Enrollment Specialist - PACE

Los Angeles Jewish Health•Los Angeles, CA

1d•Hybrid

About The Position

The Brandman Centers for Senior Care (BCSC), a Program of All-inclusive Care for the Elderly (PACE), provides high-quality, comprehensive healthcare services. We are a program of Los Angeles Jewish Health, renowned for providing quality care to vulnerable seniors. The Enrollment Specialist (ES) must be able to convince seniors and their families that BCSC PACE is the right thing for their health and social well-being and that “NOW-Not later” is the time to consider PACE as their Health Plan. The ES must develop and maintain a full pipeline of current, short term, and longer term prospects in order to meet their Key Performance Indicators and increase the census of BCSC PACE Participants.

Requirements

Bachelor’s Degree in Healthcare, Sociology, Business Administration, Marketing or related field, or equivalent experience required.
DHCS Certification as a marketing representative within 30 days of hire.
Verification of completion of CPR (BLS) and first aid training.
Must have a valid California driver’s license.
TB screening and successful completion of a health examination by a health care provider is required for employment.
Minimum of two years’ experience in sales-oriented health services marketing or public relations.
Must possess knowledge of how PACE fits in the continuum of care and compares to other service/benefits that are available in the community.
Demonstration of strong community networking contacts.
Comprehensive understanding of the current healthcare environment for seniors, including managed care.
Must possess cultural awareness and sensitivity and have strong belief in the PACE model, mission and philosophy.
Excellent communication skills, both verbal and written.
Must have demonstrated ability to deliver service to the elderly and fellow employees with compassion and in a responsive and courteous manner.

Nice To Haves

Experience in increasing market share and/or rolling out new programs preferred.
English/Korean speaking preferred.

Responsibilities

Refine and implement an Outreach Strategy with specific calendared activity tied to specific objectives for the catchment areas served by BCSC PACE.
Coordinate additional Outreach efforts with LAJH Marketing Department.
Perform Community Outreach efforts and activities including presentations, educational opportunities, and other special events, which may occur beyond normal business hours.
Create and present PowerPoint presentations to educate and differentiate about our BCSC PACE Program, and be able to speak “off the cuff” about the benefits to PACE and why it should be the preferred Health Plan for all qualified Seniors.
Maintain a CRM database of Community Service Information, contacts, and events.
Report to BCSC Marketing Director weekly on current, short term and longer term prospective enrollees.
Manage enrollment process and perform all intake functions in coordination with other BCSC marketing staff, working closely with the Center Manager, the Interdisciplinary Team, Home Care, LOC Nurse, Doctors, and Transportation department to assure appropriateness of prospective enrollees.
Schedule prospective enrollee visits to describe and answer questions regarding PACE services.
Immediately follow-up on all leads for prospective BCSC PACE Program interested parties and respective inquiries, and make every effort to reach all parties who inquire about our BCSC PACE Program.
During the residence visits, confirm residence, transport and neighborhood safety factors. Report any indications of safety concerns or abuse according to BCSC policy and California law.
Deliver appropriate prospective enrollee medical record information and releases, and in-person presentation to the Interdisciplinary Team (IDT) prior to assessment for each candidate.
Work closely with Center Manager and IDT to ensure that potential enrollees are greeted and oriented to the PACE Center during visits.
With the Center Manager and Social Worker, execute the enrollment conference ensuring that the applicant and/or his/her/their representative are fully apprised of all required enrollment information.
When applicable, document the reasons an applicant does not qualify for PACE, discuss these with the applicant and family or caregiver and provide referral information about other community services.
Once enrollments are finalized, inform BCSC administrative staff and ensure a copy of the Enrollment Agreement and Medicare and Medi-Cal cards are provided to Medical Records/HPS.
Maintain current documentation on each applicant and participant who requests information about BCSC or seeks to enroll in BCSC.
Keeps promotional, marketing, and administrative supplies and materials ready by inventorying stock.
Coordinates provider and marketing mailings.
Consistently meets or exceeds BCSC quality assessment and performance improvement targets.
Ensure that all marketing and enrollment activities comply with state and federal regulatory requirements including but not limited to PACE.
Assist with refinement of the Participant Enrollment Agreement Terms and Conditions, marketing materials, presentations, and policies and procedures.
Comply with safety policies and procedures, identifying and immediately reporting any potential or actual unsafe acts or conditions to the Center Manager. Take necessary measures to ensure a safe environment for oneself, co-workers, contractors, participants, visitors and others.
Effectively collaborate with staff peers and contractors to meet BCSC goals and further success.
Comply with all policy and procedures of BCSC.
Demonstrate proficiency in delivering age-specific care.