to long term services and supports for children with disabilities.
• Knowledge of the North Carolina healthcare system, Medicaid programs, and community resources.

Preferred Qualifications

• Excellent leadership, communication, and interpersonal skills with the ability to engage diverse stakeholders and build collaborative relationships.
• Demonstrated experience in data analysis, quality improvement, and program evaluation.
• Ability to work independently, prioritize tasks, and manage multiple projects simultaneously in a fast paced environment.

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 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

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.

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 Team

EEO 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, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

Compensation

The pay for this position is listed below.

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

Pay Range: USD $75,840.00 - USD $82,000.00 /Yr.