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.

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``` - Creates or validates the appropriate treatment plan.

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``` - 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).