PCS Assessor, Registered Nurse

Vaya Health

Registered Nurse assessing Medicaid-beneficiaries for Personal Care Services eligibility. Responsibilities include scheduling assessments and submitting service authorization requests on behalf of PCS providers.

Posted 7/18/2026full-timeRemote • North Carolina • 🇺🇸 United StatesJuniorMid-Level💰 $68,033 - $88,443 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in conducting needs-based assessments and eligibility determinations for Medicaid beneficiaries, with a strong understanding of North Carolina Medicaid policies and personal care services. Proficient in maintaining privacy and dignity during assessments while effectively communicating with individuals and groups.

Highest-signal resume keywords

Bachelor's Degree In NursingActive Licensure As A Registered Nurse (RN)Experience In Home Care SettingKnowledge Of North Carolina Medicaid Clinical Coverage PolicyExperience Conducting PCS Assessments

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Needs-Based AssessmentsEligibility DeterminationsPersonal Assistance With ADL And IADL TasksService Authorization Requests (SARs)Mediation And Appeal Processes

Soft Skills

Effective CommunicationInterpersonal Skills

Tools & Technologies

Microsoft ExcelMicrosoft WordMicrosoft OutlookWeb-Based Software

Certifications & Qualifications

Registered Nurse (RN) Licensure In North Carolina

Industry Keywords

Public Sector ServicesCommunity-Based IndividualsPersonal Care Services (PCS)

About the role

Key responsibilities & impact

Responsible for completing needs-based assessments/eligibility determinations for Medicaid-beneficiaries
Conduct assessments to determine whether members meet the conditions and criteria for PCS eligibility
Schedule assessments and conduct interviews with family members and informal caregivers
Submit service authorization requests (SARs) on behalf of PCS providers
Ensure privacy and dignity of individuals receiving assessment is maintained at the highest standards
Participate in mediation and appeal processes as needed

Requirements

What you’ll need

Bachelor’s degree in Nursing or other healthcare field required
Two years of experience in home care setting
Experience with community-based individuals needing personal assistance with ADL and IADL tasks is highly preferred
Experience conducting PCS assessments highly preferred
Must have active licensure in North Carolina as a Registered Nurse (RN).
Knowledge of North Carolina Medicaid Clinical Coverage Policy (Clinical Policy) 3L and PCS Program Provider Manual
Knowledge and understanding of public sector services and supports
Computer proficiency in Microsoft Excel, Word and Outlook
Ability to utilize computer equipment and web-based software to conduct work
Ability to communicate effectively to individuals and groups through spoken, written and electronic media.

Benefits

Comp & perks

Health insurance
Retirement plans
Paid time off
Flexible work arrangements
Professional development opportunities