PACE Enrollment Specialist (Central Valley PACE - Merced)

Golden Valley Health Centers

3d • $25 - $26

About The Position

The Intake Specialist oversees the intake and enrollment process of new Program
of All-Inclusive Care for the Elderly (PACE) participants. Responsible for
educating new potential participants and their caregivers on the benefits of
Central Valley PACE Program. Will work independently to gather information, set
appointments for assessments and document skilled needs for the incoming cases.
Interacts with family caregivers and participants, providing a tour through PACE
center, gathering crucial medical and social needs for new participant for
enrollment processes.

Schedule availability is Monday – Friday, 8:00am – 5:00pm.

Requirements

• Valid California Driver’s License, acceptable driving record and vehicle insurance
• Ability to direct responsibility for discussing and explaining the patients’ rights prior to enrollment into PACE
• Must successfully complete the State of California DHCS PACE and Medi-Cal Marketing Certification exam within 60 days of hire
• Must have good communication and presentation skills, both oral and written in English and Spanish.
• Bilingual: Spanish/English required.
• Marketing/Sales experience is preferred.
• Must be proficient with computer Microsoft Office suite.
• Associate's Degree in Business or related field required, or two (2) years of work related experience in lieu of degree.
• Minimum one (1) year experience in social work and health care where they have conducted psychosocial assessments.
• Minimum one (1) year experience working with elderly and their families in a healthcare or community agency setting required.
• Current BLS CPR Card certified by the American Heart Association

Nice To Haves

• Strong ability to educate, motivate, and encourage enrollment.
• Must be a strong team player with a proven ability to ensure team coordination and communication.
• Strong technology, Electronic Medical Records and documentation experience a plus.

Responsibilities

• Provides courteous and friendly customer service in person and over the phone, giving initial encounter with PACE, demonstrating great commitment to PACE mission, gather all necessary information over the phone and answer questions while educating callers about available services.
• Conducts Central Valley PACE’s program eligibility screening, phone intake, education and enrollment assistance activities to initially determine participant needs and eligibility for enrollment.
• Responsible for understanding and documenting medical and social indications of new PACE participant to establish care needs at initial enrollment.
• Assists and oversees the enrollment of participants through the level of care (LOC) process.
• Works as part of a team to educate new potential participants and their caregivers on the benefits of Central Valley PACE Program.
• Tours participants and family caregivers at the PACE centers and expound on the service provided.
• Presents all approved cases that are enrolling to the interdisciplinary team at their centers.
• Develops and maintains relationships with potential PACE participants who call and/or email to inquire about Central Valley PACE, working to secure a face-to-face meeting with an enrollment specialist.
• Ability to interact professionally and respectfully with geriatric individuals including those with cognitive decline and/or physical frailties
• Identify targeted areas to invite potential participants, initiate telephone inquiries and implement mail marketing campaigns.
• Collects all patient demographic information and required paperwork throughout the enrollment process within designated timeframe.
• Observes each participant for any change in physical, mental, emotional and social functioning and shall report such changes to the licensed nurse.
• Other projects and duties as assigned.

Benefits

• Medical: (0 Deductible / $2,000 Individual; $4,000 Family Out-of-Pocket Max), excellent PPO coverages
• Dental
• Vision
• 403(b) with match
• FSA plans
• gym discounts

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree