Clinical Assessor - LCPC/LCSW (Remote in Maine) - Maine, United States - Remote

CNSI and Kepro are now Acentra Health! 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 company’s mission, actively engage in problem-solving, and take ownership of your work daily. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Acentra seeks a Clinical Reviewer – LCPC/LCSW (Remote in Maine) to join our growing team.

Job Summary:

The purpose of this position is to complete level-of-care assessments for community-based behavioral health services. Position will also review needs-based eligibility determinations for youth who are applying for Medicaid-behavioral health services provided in their home or in certified residential care facilities.

• Conducts clinical assessments with guardians and treatment team members via Microsoft teams and/or zoom setting.
• Utilizes clinical expertise to review medical records against appropriate MaineCare criteria.
• Provides a comprehensive assessment in conjunction with contract requirements, critical thinking, and clinical decision-making skills to determine medical appropriateness while maintaining professionalism and QA standards.

** This is a remote-based position where you can work from home. However, per contract requirements you must reside in Maine and have an active LCPC and/or LCSW. **

Job Responsibilities:

• Reviews and interprets patient records and compares against criteria to determine medical necessity and appropriateness of care; determines whether the medical record documentation supports …