13 days old

PASRR Evaluator

Keystone Peer Review Organization, Inc.
Jackson, MS 39202
  • Job Code

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.Kepro is seeking resumes for a highly experienced professional.

** Hiring for Full-Time, Part-Time and PRN **

PASRR Level II Evaluator

Summary Description

Conducts face to face assessments for individuals with mental illness being admitted to or residing in Medicaid certified nursing facilities. Provides recommendations for mental health treatment and appropriate placement as well as needed specialized services. Also, ensures day-to-day processes are conducted in accordance with NCQA, URAC and other regulatory standards.


  • Ensures accurate PASRR Level I reviews and PASRR Level II evaluations through accurate clinical assessment of the patient, relevant records and collateral sources of individuals with suspected or confirmed mental illness to determine the presence of a Serious Mental Illness (SMI), as defined by 42 CFR 483.102(b)(1) and Intellectual Disability or Other Related Conditions (ID/RC) as defined by 42 CFR 483.102(b)(3).

  • Ensures accurate PASRR review completion by determining appropriate level of care based on the patients physical, behavioral and psychological functioning.

  • Ensures compliance with necessary workflow include re-review of records based upon input from QA Manager and/or Medical Director.

  • Respond to state inquiries regarding evaluations conducted.

  • Attend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assigned.

  • Review current literature, regulations and research related to long term care, mental illness, medical conditions and geriatrics.

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.


  • Registered Nurse, licensed in the state of Mississippi, Licensed Clinical Social Worker, Licensed Clinical Psychologist, Nurse Practitioner or other qualified Mental Health Professional/Qualified Intellectual Disability Professional approved by state PASRR authority.

  • Graduation from an accredited College with relevant Degree Program.

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 Mississippi.

  • Knowledge of standards of practice related to determination of Level of Care.

  • Knowledge of standards of practice related to mental health, geriatric and other disorders typically requiring long term care placement.

  • Knowledge and understanding of public sector services and supports.

  • Computer proficiency in Microsoft Excel, Word and Outlook.

  • 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.

  • Assesses and analyzes psychological, emotional, behavioral and physical functioning.

  • Develops level of care recommendations based upon clinical evaluations.


  • Minimum of 3 years experience in the assessment and diagnosis of individuals with mental/psychiatric disorders, including complex differential diagnoses that are related to substance use, medical conditions, cognitive issues, and dementia.

  • Experience with geriatric population is preferred.

  • Minimum of (1) year of experience in working with individuals with intellectual disability or related conditions.

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.

KEPRO offers challenging careers, excellent benefits and opportunities for advancement. For consideration, please submit resume and cover letter with salary requirements.Only those candidates identified for an interview will be contacted.No Phone Calls Please.Visit our website at www.KEPRO.com for more information on the KEPRO Family of Companies.

EOE AA M/F/Vet/Disability

KEPRO is and 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.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractors legal duty to furnish information. 41 CFR 60-1.35(c)

See job description

Posted: 2020-06-29 Expires: 2020-07-28
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PASRR Evaluator

Keystone Peer Review Organization, Inc.
Jackson, MS 39202

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