PCS Assessor, RN

Vaya Health

. Schedule assessments with members, family members, and healthcare professionals .

Posted 10/10/2026full-timeRemote • North Carolina • United StatesJuniorMid-Level💰 $68,033 - $88,443 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in conducting Personal Care Services (PCS) assessments and developing level-of-care recommendations, while ensuring compliance with North Carolina Medicaid policies. Proficient in effective communication and collaboration with healthcare professionals and stakeholders to facilitate quality care for individuals with disabilities.

Highest-signal resume keywords

Registered Nurse (RN) LicensurePCS Assessment ExperienceKnowledge of North Carolina Medicaid PoliciesEffective Communication SkillsHome Care Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Conducting Standardized AssessmentsDeveloping Level-of-Care RecommendationsPerforming Expedited AssessmentsConducting Case ConsultationsKnowledge of ADL and IADL TasksComputer Proficiency in Microsoft ExcelComputer Proficiency in Microsoft WordComputer Proficiency in Microsoft OutlookUsing Web-Based SoftwarePerson-Centered Thinking

Soft Skills

Attention to DetailAbility to Prioritize TasksIndependent Work CapabilityInterpersonal SkillsEffective Written Communication

Certifications & Qualifications

Bachelor’s Degree in Nursing

Industry Keywords

Personal Care Services (PCS)Home Care SettingNorth Carolina MedicaidHCBS ProgramsEPSDTPublic Sector ServicesClinical EvaluationsService Authorization Requests (SARs)Mediation and Appeal ProcessesCommunity-Based Individuals

About the role

Key responsibilities & impact

Schedule assessments with members, family members, and healthcare professionals
Conduct standardized assessments to determine PCS eligibility
Conduct interviews with family members and informal caregivers
Complete assessments within established timeframes
Perform expedited assessments by phone as needed
Educate and assist members in selecting PCS providers
Collaborate with prescribers and healthcare professionals to ensure requests are accurate and complete
Submit service authorization requests (SARs) for PCS providers
Maintain the privacy and dignity of individuals receiving PCS assessments
Participate in mediation and appeal processes
Respond to state inquiries regarding completed assessments
Attend and actively participate in staff meetings
Conduct case consultations, peer reviews, and internal audits as assigned
Develop level-of-care recommendations based on clinical evaluations
Participate in training PCS stakeholders as needed
Perform sedentary work involving extended sitting, close visual acuity, repetitive hand motions, walking, crouching, and lifting up to 10 pounds

Requirements

What you’ll need

Bachelor’s degree in Nursing or other healthcare field required
Two years of experience in a home care setting
Active North Carolina Registered Nurse (RN) licensure required
Experience with community-based individuals needing personal assistance with ADL and IADL tasks highly preferred
Experience conducting PCS assessments highly preferred
Knowledge of North Carolina Medicaid Clinical Coverage Policy 3L and PCS Program Provider Manual
Knowledge of standards of practice related to Medicaid-funded State Plan Personal Care Services, HCBS programs, and EPSDT
Knowledge and understanding of public sector services and supports
Computer proficiency in Microsoft Excel, Word, and Outlook
Ability to use computer equipment and web-based software
Ability to interact with office staff, healthcare professionals, patients, families, and other supports
Effective spoken, written, and electronic communication skills
Ability to attend to detail, prioritize, and execute tasks in a timely manner
Ability to work independently without a high degree of supervision
Ability to use person-centered thinking and planning, with competency in awareness of the needs of persons with disabilities
Must reside in North Carolina or within 40 miles of the North Carolina border
Ability to travel as needed to Rowan, Forsyth, Iredell, Yadkin, Davie, and Davidson counties

Benefits

Comp & perks

Exempt position; not eligible for overtime compensation
Equal opportunity employer