PACE Enrollment Specialist

High Desert Pace IncVictorville, CA
5d

About The Position

The PACE Enrollment Specialist acts as the primary guide for potential participants navigating the Program of All-Inclusive Care for the Elderly (PACE). This role is a vital link between the community and the program, responsible for educating families, managing complex applications, and ensuring a seamless transition into the healthcare network.

Requirements

  • Bachelor's degree in social work, healthcare administration, public health, or a related field preferred.
  • Previous experience in healthcare enrollment, preferably in a PACE program or similar setting.
  • Strong communication skills, both verbal and written, with the ability to explain complex information in a clear and concise manner.
  • Excellent organizational skills and attention to detail, with the ability to manage multiple tasks simultaneously.
  • Empathy and sensitivity when interacting with elderly individuals and their families.
  • Proficiency in Microsoft Office Suite and experience with electronic health record systems preferred.
  • Ability to work independently as well as part of a team in a fast-paced environment.
  • Ability to provide exceptional customer service to potential participants, demonstrating patience, empathy, and active listening skills.
  • Strong interpersonal skills with the ability to build rapport and establish trust with individuals from diverse backgrounds, including elderly individuals and their families.
  • Proficiency in identifying and resolving enrollment-related issues, with a proactive approach to finding solutions and addressing concerns.
  • Sensitivity to cultural differences and the ability to effectively communicate with individuals whose primary language may not be English, utilizing interpreters or other resources as needed.
  • Excellent time management skills with the ability to prioritize tasks effectively, meet deadlines, and maintain attention to detail in a fast-paced environment.
  • Ability to collaborate effectively with interdisciplinary team members, including healthcare professionals, social workers, and administrative staff, to ensure a coordinated approach to enrollment and participant care.
  • Strong organizational skills and attention to detail in maintaining accurate records and documentation, ensuring compliance with regulatory requirements and internal policies.
  • Proficiency in using computer software and electronic health record systems to manage enrollment documentation and communicate with participants.
  • Flexibility and adaptability to navigate changes in processes or procedures, as well as the ability to handle unexpected challenges with resilience and professionalism.
  • Experience or willingness to engage in education and outreach activities to raise awareness about the PACE program in the community and promote enrollment opportunities.
  • Commitment to upholding ethical standards and maintaining confidentiality in handling sensitive participant information, in accordance with HIPAA regulations and organizational policies.
  • Ability to navigate and resolve conflicts or disagreements diplomatically, fostering positive relationships with participants and stakeholders.

Responsibilities

  • Enrollment Guidance: Assist potential participants in understanding the PACE program, its benefits, eligibility criteria, and enrollment process.
  • Application Assistance: Provide support in completing enrollment applications accurately and efficiently, ensuring all required documentation is included.
  • Documentation Management: Maintain accurate records of enrollment applications, ensuring compliance with regulatory requirements and internal policies.
  • Communication: Serve as a primary point of contact for inquiries related to PACE enrollment, responding promptly and courteously to all inquiries via phone, email, or in-person meetings.
  • Education and Outreach: Conduct outreach activities to raise awareness about the PACE program in the community and collaborate with local organizations to reach potential participants.
  • Collaboration: Work closely with interdisciplinary team members, including healthcare professionals, social workers, and administrative staff, to facilitate a seamless enrollment process for participants.
  • Follow-Up: Conduct follow-up communication with potential participants to address any questions or concerns and provide ongoing support throughout the enrollment process.
  • Compliance: Ensure adherence to all relevant regulations, including HIPAA (Health Insurance Portability and Accountability Act) and PACE program requirements.
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