OBRA PASRR Evaluator (Contingent)
(THIS IS A CONTINGENT POSITION) INCUMBENTS WILL BE PAID PER ASSESSMENT
Under the general supervision of the Director of Integrated Care, the OBRA/PASRR Evaluator will determine if qualifying Pre-Admission Screening Resident Reviews (PASRR) conditions are present and if a nursing home is the appropriate level of care based on individual needs.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
- Determines if qualifying Pre-Admission Screening Resident Reviews (PASRR) conditions are present.
- Determines if a nursing home is the appropriate level of care based on individual needs.
- Provides outreach mental health assessments pursuant to PASRR regulations.
- Conducts multidisciplinary assessments which includes a diagnostic formulation, disposition and treatment recommendations.
- Verifies the presence of a disability and determines if a nursing facility is the most appropriate care setting or if the individual has a need for specialized services.
- Uses client’s social history, medical reports, patient care, plan of treatment, current physician’s orders, current medications and ongoing therapy reports to make the determination.
- Gathers data pertinent to a client’s functioning and history.
- Conducts evaluations prior to nursing facility admissions.
- Contacts providers, nursing facility staff and others to obtain information and records of clients to conduct a comprehensive clinical review of the case and to make final determinations.
- Creates or validates the appropriate treatment plan.
- Makes determinations and service recommendations, authorizes services and monitors service plans.
- Submits formal recommendations and reports that contain clinical summaries.
- Determines medical necessity and the need for specialized services for individuals with serious mental illnesses seeking transfer to nursing facilities.
- Documents significant changes that signify the need for an updated evaluation.
- Completes evaluations on an individualized basis in accordance with federal guidelines and regulations.
- Provides provisional diagnosis formulation, disposition and treatment recommendations.
- Assures that dispositions and treatment recommendations are consistent with the data base.
- Communicates all evaluation findings to clients and guardians.
- Responds to Level II referral assignments within contract guidelines as evidenced by submission of all assessments within 7 days of assignments.
- Responds to clinical matters as directed by Supervisors.
- Attends clinical meetings as scheduled by Supervisors.
- Maintains individual records, HIPAA regulations and client confidentiality.
- Performs related duties as assigned.
REQUIRED EDUCATION:
A Master’s Degree in Social Work, Psychology, Counseling, Nursing (a Bachelor’s Degree will be accepted), the Human Services, the Social Services or a related field.
REQUIRED EXPERIENCE:
Three (3) years of full-time paid professional experience working in a human service, social service, mental health or behavioral health setting.
AND
One (1) year of full-time paid professional experience performing clinical assessments, clinical diagnosis, case management or related duties and responsibilities in a human service, social service, mental health or behavioral health setting.
OBRA/PASSR experience is preferred.
REQUIRED LICENSE(S):
A Valid State of Michigan clinical licensure: RN, LMSW, LMHC, LPC, LLP or PhD.
(A limited license will be accepted).
A Valid State of Michigan Driver’s License with a safe and acceptable driving record.
WORKING CONDITIONS:
Work is usually performed in an office setting but requires the employee to drive to different sites throughout Wayne County and the State of Michigan. This position can work remotely with supervisory approval. Currently this position is primarily a remote position.
This description is not intended to be a complete statement of job content, rather to act as the essential functions performed. Management retains the discretion to add or change the position at any time.
Please Note: DWIHN requires proof of being fully vaccinated for COVID-19 as a condition of employment. Medical or religious accommodations or other exemptions that may be required by law, will be approved when properly supported. Further information will be provided during the recruitment process.
The Detroit Wayne Integrated Health Network is an Equal Opportunity Employer
