KEPRO (The Keystone Peer Review Organization), Inc. Looking for PASRR Evaluator (California) at Lake Arrowhead, California Full Time

PASRR Evaluator

• Are you an experienced PASRR Evaluator looking for a new challenge?
• Do you value care management and quality improvement?
• Are you motivated, energetic, and excited to become part of the Kepro team?

If so, you might be our next new team member!

**Hybrid – Will be required to visit clients in the field**

Who we need:

The PASRR Evaluator completes face-to-face, clinical assessments of individuals with mental illness and/or intellectual disability. Assessments typically occur in nursing homes or hospital settings. The evaluator assesses level of care needs and provides determinations and recommendations for ongoing care. Assessments are completed within the state’s system and outcomes are captured within our proprietary system.

Why us?

Kepro is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20 million people receive the right care, at the right time, in the right setting.

People Focused. Mission Driven.

Shape the future of healthcare with us. We are mission driven to improve lives through healthcare quality and clinical expertise.

We do this through our people.

At Kepro, you can do meaningful work that makes a real difference for the lives of individuals across the country. We are an organization that cares deeply about our employees and we provide the training and support to do the best work of your career.

Benefits are a key component of your rewards package at Kepro. These benefits are designed to provide you and your family additional protection, security, and support for both your career and your life away from work. They are comprehensive and fit a variety of needs and situations. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, travel reimbursement (at the federal rate) and more.

What you’ll do:

• Complete accurate PASRR screenings, evaluations, and determinations through accurate clinical assessment of the patient, relevant records and collateral sources of individuals.
• Ensure accurate PASRR review completion by determining appropriate level of care based on the patient’s physical, behavioral, and psychological functioning.
• Ensure compliance with necessary workflow include re-review of records based upon input from the psychiatrist.
• Ability to determine a clinical diagnosis accounting for psychological and behavioral issues.
• 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.
• Assess and analyze psychological, emotional, behavioral, and physical functioning.
• Develop level of care recommendations based upon clinical evaluations.
• Computer proficiency in Microsoft Excel, Word, and Outlook.

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.

Required Qualifications

• Active unrestricted licensure in California in healthcare or related field, including LCSW, LMFT, Nurse Practitioner, or Psychologist.
• Bachelor’s Degree, Master’s Degree preferred.

Knowledge, Skills, Abilities

• Knowledge of Federal Regulation 42 CFR, Chapter 483.
• Knowledge of psychiatric disorders as defined by the most current Diagnostic and Statistical Manual in use in California.
• Knowledge of standards of practice related to determination of Level of Care.
• Knowledge 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 supports.
• Medical record abstracting skills required.
• Knowledge of the organization of medical records, medical terminology, and disease process required.
• Strong clinical assessment and critical thinking skills required.
• Excellent verbal and written communication skills required.
• Ability to work in a team environment.
• Flexibility and strong organizational skills needed.
• Must be proficient in Microsoft Office and internet/web navigation.

Experience

• Minimum of 3 years’ experience in the assessment and/or diagnosis of individuals with mental/psychiatric disorders, including complex differential diagnoses that are related to substance use, medical conditions, cognitive issues, and dementia, within the past five years.
• Experience with geriatric population is preferred.
• Minimum of (1) year of experience in working with individuals with intellectual disability or related conditions.

Thank You!

We know your time is valuable and we thank you in advance for applying for this position. Due to the high volume of applicants we receive, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Kepro and invite you to apply to future openings that may be of interest. Best of luck in your search!

~ The Kepro Talent Acquisition Team

Mental and Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made as required by law in an attempt to enable an individual with a disability to perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit for prolonged periods of time; key and/or control objects; interact extensively with internal and external customers; occasionally lift and/or move objects weighing up to 10 pounds; and occasionally travel within the state.

EOE AA M/F/Vet/Disability

Kepro 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, or status as a protected veteran.