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astyra

PASRR Assessor (Palm Beach)

Career Insights for Clinical Auditor / Utilization Reviewer

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What they do

A Clinical Auditor or Utilization Reviewer reviews the efficiency of healthcare delivery. Individuals tend to have had experience as a registered nurse or other healthcare delivery roles before transferring into this quality review role.

$85,493 / year median in Florida

-6% projected decline

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Job Description

•This position requires travel in the field across Palm Beach, Broward, and Martin Counties. Mileage expenses are reimbursed. •PRN role Description The Florida PASRR Assessor is responsible for completion of an in-person clinical interview of individuals referred for a Level II Pre-admission Screening and Resident Review (PASRR). These are individuals with a suspected or confirmed serious mental illness (SMI) and/or intellectual disability or related condition (ID/RC) and who are seeking admission to a Medicaid certified nursing facility, or who are currently residing in a nursing facility whose physical and/or mental functioning has significantly changed. The PASRR Assessor communicates with service providers, reviews available medical records, consults with family or other collateral sources when appropriate, and interviews the patient in person to complete the evaluation. The PASRR Assessor uses the web-based application to complete the determination and provide clinical recommendations.
Requirements:
Psych RN or LCSW license in Florida Experience conducting Level of Care recommendations Experience conducting behavioral health assessments Experience with
SMI Populations and Psychiatric Diagnosis Knowledge:
Knowledge of Federal Regulation 42 CFR, Chapter 483 Knowledge of Florida Administrative Code 59G-1.040 Knowledge of psychiatric disorders as defined by the most current Diagnostic and Statistical Manual in use. Knowledge of standards of practice related to determination of Level of Care. Knowledge of standards of practice related to mental health, ID/RC, geriatric, and other disorders typically requiring long term care placement Computer proficiency in Microsoft Excel, Word, and Outlook.
Skills:
Ability to determine a clinical diagnosis. Ability to utilize computer equipment and web based software to conduct work. Ability to interact with various office staff as needed to support necessary workflows. Ability to interact with healthcare professionals, patients, their families, and other supports. Ability to communicate effectively to individuals and groups through spoken, written, and electronic media. Ability to attend to detail, effectively prioritize and execute tasks in a timely manner. Ability to assess and analyze psychological, emotional, behavioral, and physical functioning.
Attention Applicants:
Please be advised that proper email communication will only be sent from email addresses ending in @astyra.com. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. It is important to communicate within our guidelines and proper channels to expedite possible interview considerations. #AC