Survey Representative

  • Location: Richmond, VA
  • Type: Contract
  • Job #32736

The Role:

  • You will be performing a revealed shopper survey and/or access availability secret shopper survey for the Oregon Health Authority (OHA).
  • The surveys will consist of:
    1. Revealed Shopper Survey:  The goal of the survey is to determine if the information in the Oregon coordinated care organizations’ (CCOs’) behavioral health provider data is supported by information supplied when speaking to the provider location. Additionally, survey calls will request information to determine the extent to which timely appointments for behavioral health visits are available to Oregon Health Plan (OHP) members.
       

    2. Secret Shopper Survey: The goal of the secret shopper survey is to determine if the information in the Oregon coordinated care organizations’ (CCOs’) primary care provider (PCP) and primary care dental (PCD) provider data is supported by information supplied when speaking to the provider location. Additionally, survey calls will request information to determine the extent to which timely appointments for routine primary and dental care are available to Oregon Health Plan (OHP) members.
  • You will primarily doing data validation and making outbound calls.
  • The calls will include a scripted survey of approximately 10 questions.
  • Hours of work are 11:30 am Est to 8:00pm Est

Responsibilities/Qualifications

  • High school diploma or equivalent; 2 years experience working in a customer service or healthcare environment.
  • Maintains a positive and professional demeanor during all contacts, and accurately documents answers to survey questions.
  • Excellent verbal and written communication skills and intermediate PC skills
  • Because of the nature and immediacy of the work, the ability to maintain regular and predictable attendance is essential.

Home Health RN

  • Location: Oxford, NC
  • Type: Contract
  • Job #32650

Are you an RN ready to make a difference in the lives of North Carolinians? Astyra is looking for passionate Home Health Registered Nurses  to join our team statewide! Keep reading to see if this is the right fit for you:

Why us? This opportunity is a chance to change your career and own your schedule. There is an added opportunity for growth within an innovative, person-centric healthcare organization.

We have engaged with the client to support the North Carolina Medicaid Linking individuals & Families for Long Term Services and Supports (NC LIFTSS) project. NC LIFTSS was created to streamline access to LTSS programs. It covers a variety of services:

  • Process referrals and perform option counseling
  • Conduct assessments and quality assurance reviews
  • Provide service plan management and customer service
  • Conduct provider training for the following LTSS programs: State Plan Personal Care Services (PCS), Community Alternatives Program for Children (CAP/C) and Community Alternatives Program for Disabled Adults (CAP/DA). 

This exciting role requires you to travel within your region to conduct assessments, as well as, work out of your home office when needed. This offers flexibility in your weekly schedule. As part of the Personal Care Services (PCS) program, you’ll provide vital services to NC Medicaid Beneficiaries with medical conditions, cognitive impairments, or disabilities, ensuring they receive the hands-on assistance they need for daily living activities (ADLs).
As a PCS Home Health Registered Nurse, you’ll play a crucial role in determining needs-based eligibility for Medicaid-funded personal care services, whether in-home, adult care, or supervised living homes. This role is documentation-intensive to meet the needs of beneficiaries. Join us in this rewarding opportunity to help our community thrive and make a significant impact on the lives of those in need.
What you’ll need:

  • Registered Nurse, licensed by the state of North Carolina
  • Minimum of two years’ experience in home care setting is required.
  • Computer proficiency in Microsoft Excel, Word and Outlook and the ability to utilize computer equipment and web-based software to conduct work is required
  • Experience with community-based individuals needing personal assistance with ADL and IADL tasks is highly preferred.
  • Experience conducting PCS assessments highly preferred.
  • Experience with OASIS tool (or similar) highly preferred.
  • Knowledge of North Carolina Medicaid Clinical Coverage Policy (Clinical Policy) 3L and PCS Program Provider Manual highly desired
  • Knowledge of standards of practice related to Medicaid-funded Personal Care Services, home and community-based services (HCBS) programs, and EPSDT highly desired

What you’ll do:

  • Conducts assessment to determine whether the beneficiary meets eligibility, using state-approved standardized assessment tool(s).
  • Ensures that PCS are provided on a “needs basis” in quantities appropriate to the Beneficiary’s unmet need for services based on the severity of their medical condition, functional disability, physical, or cognitive impairment.
  • Ensures that the privacy and dignity of individuals receiving assessment for PCS is maintained at the highest standards.
  • Ensures that new, expedited, annual, change of status, mediation/appeals, reconsideration review, and derivative assessments are conducted within established timeframes.
  • Include an interview with family members and informal caregivers who are present at the time of the assessment.
  • Provide the Beneficiary with guidance and assistance, as necessary, to select PCS providers.
  • Conduct service plan reviews as needed.
  • Submit the completed assessments using state-approved interface
  • Participate in the Beneficiary’s mediation and appeal processes.
  • Respond to state inquiries regarding assessments conducted.
  • Attend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assigned.
  • Develops level of care recommendations based upon clinical evaluations.
  • Participates in training of PCS stakeholders as needed.
  • Computer proficiency in Microsoft Excel, Word and Outlook and the ability to utilize computer equipment and web-based software to conduct work.

Skills & Abilities:

  • Insightful Understanding of public sector services and supports.
  • Interact and Collaborate with various office staff as needed to support necessary workflows, as well as healthcare professionals, patients, their families and other supports.
  • Effective Communication to individuals and groups through spoken, written and electronic media.
  • Attention to Detail and Highly Organized in documentation to effectively prioritize and execute tasks in a timely manner.
  • Person-Centered thinking, planning, and competency in awareness of the needs of persons with disabilities.

If this opportunity sounds like a bullseyes, apply today!  

Mileage reimbursement at the ready for all travel.  

Proper email communication will only be done to and from @astyra.com email addresses. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. Please ensure you are communicating within these guidelines and proper channels for the quickest possible interview consideration!

Support Intensity Scale Assessor

  • Location: Philadelphia, PA
  • Type: Contract
  • Job #32632

As an independent contractor, you will be responsible for conducting face-to-face SIS assessments of individuals with intellectual and developmental disabilities and/or Autism ages 14 and above. Although assessments are conducted at a variety of sites, there is no office you report to, affording you the opportunity to schedule, finalize and submit assessments from your home. Schedules are flexible and can, in most instances, be tailored to meet your availability.

We are seeking candidates available to travel throughout the Philadelphia area.

Accountabilities

  • Conducts assessments on individuals with IDD and/or Autism as assigned.
  • Ensures scheduling, administration and submission processes are conducted within identified performance standards, demonstrating fidelity to the assessment tool.
  • Uses independent judgment, clinical knowledge/competence, communication skills, problem-solving and conflict resolution to ensure optimal interviews for the individual, family and respondent teams.
  • Manages schedule and availability calendar, and ensures assessments are scheduled and completed in accordance with contract guidelines.
  • Fosters positive and professional relationships and acts as liaison with internal and external customers to ensure effective working relationships and team building to facilitate the completion and review of assessments.
  • Participates in regular quality calls, attends training and scheduled meetings and ensures maintenance and use of current/updated information as provided.
  • Maintains confidentiality of all scheduling and assessment materials at all times through proper use of computer passwords, maintenance of secured files and adherence to HIPAA polices. 

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that contract needs may dictate.

Qualifications

  • Bachelor’s Degree in Human Service Field
  • Minimum two years of direct experience working with individuals with IDD/Autism required.
  • Basic computer/technology skills and MS Office proficiency required.

Knowledge, Skills, Abilities

  • Must have strong organizational skills and be able to meet required deadlines
  • Knowledge of medical terminology, behavioral supports and PA ODP waiver programs strongly desired.
  • Strong clinical/social assessment and critical thinking skills required.
  • Excellent verbal and written communication skills required.
  • Ability to use independent judgment and discretion to address, resolve and process problems impeding assessment process/completion.
  • Proactively identify and resolves delays and obstacles.
  • Access to necessary technology – laptop (Processor: Intel Core i5 or newer; Operating System: Microsoft Windows 8 or newer; Memory: 4 GB RAM minimum, 6GB recommended; Internal Drive Storage: 250 GB minimum, 500 GB recommended; Free Hard Disk Space: 32 GB or greater), printer and scanner.
  • Must have broadband internet connection at home (no dial-up).
  • Must be willing to travel and have active, unrestricted license, reliable transportation and active auto insurance.
  • Must have dedicated home workspace committed to confidentiality of PHI.

Proper email communication will only be done to and from @astyra.com email addresses. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. Please ensure you are communicating within these guidelines and proper channels for the quickest possible interview consideration!

#ASTLOW

Home Health RN

  • Location: Jacksonville, NC
  • Type: Contract
  • Job #32398

Are you an RN ready to make a difference in the lives of North Carolinians? Astyra is looking for passionate Home Health Registered Nurses  to join our team statewide! Keep reading to see if this is the right fit for you:

Why us? This opportunity is a chance to change your career and own your schedule. There is an added opportunity for growth within an innovative, person-centric healthcare organization.

We have engaged with Acentra Health Formerly Kepro to support North Carolina Medicaid Linking individuals & Families for Long Term Services and Supports (NC LIFTSS) project. NC LIFTSS was created to streamline access to LTSS programs. It covers a variety of services:

  • Process referrals and perform option counseling
  • Conduct assessments and quality assurance reviews
  • Provide service plan management and customer service
  • Conduct provider training for the following LTSS programs: State Plan Personal Care Services (PCS), Community Alternatives Program for Children (CAP/C) and Community Alternatives Program for Disabled Adults (CAP/DA). 

This exciting role requires you to travel within your region to conduct assessments, as well as, work out of your home office when needed. This offers flexibility in your weekly schedule. As part of the Personal Care Services (PCS) program, you’ll provide vital services to NC Medicaid Beneficiaries with medical conditions, cognitive impairments, or disabilities, ensuring they receive the hands-on assistance they need for daily living activities (ADLs).
As a PCS Home Health Registered Nurse, you’ll play a crucial role in determining needs-based eligibility for Medicaid-funded personal care services, whether in-home, adult care, or supervised living homes. This role is documentation-intensive to meet the needs of beneficiaries. Join us in this rewarding opportunity to help our community thrive and make a significant impact on the lives of those in need.
What you’ll need:

  • Registered Nurse, licensed by the state of North Carolina
  • Minimum of two years’ experience in home care setting is required.
  • Computer proficiency in Microsoft Excel, Word and Outlook and the ability to utilize computer equipment and web-based software to conduct work is required
  • Experience with community-based individuals needing personal assistance with ADL and IADL tasks is highly preferred.
  • Experience conducting PCS assessments highly preferred.
  • Experience with OASIS tool (or similar) highly preferred.
  • Knowledge of North Carolina Medicaid Clinical Coverage Policy (Clinical Policy) 3L and PCS Program Provider Manual highly desired
  • Knowledge of standards of practice related to Medicaid-funded Personal Care Services, home and community-based services (HCBS) programs, and EPSDT highly desired

What you’ll do:

  • Conducts assessment to determine whether the beneficiary meets eligibility, using state-approved standardized assessment tool(s).
  • Ensures that PCS are provided on a “needs basis” in quantities appropriate to the Beneficiary’s unmet need for services based on the severity of their medical condition, functional disability, physical, or cognitive impairment.
  • Ensures that the privacy and dignity of individuals receiving assessment for PCS is maintained at the highest standards.
  • Ensures that new, expedited, annual, change of status, mediation/appeals, reconsideration review, and derivative assessments are conducted within established timeframes.
  • Include an interview with family members and informal caregivers who are present at the time of the assessment.
  • Provide the Beneficiary with guidance and assistance, as necessary, to select PCS providers.
  • Conduct service plan reviews as needed.
  • Submit the completed assessments using state-approved interface
  • Participate in the Beneficiary’s mediation and appeal processes.
  • Respond to state inquiries regarding assessments conducted.
  • Attend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assigned.
  • Develops level of care recommendations based upon clinical evaluations.
  • Participates in training of PCS stakeholders as needed.
  • Computer proficiency in Microsoft Excel, Word and Outlook and the ability to utilize computer equipment and web-based software to conduct work.

Skills & Abilities:

  • Insightful Understanding of public sector services and supports.
  • Interact and Collaborate with various office staff as needed to support necessary workflows, as well as healthcare professionals, patients, their families and other supports.
  • Effective Communication to individuals and groups through spoken, written and electronic media.
  • Attention to Detail and Highly Organized in documentation to effectively prioritize and execute tasks in a timely manner.
  • Person-Centered thinking, planning, and competency in awareness of the needs of persons with disabilities.

If this opportunity sounds like a bullseyes, apply today!  

Mileage reimbursement at the ready for all travel.  

 

Home Health RN

  • Location: Greensboro, NC
  • Type: Contract
  • Job #32290

Are you an RN ready to make a difference in the lives of North Carolinians? Astyra is looking for passionate Home Health Registered Nurses to join our team statewide! Keep reading to see if this is the right fit for you:

Why us? This opportunity is a chance to change your career and own your schedule. There is an added opportunity for growth within an innovative, person-centric healthcare organization.

We have engaged with the client to support the North Carolina Medicaid Linking Individuals & Families for Long-Term Services and Supports (NC LIFTSS) project. NC LIFTSS was created to streamline access to LTSS programs. It covers a variety of services:

  • Process referrals and perform option counseling
  • Conduct assessments and quality assurance reviews
  • Provide service plan management and customer service
  • Conduct provider training for the following LTSS programs: State Plan Personal Care Services (PCS), Community Alternatives Program for Children (CAP/C), and Community Alternatives Program for Disabled Adults (CAP/DA). 

This exciting role requires you to travel within your region to conduct assessments, as well as, work out of your home office when needed. This offers flexibility in your weekly schedule. As part of the Personal Care Services (PCS) program, you’ll provide vital services to NC Medicaid Beneficiaries with medical conditions, cognitive impairments, or disabilities, ensuring they receive the hands-on assistance they need for daily living activities (ADLs).
As a PCS Home Health Registered Nurse, you’ll play a crucial role in determining needs-based eligibility for Medicaid-funded personal care services, whether in-home, adult care, or supervised living homes. This role is documentation-intensive to meet the needs of beneficiaries. Join us in this rewarding opportunity to help our community thrive and make a significant impact on the lives of those in need.
What you’ll need:

  • Registered Nurse, licensed by the state of North Carolina
  • Minimum of two years’ experience in a home care setting is required.
  • Computer proficiency in Microsoft Excel, Word, and Outlook and the ability to utilize computer equipment and web-based software to conduct work is required
  • Experience with community-based individuals needing personal assistance with ADL and IADL tasks is highly preferred.
  • Experience conducting PCS assessments is highly preferred.
  • Experience with the OASIS tool (or similar) is highly preferred.
  • Knowledge of North Carolina Medicaid Clinical Coverage Policy (Clinical Policy) 3L and PCS Program Provider Manual highly desired
  • Knowledge of standards of practice related to Medicaid-funded Personal Care Services, home and community-based services (HCBS) programs, and EPSDT highly desired

What you’ll do:

  • Conducts assessment to determine whether the beneficiary meets eligibility, using state-approved standardized assessment tool(s).
  • Ensures that PCS are provided on a “needs basis” in quantities appropriate to the Beneficiary’s unmet need for services based on the severity of their medical condition, functional disability, or physical, or cognitive impairment.
  • Ensures that the privacy and dignity of individuals receiving assessment for PCS are maintained at the highest standards.
  • Ensures that new, expedited, annual, change of status, mediation/appeals, reconsideration review, and derivative assessments are conducted within established timeframes.
  • Include an interview with family members and informal caregivers who are present at the time of the assessment.
  • Provide the Beneficiary with guidance and assistance, as necessary, to select PCS providers.
  • Conduct service plan reviews as needed.
  • Submit the completed assessments using the state-approved interface
  • Participate in the Beneficiary’s mediation and appeal processes.
  • Respond to state inquiries regarding assessments conducted.
  • Attend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assigned.
  • Develops level of care recommendations based upon clinical evaluations.
  • Participates in training of PCS stakeholders as needed.
  • Computer proficiency in Microsoft Excel, Word, and Outlook and the ability to utilize computer equipment and web-based software to conduct work.

Skills & Abilities:

  • Insightful Understanding of public sector services and supports.
  • Interact and Collaborate with various office staff as needed to support necessary workflows, as well as healthcare professionals, patients, their families, and other supports.
  • Effective Communication to individuals and groups through spoken, written, and electronic media.
  • Attention to Detail and Highly Organized documentation to effectively prioritize and execute tasks in a timely manner.
  • Person-centered thinking, planning, and competency in awareness of the needs of persons with disabilities.

If this opportunity sounds like a bullseye, apply today!  

Mileage reimbursement the ready for all travel. 

Proper email communication will only be done to and from @astyra.com email addresses. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. Please ensure you are communicating within these guidelines and proper channels for the quickest possible interview consideration!

Home Health RN

  • Location: Waynesville, NC
  • Type: Contract
  • Job #32288

Are you an RN ready to make a difference in the lives of North Carolinians? Astyra is looking for passionate Home Health Registered Nurses to join our team statewide! Keep reading to see if this is the right fit for you:

Why us? This opportunity is a chance to change your career and own your schedule. There is an added opportunity for growth within an innovative, person-centric healthcare organization.

We have engaged with Acentra Health Formerly Kepro to support North Carolina Medicaid Linking individuals & Families for Long Term Services and Supports (NC LIFTSS) project. NC LIFTSS was created to streamline access to LTSS programs. It covers a variety of services:

  • Process referrals and perform option counseling
  • Conduct assessments and quality assurance reviews
  • Provide service plan management and customer service
  • Conduct provider training for the following LTSS programs: State Plan Personal Care Services (PCS), Community Alternatives Program for Children (CAP/C) and Community Alternatives Program for Disabled Adults (CAP/DA). 

This exciting role requires you to travel within your region to conduct assessments, as well as, work out of your home office when needed. This offers flexibility in your weekly schedule. As part of the Personal Care Services (PCS) program, you’ll provide vital services to NC Medicaid Beneficiaries with medical conditions, cognitive impairments, or disabilities, ensuring they receive the hands-on assistance they need for daily living activities (ADLs).
As a PCS Home Health Registered Nurse, you’ll play a crucial role in determining needs-based eligibility for Medicaid-funded personal care services, whether in-home, adult care, or supervised living homes. This role is documentation-intensive to meet the needs of beneficiaries. Join us in this rewarding opportunity to help our community thrive and make a significant impact on the lives of those in need.
What you’ll need:

  • Registered Nurse, licensed by the state of North Carolina
  • Minimum of two years’ experience in home care setting is required.
  • Computer proficiency in Microsoft Excel, Word and Outlook and the ability to utilize computer equipment and web-based software to conduct work is required
  • Experience with community-based individuals needing personal assistance with ADL and IADL tasks is highly preferred.
  • Experience conducting PCS assessments highly preferred.
  • Experience with OASIS tool (or similar) highly preferred.
  • Knowledge of North Carolina Medicaid Clinical Coverage Policy (Clinical Policy) 3L and PCS Program Provider Manual highly desired
  • Knowledge of standards of practice related to Medicaid-funded Personal Care Services, home and community-based services (HCBS) programs, and EPSDT highly desired

What you’ll do:

  • Conducts assessment to determine whether the beneficiary meets eligibility, using state-approved standardized assessment tool(s).
  • Ensures that PCS are provided on a “needs basis” in quantities appropriate to the Beneficiary’s unmet need for services based on the severity of their medical condition, functional disability, physical, or cognitive impairment.
  • Ensures that the privacy and dignity of individuals receiving assessment for PCS is maintained at the highest standards.
  • Ensures that new, expedited, annual, change of status, mediation/appeals, reconsideration review, and derivative assessments are conducted within established timeframes.
  • Include an interview with family members and informal caregivers who are present at the time of the assessment.
  • Provide the Beneficiary with guidance and assistance, as necessary, to select PCS providers.
  • Conduct service plan reviews as needed.
  • Submit the completed assessments using state-approved interface
  • Participate in the Beneficiary’s mediation and appeal processes.
  • Respond to state inquiries regarding assessments conducted.
  • Attend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assigned.
  • Develops level of care recommendations based upon clinical evaluations.
  • Participates in training of PCS stakeholders as needed.
  • Computer proficiency in Microsoft Excel, Word and Outlook and the ability to utilize computer equipment and web-based software to conduct work.

Skills & Abilities:

  • Insightful Understanding of public sector services and supports.
  • Interact and Collaborate with various office staff as needed to support necessary workflows, as well as healthcare professionals, patients, their families and other supports.
  • Effective Communication to individuals and groups through spoken, written and electronic media.
  • Attention to Detail and Highly Organized in documentation to effectively prioritize and execute tasks in a timely manner.
  • Person-Centered thinking, planning, and competency in awareness of the needs of persons with disabilities
If this opportunity sounds like a bullseyes, apply today!  

Mileage reimbursement at the ready for all travel.  

Proper email communication will only be done to and from @astyra.com email addresses. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. Please ensure you are communicating within these guidelines and proper channels for the quickest possible interview consideration!

Home Health RN

  • Location: Sanford, NC
  • Type: Contract
  • Job #32286

Are you an RN ready to make a difference in the lives of North Carolinians? Astyra is looking for passionate Home Health Registered Nurses  to join our team statewide! Keep reading to see if this is the right fit for you:

Why us? This opportunity is a chance to change your career and own your schedule. There is an added opportunity for growth within an innovative, person-centric healthcare organization.

We have engaged with the client to support the North Carolina Medicaid Linking individuals & Families for Long Term Services and Supports (NC LIFTSS) project. NC LIFTSS was created to streamline access to LTSS programs. It covers a variety of services:

  • Process referrals and perform option counseling
  • Conduct assessments and quality assurance reviews
  • Provide service plan management and customer service
  • Conduct provider training for the following LTSS programs: State Plan Personal Care Services (PCS), Community Alternatives Program for Children (CAP/C) and Community Alternatives Program for Disabled Adults (CAP/DA). 

This exciting role requires you to travel within your region to conduct assessments, as well as, work out of your home office when needed. This offers flexibility in your weekly schedule. As part of the Personal Care Services (PCS) program, you’ll provide vital services to NC Medicaid Beneficiaries with medical conditions, cognitive impairments, or disabilities, ensuring they receive the hands-on assistance they need for daily living activities (ADLs).
As a PCS Home Health Registered Nurse, you’ll play a crucial role in determining needs-based eligibility for Medicaid-funded personal care services, whether in-home, adult care, or supervised living homes. This role is documentation-intensive to meet the needs of beneficiaries. Join us in this rewarding opportunity to help our community thrive and make a significant impact on the lives of those in need.
What you’ll need:

  • Registered Nurse, licensed by the state of North Carolina
  • Minimum of two years’ experience in home care setting is required.
  • Computer proficiency in Microsoft Excel, Word and Outlook and the ability to utilize computer equipment and web-based software to conduct work is required
  • Experience with community-based individuals needing personal assistance with ADL and IADL tasks is highly preferred.
  • Experience conducting PCS assessments highly preferred.
  • Experience with OASIS tool (or similar) highly preferred.
  • Knowledge of North Carolina Medicaid Clinical Coverage Policy (Clinical Policy) 3L and PCS Program Provider Manual highly desired
  • Knowledge of standards of practice related to Medicaid-funded Personal Care Services, home and community-based services (HCBS) programs, and EPSDT highly desired

What you’ll do:

  • Conducts assessment to determine whether the beneficiary meets eligibility, using state-approved standardized assessment tool(s).
  • Ensures that PCS are provided on a “needs basis” in quantities appropriate to the Beneficiary’s unmet need for services based on the severity of their medical condition, functional disability, physical, or cognitive impairment.
  • Ensures that the privacy and dignity of individuals receiving assessment for PCS is maintained at the highest standards.
  • Ensures that new, expedited, annual, change of status, mediation/appeals, reconsideration review, and derivative assessments are conducted within established timeframes.
  • Include an interview with family members and informal caregivers who are present at the time of the assessment.
  • Provide the Beneficiary with guidance and assistance, as necessary, to select PCS providers.
  • Conduct service plan reviews as needed.
  • Submit the completed assessments using state-approved interface
  • Participate in the Beneficiary’s mediation and appeal processes.
  • Respond to state inquiries regarding assessments conducted.
  • Attend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assigned.
  • Develops level of care recommendations based upon clinical evaluations.
  • Participates in training of PCS stakeholders as needed.
  • Computer proficiency in Microsoft Excel, Word and Outlook and the ability to utilize computer equipment and web-based software to conduct work.

Skills & Abilities:

  • Insightful Understanding of public sector services and supports.
  • Interact and Collaborate with various office staff as needed to support necessary workflows, as well as healthcare professionals, patients, their families and other supports.
  • Effective Communication to individuals and groups through spoken, written and electronic media.
  • Attention to Detail and Highly Organized in documentation to effectively prioritize and execute tasks in a timely manner.
  • Person-Centered thinking, planning, and competency in awareness of the needs of persons with disabilities.

If this opportunity sounds like a bullseyes, apply today!  

Mileage reimbursement at the ready for all travel.  

Home Health RN

  • Location: Charlotte, NC
  • Type: Contract
  • Job #32285

Are you an RN ready to make a difference in the lives of North Carolinians? Astyra is looking for passionate Home Health Registered Nurses  to join our team statewide! Keep reading to see if this is the right fit for you:

Why us? This opportunity is a chance to change your career and own your schedule. There is an added opportunity for growth within an innovative, person-centric healthcare organization.

We have engaged with Acentra Health Formerly Kepro to support North Carolina Medicaid Linking individuals & Families for Long Term Services and Supports (NC LIFTSS) project. NC LIFTSS was created to streamline access to LTSS programs. It covers a variety of services:

  • Process referrals and perform option counseling
  • Conduct assessments and quality assurance reviews
  • Provide service plan management and customer service
  • Conduct provider training for the following LTSS programs: State Plan Personal Care Services (PCS), Community Alternatives Program for Children (CAP/C) and Community Alternatives Program for Disabled Adults (CAP/DA). 

This exciting role requires you to travel within your region to conduct assessments, as well as, work out of your home office when needed. This offers flexibility in your weekly schedule. As part of the Personal Care Services (PCS) program, you’ll provide vital services to NC Medicaid Beneficiaries with medical conditions, cognitive impairments, or disabilities, ensuring they receive the hands-on assistance they need for daily living activities (ADLs).
As a PCS Home Health Registered Nurse, you’ll play a crucial role in determining needs-based eligibility for Medicaid-funded personal care services, whether in-home, adult care, or supervised living homes. This role is documentation-intensive to meet the needs of beneficiaries. Join us in this rewarding opportunity to help our community thrive and make a significant impact on the lives of those in need.
What you’ll need:

  • Registered Nurse, licensed by the state of North Carolina
  • Minimum of two years’ experience in home care setting is required.
  • Computer proficiency in Microsoft Excel, Word and Outlook and the ability to utilize computer equipment and web-based software to conduct work is required
  • Experience with community-based individuals needing personal assistance with ADL and IADL tasks is highly preferred.
  • Experience conducting PCS assessments highly preferred.
  • Experience with OASIS tool (or similar) highly preferred.
  • Knowledge of North Carolina Medicaid Clinical Coverage Policy (Clinical Policy) 3L and PCS Program Provider Manual highly desired
  • Knowledge of standards of practice related to Medicaid-funded Personal Care Services, home and community-based services (HCBS) programs, and EPSDT highly desired

What you’ll do:

  • Conducts assessment to determine whether the beneficiary meets eligibility, using state-approved standardized assessment tool(s).
  • Ensures that PCS are provided on a “needs basis” in quantities appropriate to the Beneficiary’s unmet need for services based on the severity of their medical condition, functional disability, physical, or cognitive impairment.
  • Ensures that the privacy and dignity of individuals receiving assessment for PCS is maintained at the highest standards.
  • Ensures that new, expedited, annual, change of status, mediation/appeals, reconsideration review, and derivative assessments are conducted within established timeframes.
  • Include an interview with family members and informal caregivers who are present at the time of the assessment.
  • Provide the Beneficiary with guidance and assistance, as necessary, to select PCS providers.
  • Conduct service plan reviews as needed.
  • Submit the completed assessments using state-approved interface
  • Participate in the Beneficiary’s mediation and appeal processes.
  • Respond to state inquiries regarding assessments conducted.
  • Attend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assigned.
  • Develops level of care recommendations based upon clinical evaluations.
  • Participates in training of PCS stakeholders as needed.
  • Computer proficiency in Microsoft Excel, Word and Outlook and the ability to utilize computer equipment and web-based software to conduct work.

Skills & Abilities:

  • Insightful Understanding of public sector services and supports.
  • Interact and Collaborate with various office staff as needed to support necessary workflows, as well as healthcare professionals, patients, their families and other supports.
  • Effective Communication to individuals and groups through spoken, written and electronic media.
  • Attention to Detail and Highly Organized in documentation to effectively prioritize and execute tasks in a timely manner.
  • Person-Centered thinking, planning, and competency in awareness of the needs of persons with disabilities.

If this opportunity sounds like a bullseyes, apply today!  

Mileage reimbursement at the ready for all travel.  

Home Health RN

  • Location: Durham, NC
  • Type: Contract
  • Job #32284

Are you an RN ready to make a difference in the lives of North Carolinians? Astyra is looking for passionate Home Health Registered Nurses  to join our team statewide! Keep reading to see if this is the right fit for you:

Why us? This opportunity is a chance to change your career and own your schedule. There is an added opportunity for growth within an innovative, person-centric healthcare organization.

We have engaged with Acentra Health Formerly Kepro to support North Carolina Medicaid Linking individuals & Families for Long Term Services and Supports (NC LIFTSS) project. NC LIFTSS was created to streamline access to LTSS programs. It covers a variety of services:

  • Process referrals and perform option counseling
  • Conduct assessments and quality assurance reviews
  • Provide service plan management and customer service
  • Conduct provider training for the following LTSS programs: State Plan Personal Care Services (PCS), Community Alternatives Program for Children (CAP/C) and Community Alternatives Program for Disabled Adults (CAP/DA). 

This exciting role requires you to travel within your region to conduct assessments, as well as, work out of your home office when needed. This offers flexibility in your weekly schedule. As part of the Personal Care Services (PCS) program, you’ll provide vital services to NC Medicaid Beneficiaries with medical conditions, cognitive impairments, or disabilities, ensuring they receive the hands-on assistance they need for daily living activities (ADLs).
As a PCS Home Health Registered Nurse, you’ll play a crucial role in determining needs-based eligibility for Medicaid-funded personal care services, whether in-home, adult care, or supervised living homes. This role is documentation-intensive to meet the needs of beneficiaries. Join us in this rewarding opportunity to help our community thrive and make a significant impact on the lives of those in need.
What you’ll need:

  • Registered Nurse, licensed by the state of North Carolina
  • Minimum of two years’ experience in home care setting is required.
  • Computer proficiency in Microsoft Excel, Word and Outlook and the ability to utilize computer equipment and web-based software to conduct work is required
  • Experience with community-based individuals needing personal assistance with ADL and IADL tasks is highly preferred.
  • Experience conducting PCS assessments highly preferred.
  • Experience with OASIS tool (or similar) highly preferred.
  • Knowledge of North Carolina Medicaid Clinical Coverage Policy (Clinical Policy) 3L and PCS Program Provider Manual highly desired
  • Knowledge of standards of practice related to Medicaid-funded Personal Care Services, home and community-based services (HCBS) programs, and EPSDT highly desired

What you’ll do:

  • Conducts assessment to determine whether the beneficiary meets eligibility, using state-approved standardized assessment tool(s).
  • Ensures that PCS are provided on a “needs basis” in quantities appropriate to the Beneficiary’s unmet need for services based on the severity of their medical condition, functional disability, physical, or cognitive impairment.
  • Ensures that the privacy and dignity of individuals receiving assessment for PCS is maintained at the highest standards.
  • Ensures that new, expedited, annual, change of status, mediation/appeals, reconsideration review, and derivative assessments are conducted within established timeframes.
  • Include an interview with family members and informal caregivers who are present at the time of the assessment.
  • Provide the Beneficiary with guidance and assistance, as necessary, to select PCS providers.
  • Conduct service plan reviews as needed.
  • Submit the completed assessments using state-approved interface
  • Participate in the Beneficiary’s mediation and appeal processes.
  • Respond to state inquiries regarding assessments conducted.
  • Attend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assigned.
  • Develops level of care recommendations based upon clinical evaluations.
  • Participates in training of PCS stakeholders as needed.
  • Computer proficiency in Microsoft Excel, Word and Outlook and the ability to utilize computer equipment and web-based software to conduct work.

Skills & Abilities:

  • Insightful Understanding of public sector services and supports.
  • Interact and Collaborate with various office staff as needed to support necessary workflows, as well as healthcare professionals, patients, their families and other supports.
  • Effective Communication to individuals and groups through spoken, written and electronic media.
  • Attention to Detail and Highly Organized in documentation to effectively prioritize and execute tasks in a timely manner.
  • Person-Centered thinking, planning, and competency in awareness of the needs of persons with disabilities.

If this opportunity sounds like a bullseyes, apply today!  

Mileage reimbursement at the ready for all travel.  

 

Home Health RN

  • Location: Asheboro, NC
  • Type: Contract
  • Job #32282

Are you an RN ready to make a difference in the lives of North Carolinians? Astyra is looking for passionate Home Health Registered Nurses  to join our team statewide! Keep reading to see if this is the right fit for you:

Why us? This opportunity is a chance to change your career and own your schedule. There is an added opportunity for growth within an innovative, person-centric healthcare organization.

We have engaged with Acentra Health Formerly Kepro to support North Carolina Medicaid Linking individuals & Families for Long Term Services and Supports (NC LIFTSS) project. NC LIFTSS was created to streamline access to LTSS programs. It covers a variety of services:

  • Process referrals and perform option counseling
  • Conduct assessments and quality assurance reviews
  • Provide service plan management and customer service
  • Conduct provider training for the following LTSS programs: State Plan Personal Care Services (PCS), Community Alternatives Program for Children (CAP/C) and Community Alternatives Program for Disabled Adults (CAP/DA). 

This exciting role requires you to travel within your region to conduct assessments, as well as, work out of your home office when needed. This offers flexibility in your weekly schedule. As part of the Personal Care Services (PCS) program, you’ll provide vital services to NC Medicaid Beneficiaries with medical conditions, cognitive impairments, or disabilities, ensuring they receive the hands-on assistance they need for daily living activities (ADLs).
As a PCS Home Health Registered Nurse, you’ll play a crucial role in determining needs-based eligibility for Medicaid-funded personal care services, whether in-home, adult care, or supervised living homes. This role is documentation-intensive to meet the needs of beneficiaries. Join us in this rewarding opportunity to help our community thrive and make a significant impact on the lives of those in need.
What you’ll need:

  • Registered Nurse, licensed by the state of North Carolina
  • Minimum of two years’ experience in home care setting is required.
  • Computer proficiency in Microsoft Excel, Word and Outlook and the ability to utilize computer equipment and web-based software to conduct work is required
  • Experience with community-based individuals needing personal assistance with ADL and IADL tasks is highly preferred.
  • Experience conducting PCS assessments highly preferred.
  • Experience with OASIS tool (or similar) highly preferred.
  • Knowledge of North Carolina Medicaid Clinical Coverage Policy (Clinical Policy) 3L and PCS Program Provider Manual highly desired
  • Knowledge of standards of practice related to Medicaid-funded Personal Care Services, home and community-based services (HCBS) programs, and EPSDT highly desired

What you’ll do:

  • Conducts assessment to determine whether the beneficiary meets eligibility, using state-approved standardized assessment tool(s).
  • Ensures that PCS are provided on a “needs basis” in quantities appropriate to the Beneficiary’s unmet need for services based on the severity of their medical condition, functional disability, physical, or cognitive impairment.
  • Ensures that the privacy and dignity of individuals receiving assessment for PCS is maintained at the highest standards.
  • Ensures that new, expedited, annual, change of status, mediation/appeals, reconsideration review, and derivative assessments are conducted within established timeframes.
  • Include an interview with family members and informal caregivers who are present at the time of the assessment.
  • Provide the Beneficiary with guidance and assistance, as necessary, to select PCS providers.
  • Conduct service plan reviews as needed.
  • Submit the completed assessments using state-approved interface
  • Participate in the Beneficiary’s mediation and appeal processes.
  • Respond to state inquiries regarding assessments conducted.
  • Attend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assigned.
  • Develops level of care recommendations based upon clinical evaluations.
  • Participates in training of PCS stakeholders as needed.
  • Computer proficiency in Microsoft Excel, Word and Outlook and the ability to utilize computer equipment and web-based software to conduct work.

Skills & Abilities:

  • Insightful Understanding of public sector services and supports.
  • Interact and Collaborate with various office staff as needed to support necessary workflows, as well as healthcare professionals, patients, their families and other supports.
  • Effective Communication to individuals and groups through spoken, written and electronic media.
  • Attention to Detail and Highly Organized in documentation to effectively prioritize and execute tasks in a timely manner.
  • Person-Centered thinking, planning, and competency in awareness of the needs of persons with disabilities.
If this opportunity sounds like a bullseyes, apply today!  

Mileage reimbursement at the ready for all travel.  

 

Home Health RN

  • Location: Raleigh, NC
  • Type: Contract
  • Job #32280

Are you an RN ready to make a difference in the lives of North Carolinians? Astyra is looking for passionate Home Health Registered Nurses  to join our team statewide! Keep reading to see if this is the right fit for you:

Why us? This opportunity is a chance to change your career and own your schedule. There is an added opportunity for growth within an innovative, person-centric healthcare organization.

We have engaged with Acentra Health Formerly Kepro to support North Carolina Medicaid Linking individuals & Families for Long Term Services and Supports (NC LIFTSS) project. NC LIFTSS was created to streamline access to LTSS programs. It covers a variety of services:

  • Process referrals and perform option counseling
  • Conduct assessments and quality assurance reviews
  • Provide service plan management and customer service
  • Conduct provider training for the following LTSS programs: State Plan Personal Care Services (PCS), Community Alternatives Program for Children (CAP/C) and Community Alternatives Program for Disabled Adults (CAP/DA). 

This exciting role requires you to travel within your region to conduct assessments, as well as, work out of your home office when needed. This offers flexibility in your weekly schedule. As part of the Personal Care Services (PCS) program, you’ll provide vital services to NC Medicaid Beneficiaries with medical conditions, cognitive impairments, or disabilities, ensuring they receive the hands-on assistance they need for daily living activities (ADLs).
As a PCS Home Health Registered Nurse, you’ll play a crucial role in determining needs-based eligibility for Medicaid-funded personal care services, whether in-home, adult care, or supervised living homes. This role is documentation-intensive to meet the needs of beneficiaries. Join us in this rewarding opportunity to help our community thrive and make a significant impact on the lives of those in need.
What you’ll need:

  • Registered Nurse, licensed by the state of North Carolina
  • Minimum of two years’ experience in home care setting is required.
  • Computer proficiency in Microsoft Excel, Word and Outlook and the ability to utilize computer equipment and web-based software to conduct work is required
  • Experience with community-based individuals needing personal assistance with ADL and IADL tasks is highly preferred.
  • Experience conducting PCS assessments highly preferred.
  • Experience with OASIS tool (or similar) highly preferred.
  • Knowledge of North Carolina Medicaid Clinical Coverage Policy (Clinical Policy) 3L and PCS Program Provider Manual highly desired
  • Knowledge of standards of practice related to Medicaid-funded Personal Care Services, home and community-based services (HCBS) programs, and EPSDT highly desired

What you’ll do:

  • Conducts assessment to determine whether the beneficiary meets eligibility, using state-approved standardized assessment tool(s).
  • Ensures that PCS are provided on a “needs basis” in quantities appropriate to the Beneficiary’s unmet need for services based on the severity of their medical condition, functional disability, physical, or cognitive impairment.
  • Ensures that the privacy and dignity of individuals receiving assessment for PCS is maintained at the highest standards.
  • Ensures that new, expedited, annual, change of status, mediation/appeals, reconsideration review, and derivative assessments are conducted within established timeframes.
  • Include an interview with family members and informal caregivers who are present at the time of the assessment.
  • Provide the Beneficiary with guidance and assistance, as necessary, to select PCS providers.
  • Conduct service plan reviews as needed.
  • Submit the completed assessments using state-approved interface
  • Participate in the Beneficiary’s mediation and appeal processes.
  • Respond to state inquiries regarding assessments conducted.
  • Attend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assigned.
  • Develops level of care recommendations based upon clinical evaluations.
  • Participates in training of PCS stakeholders as needed.
  • Computer proficiency in Microsoft Excel, Word and Outlook and the ability to utilize computer equipment and web-based software to conduct work.

Skills & Abilities:

  • Insightful Understanding of public sector services and supports.
  • Interact and Collaborate with various office staff as needed to support necessary workflows, as well as healthcare professionals, patients, their families and other supports.
  • Effective Communication to individuals and groups through spoken, written and electronic media.
  • Attention to Detail and Highly Organized in documentation to effectively prioritize and execute tasks in a timely manner.
  • Person-Centered thinking, planning, and competency in awareness of the needs of persons with disabilities.

If this opportunity sounds like a bullseyes, apply today!  

Mileage reimbursement at the ready for all travel.  

Home Health RN

  • Location: Fayetteville, NC
  • Type: Contract
  • Job #32279

Are you an RN ready to make a difference in the lives of North Carolinians? Astyra is looking for passionate Home Health Registered Nurses  to join our team statewide! Keep reading to see if this is the right fit for you:

Why us? This opportunity is a chance to change your career and own your schedule. There is an added opportunity for growth within an innovative, person-centric healthcare organization.

We have engaged with the client to support the North Carolina Medicaid Linking individuals & Families for Long Term Services and Supports (NC LIFTSS) project. NC LIFTSS was created to streamline access to LTSS programs. It covers a variety of services:

  • Process referrals and perform option counseling
  • Conduct assessments and quality assurance reviews
  • Provide service plan management and customer service
  • Conduct provider training for the following LTSS programs: State Plan Personal Care Services (PCS), Community Alternatives Program for Children (CAP/C) and Community Alternatives Program for Disabled Adults (CAP/DA). 

This exciting role requires you to travel within your region to conduct assessments, as well as, work out of your home office when needed. This offers flexibility in your weekly schedule. As part of the Personal Care Services (PCS) program, you’ll provide vital services to NC Medicaid Beneficiaries with medical conditions, cognitive impairments, or disabilities, ensuring they receive the hands-on assistance they need for daily living activities (ADLs).
As a PCS Home Health Registered Nurse, you’ll play a crucial role in determining needs-based eligibility for Medicaid-funded personal care services, whether in-home, adult care, or supervised living homes. This role is documentation-intensive to meet the needs of beneficiaries. Join us in this rewarding opportunity to help our community thrive and make a significant impact on the lives of those in need.
What you’ll need:

  • Registered Nurse, licensed by the state of North Carolina
  • Minimum of two years’ experience in home care setting is required.
  • Computer proficiency in Microsoft Excel, Word and Outlook and the ability to utilize computer equipment and web-based software to conduct work is required
  • Experience with community-based individuals needing personal assistance with ADL and IADL tasks is highly preferred.
  • Experience conducting PCS assessments highly preferred.
  • Experience with OASIS tool (or similar) highly preferred.
  • Knowledge of North Carolina Medicaid Clinical Coverage Policy (Clinical Policy) 3L and PCS Program Provider Manual highly desired
  • Knowledge of standards of practice related to Medicaid-funded Personal Care Services, home and community-based services (HCBS) programs, and EPSDT highly desired

What you’ll do:

  • Conducts assessment to determine whether the beneficiary meets eligibility, using state-approved standardized assessment tool(s).
  • Ensures that PCS are provided on a “needs basis” in quantities appropriate to the Beneficiary’s unmet need for services based on the severity of their medical condition, functional disability, physical, or cognitive impairment.
  • Ensures that the privacy and dignity of individuals receiving assessment for PCS is maintained at the highest standards.
  • Ensures that new, expedited, annual, change of status, mediation/appeals, reconsideration review, and derivative assessments are conducted within established timeframes.
  • Include an interview with family members and informal caregivers who are present at the time of the assessment.
  • Provide the Beneficiary with guidance and assistance, as necessary, to select PCS providers.
  • Conduct service plan reviews as needed.
  • Submit the completed assessments using state-approved interface
  • Participate in the Beneficiary’s mediation and appeal processes.
  • Respond to state inquiries regarding assessments conducted.
  • Attend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assigned.
  • Develops level of care recommendations based upon clinical evaluations.
  • Participates in training of PCS stakeholders as needed.
  • Computer proficiency in Microsoft Excel, Word and Outlook and the ability to utilize computer equipment and web-based software to conduct work.

Skills & Abilities:

  • Insightful Understanding of public sector services and supports.
  • Interact and Collaborate with various office staff as needed to support necessary workflows, as well as healthcare professionals, patients, their families and other supports.
  • Effective Communication to individuals and groups through spoken, written and electronic media.
  • Attention to Detail and Highly Organized in documentation to effectively prioritize and execute tasks in a timely manner.
  • Person-Centered thinking, planning, and competency in awareness of the needs of persons with disabilities.

If this opportunity sounds like a bullseyes, apply today!  

Mileage reimbursement at the ready for all travel.  

 

Home Health RN

  • Location: Statesville, NC
  • Type: Contract
  • Job #32275

Are you an RN ready to make a difference in the lives of North Carolinians? Astyra is looking for passionate Home Health Registered Nurses  to join our team statewide! Keep reading to see if this is the right fit for you:

Why us? This opportunity is a chance to change your career and own your schedule. There is an added opportunity for growth within an innovative, person-centric healthcare organization.

We have engaged with Acentra Health Formerly Kepro to support North Carolina Medicaid Linking individuals & Families for Long Term Services and Supports (NC LIFTSS) project. NC LIFTSS was created to streamline access to LTSS programs. It covers a variety of services:

  • Process referrals and perform option counseling
  • Conduct assessments and quality assurance reviews
  • Provide service plan management and customer service
  • Conduct provider training for the following LTSS programs: State Plan Personal Care Services (PCS), Community Alternatives Program for Children (CAP/C) and Community Alternatives Program for Disabled Adults (CAP/DA). 

This exciting role requires you to travel within your region to conduct assessments, as well as, work out of your home office when needed. This offers flexibility in your weekly schedule. As part of the Personal Care Services (PCS) program, you’ll provide vital services to NC Medicaid Beneficiaries with medical conditions, cognitive impairments, or disabilities, ensuring they receive the hands-on assistance they need for daily living activities (ADLs).
As a PCS Home Health Registered Nurse, you’ll play a crucial role in determining needs-based eligibility for Medicaid-funded personal care services, whether in-home, adult care, or supervised living homes. This role is documentation-intensive to meet the needs of beneficiaries. Join us in this rewarding opportunity to help our community thrive and make a significant impact on the lives of those in need.
What you’ll need:

  • Registered Nurse, licensed by the state of North Carolina
  • Minimum of two years’ experience in home care setting is required.
  • Computer proficiency in Microsoft Excel, Word and Outlook and the ability to utilize computer equipment and web-based software to conduct work is required
  • Experience with community-based individuals needing personal assistance with ADL and IADL tasks is highly preferred.
  • Experience conducting PCS assessments highly preferred.
  • Experience with OASIS tool (or similar) highly preferred.
  • Knowledge of North Carolina Medicaid Clinical Coverage Policy (Clinical Policy) 3L and PCS Program Provider Manual highly desired
  • Knowledge of standards of practice related to Medicaid-funded Personal Care Services, home and community-based services (HCBS) programs, and EPSDT highly desired

What you’ll do:

  • Conducts assessment to determine whether the beneficiary meets eligibility, using state-approved standardized assessment tool(s).
  • Ensures that PCS are provided on a “needs basis” in quantities appropriate to the Beneficiary’s unmet need for services based on the severity of their medical condition, functional disability, physical, or cognitive impairment.
  • Ensures that the privacy and dignity of individuals receiving assessment for PCS is maintained at the highest standards.
  • Ensures that new, expedited, annual, change of status, mediation/appeals, reconsideration review, and derivative assessments are conducted within established timeframes.
  • Include an interview with family members and informal caregivers who are present at the time of the assessment.
  • Provide the Beneficiary with guidance and assistance, as necessary, to select PCS providers.
  • Conduct service plan reviews as needed.
  • Submit the completed assessments using state-approved interface
  • Participate in the Beneficiary’s mediation and appeal processes.
  • Respond to state inquiries regarding assessments conducted.
  • Attend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assigned.
  • Develops level of care recommendations based upon clinical evaluations.
  • Participates in training of PCS stakeholders as needed.
  • Computer proficiency in Microsoft Excel, Word and Outlook and the ability to utilize computer equipment and web-based software to conduct work.

Skills & Abilities:

  • Insightful Understanding of public sector services and supports.
  • Interact and Collaborate with various office staff as needed to support necessary workflows, as well as healthcare professionals, patients, their families and other supports.
  • Effective Communication to individuals and groups through spoken, written and electronic media.
  • Attention to Detail and Highly Organized in documentation to effectively prioritize and execute tasks in a timely manner.
  • Person-Centered thinking, planning, and competency in awareness of the needs of persons with disabilities.

If this opportunity sounds like a bullseyes, apply today!  

Mileage reimbursement at the ready for all travel.  

 

Home Health RN

  • Location: Graham, NC
  • Type: Contract
  • Job #32272

Are you an RN ready to make a difference in the lives of North Carolinians? Astyra is looking for passionate Home Health Registered Nurses  to join our team statewide! Keep reading to see if this is the right fit for you:

Why us? This opportunity is a chance to change your career and own your schedule. There is an added opportunity for growth within an innovative, person-centric healthcare organization.

We have engaged with Acentra Health Formerly Kepro to support North Carolina Medicaid Linking individuals & Families for Long Term Services and Supports (NC LIFTSS) project. NC LIFTSS was created to streamline access to LTSS programs. It covers a variety of services:

  • Process referrals and perform option counseling
  • Conduct assessments and quality assurance reviews
  • Provide service plan management and customer service
  • Conduct provider training for the following LTSS programs: State Plan Personal Care Services (PCS), Community Alternatives Program for Children (CAP/C) and Community Alternatives Program for Disabled Adults (CAP/DA). 

This exciting role requires you to travel within your region to conduct assessments, as well as, work out of your home office when needed. This offers flexibility in your weekly schedule. As part of the Personal Care Services (PCS) program, you’ll provide vital services to NC Medicaid Beneficiaries with medical conditions, cognitive impairments, or disabilities, ensuring they receive the hands-on assistance they need for daily living activities (ADLs).
As a PCS Home Health Registered Nurse, you’ll play a crucial role in determining needs-based eligibility for Medicaid-funded personal care services, whether in-home, adult care, or supervised living homes. This role is documentation-intensive to meet the needs of beneficiaries. Join us in this rewarding opportunity to help our community thrive and make a significant impact on the lives of those in need.
What you’ll need:

  • Registered Nurse, licensed by the state of North Carolina
  • Minimum of two years’ experience in home care setting is required.
  • Computer proficiency in Microsoft Excel, Word and Outlook and the ability to utilize computer equipment and web-based software to conduct work is required
  • Experience with community-based individuals needing personal assistance with ADL and IADL tasks is highly preferred.
  • Experience conducting PCS assessments highly preferred.
  • Experience with OASIS tool (or similar) highly preferred.
  • Knowledge of North Carolina Medicaid Clinical Coverage Policy (Clinical Policy) 3L and PCS Program Provider Manual highly desired
  • Knowledge of standards of practice related to Medicaid-funded Personal Care Services, home and community-based services (HCBS) programs, and EPSDT highly desired

What you’ll do:

  • Conducts assessment to determine whether the beneficiary meets eligibility, using state-approved standardized assessment tool(s).
  • Ensures that PCS are provided on a “needs basis” in quantities appropriate to the Beneficiary’s unmet need for services based on the severity of their medical condition, functional disability, physical, or cognitive impairment.
  • Ensures that the privacy and dignity of individuals receiving assessment for PCS is maintained at the highest standards.
  • Ensures that new, expedited, annual, change of status, mediation/appeals, reconsideration review, and derivative assessments are conducted within established timeframes.
  • Include an interview with family members and informal caregivers who are present at the time of the assessment.
  • Provide the Beneficiary with guidance and assistance, as necessary, to select PCS providers.
  • Conduct service plan reviews as needed.
  • Submit the completed assessments using state-approved interface
  • Participate in the Beneficiary’s mediation and appeal processes.
  • Respond to state inquiries regarding assessments conducted.
  • Attend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assigned.
  • Develops level of care recommendations based upon clinical evaluations.
  • Participates in training of PCS stakeholders as needed.
  • Computer proficiency in Microsoft Excel, Word and Outlook and the ability to utilize computer equipment and web-based software to conduct work.

Skills & Abilities:

  • Insightful Understanding of public sector services and supports.
  • Interact and Collaborate with various office staff as needed to support necessary workflows, as well as healthcare professionals, patients, their families and other supports.
  • Effective Communication to individuals and groups through spoken, written and electronic media.
  • Attention to Detail and Highly Organized in documentation to effectively prioritize and execute tasks in a timely manner.
  • Person-Centered thinking, planning, and competency in awareness of the needs of persons with disabilities.

If this opportunity sounds like a bullseyes, apply today!  

Mileage reimbursement at the ready for all travel.  

 

PASRR Evaluator

  • Location: Santa Ana, CA
  • Type: Contract
  • Job #32181

PASRR Evaluator

Note: This is an Onsite position, where you will have the ability to work a flexible schedule. You must be licensed in CA (LCSW, RN, LMFT, LPCC, or LCP).

Who we need:

Your assessments will help individuals with mental illness receive the care that they need to be successful in nursing homes. In this very meaningful role, you will conduct assessments for individuals with mental illness needing services in nursing homes. This is a great opportunity for you to enhance your clinical expertise by learning from our experienced staff while improving lives

Responsibilities:

  • Reviews and interprets patient records and compares against criteria to determine medical necessity and appropriateness of care; determines if the medical record documentation supports the need for services.
  • Abstracts review related data/information accurately and timely on appropriate review tools by the appropriate means. Accurate and timely submission of all administrative and review-related documents to appropriate parties.
  • Performs ongoing reassessment of the review process to offer opportunities for improvement and/or change.
  • Foster positive and professional relationships and act as liaison with internal and external customers to ensure effective working relationships and team building in order to facilitate the review process.
  • Responsible for attending training and scheduled meetings and for maintenance and use of current/updated information for review.
  • Maintains medical records confidentiality at all times through proper use of computer passwords, maintenance of secured files, and adherence to HIPAA policies.
  • Utilizes proper telephone etiquette and judicious use of other verbal and written communications, following Client policies, procedures, and guidelines

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

Qualifications

  • Active license in good standing in the State of California (LCSW, LMFT, LPCC, LCP)
  • Graduation from an accredited College with a relevant Degree Program.
  • At least three (3) years of mental health experience within the past five (5) years involving direct patient care presenting a mental health diagnosis is required.

Knowledge, Skills, Abilities

  • Medical record abstracting skills are required.
  • Knowledge of the organization of medical records, medical terminology, and disease processes is required.
  • Strong clinical assessment and critical thinking skills are required.
  • Excellent verbal and written communication skills are required.
  • Ability to work in a team environment.
  • Flexibility and strong organizational skills are needed.
  • Must be proficient in Microsoft Office and Internet/web navigation

Proper email communication will only be done to and from @astyra.com email addresses. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. Please ensure you are communicating within these guidelines and proper channels for the quickest possible interview consideration!

#ASTLOW

Care Manager – BH

  • Location: San Diego, CA
  • Type: Contract
  • Job #32109

Care Manager – BH

Job Description:

  • Monitors inpatient and/or outpatient level of care services related to mental health and substance abuse treatment to ensure medical necessity and effectiveness.
  • Provides telephone triage, crisis intervention, and emergency authorizations as assigned.
  • Performs concurrent reviews for inpatient and/or outpatient care and other levels of care as allowed by scope of practice and experience.
  • In conjunction with providers and facilities, develop discharge plans and oversee their implementation.
  • Performs quality clinical reviews while educating and making appropriate interventions to advance the care of the member in treatment.
  • Provides information to members and providers regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and criteria.
  • Interacts with Physician Advisors to discuss clinical and authorization questions and concerns regarding specific cases.
  • Participates in quality improvement activities, including data collection, tracking, and analysis.
  • Maintains an active workload in accordance with National Care Manager performance standards.
  • Works with community agencies as appropriate.
  • Proposes alternative plans of treatment when requests for services do not meet medical necessity criteria.
  • Participates in network development including identification and recruitment of quality providers as needed.
  • Advocates for the patient to ensure treatment needs are met.
  • Interacts with providers in a professional, respectful manner that facilitates the treatment process.

Responsibilities:

  • Licensure is required for this position, specifically, a current license that meets State, Commonwealth, or customer-specific requirements. 
  • One or more of the following licensure is required for this role with the necessary degrees:  CEAP, LMSW, LCSW, LPC, RN, or LPN.
  • Minimum 2 years experience post degree in healthcare, behavioral health, psychiatric, and/or substance abuse healthcare setting. Strong organization, time management, and communication skills.
  • Knowledge of utilization management procedures, mental health, and substance abuse community resources and providers. Knowledge and experience in inpatient and/or outpatient settings.
  • Knowledge of DSM V or the most current diagnostic edition.
  • Ability to analyze specific utilization problems, and plan and implement solutions that directly influence quality of care.

Work Experience:

  • Clinical 2+ years

Certification:

  • Must be Independently licensed in the State of California.
  • Must have one of the following: CEAP – Certified Employee Assistance Professional, LCSW – Licensed Clinical Social Worker, LMFT – Licensed Marriage and Family Therapist, LMSW – Licensed Master Social Worker, LPC – Licensed Professional Counselor, LPN – Licensed Practical Nurse, RN – Registered Nurse, State and/or Compact State Licensure

Top 3 Must-Haves (Hard Skills):

  • Business management experience
  • Computer knowledge
  • Stable hard-wired fast internet
  • Private workspace that abides by HIPPA standards

Nice-To-Haves (Hard Skills):

  • Hospital/ Healthcare background

Education:

  • Dependent on Certification–Associates: Nursing, Bachelors: Social Work, Masters: Social Work (Required)

 

100 percent remote – Must reside in California

Duration: 9-12 months contract, (Possible Temp-to-hire)

Standard Hours: 8:30 AM – 5 PM (PST) Monday – Friday (Lunches and Breaks are scheduled) Must have some flexibility

Proper email communication will only be done to and from @astyra.com email addresses. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. Please ensure you are communicating within these guidelines and proper channels for the quickest possible interview consideration!

#ASTLOW

Behavioral Health Claims Review Nurse

  • Location: Phoenix, AZ
  • Type: Contract
  • Job #32018

Summary:
The Registered Nurse will utilize standard criteria to review post-service and prepayment reviews of Outpatient Behavioral Health claims.  The nurse will utilize HCPC Codes to ensure claims are being charted for correct processing of Arizona Medicaid requirements.

Responsibilities:

  • Performs clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases, in which an appeal has been submitted, to ensure medical necessity and appropriate/accurate billing and claims processing.     
  • Identifies and reports quality of care issues.
  • Assists with Complex Claim review including DRG Validation, Itemized Bill Review, Appropriate Level of Care, Inpatient Readmission, and any opportunity identified by the Payment Integrity analytical team; requires decision making pertinent to clinical experience
  • Documents clinical review summaries, bill audit findings and audit details in the database
  • Provides supporting documentation for denial and modification of payment decisions                                                                               
  • Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of all relevant and applicable Federal and State regulatory requirements and guidelines, knowledge of client policies and procedures, and individual judgment and experience to assess the appropriateness of service provided, length of stay and level of care.
  • Identify problems or needed changes, recommends resolution, and participates in quality improvement efforts.
  • Provide accurate documentation.
  • Maintain and enhance relationships between the business and the provider community.

Required Qualifications:

  • Active Registered Nurse (RN) license to practice in the state of Arizona or a Compact License.
  • 2+ years of clinical Behavioral Health experience (acute care hospital or Outpatient Clinic setting)
  • 2+ years chart review experience (UM/UR, clinical review, quality review)
  • Minimum 1 year of experience working remotely.
  • Behavioral Health Claims review (post-payment and prepayment)
  • Working knowledge of outpatient BH HCPCs codes (ex. H0004, H2017, S9480, etc.)
  • Strong computer skills using tools like MS Teams, Sharepoint, Office, EMR, etc…
Proper email communication will only be done to and from @astyra.com email addresses. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. Please ensure you are communicating within these guidelines and proper channels for the quickest possible interview consideration!

Chemical Dependency Counselor

  • Location: Milford, VA
  • Type: Direct Hire
  • Job #31417

The Chemical Dependency Counselor works in concert with the client’s Primary, Dual Diagnosis Therapist, with a focus on addiction, recovery, and aftercare plan.  The CD Counselor also works as a part of the Client’s Treatment Team members. CD Counselors may also conduct groups such as Assignment Groups, Family Education, Life Skills/Didactic Groups, Relapse Prevention, and others, with the appropriate training.

Qualifications

  • Active license in good standing in the Commonwealth of Virginia (CSAC or CADC)  or be willing to obtain one if transferring from another State/newly licensed
  • Graduation from an accredited College with a relevant Degree Program.
  • Must possess effective communication skills in order to effectively interact with patients, families, and facility staff.
  • Advanced computer knowledge and experience with word processing and spreadsheet creation (Mac and/or Microsoft platforms)
  • Current TB skin test
  • Working knowledge and ability to appropriately utilize the contributions of various addiction philosophies, counseling models, and treatment practices as they apply to providing substance abuse counseling to clients.
  • Experience with military/1st Responders (Preferred)
  • Knowledge of 12 – Steps
  • HIPAA Compliant

Responsibilities

  • Individual counseling sessions for clients
  • Group Counseling
  • Charting of all assessments, sessions, and groups
  • Attend Treatment Team Staffing
  • Provide clinical recommendations for continued support and treatment
  • Maintain and Exceed individual JCAHO compliance, Virginia State compliance and other regulatory agencies
  • Contact with family members, crisis interventions, etc

Proper email communication will only be done to and from @astyra.com email addresses. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. Please ensure you are communicating within these guidelines and proper channels for the quickest possible interview consideration!

#ASTLOW