PACE Enrollment Registered Nurse

Responsibilities

• Responds to individual inquiries regarding PACE, including phone calls, web site inquiries, walk-ins, home visits, hospital, and nursing home visits
• Reviews the enrollment process with potential enrollees, families, and referring parties
• Provides detailed medical history and lifestyle assessments to applicants enrolling in PACE in-home and the PACE center
• Provides referrals to other programs for individuals not appropriate for PACE and for those who choose not to enroll
• Serves as the liaison for California Department of Health Care Services (DHCS) level of care (LOC) assessments
• Affords full medical and environmental in-home assessments on prospective enrollees
• Coordinates with the intake team if additional applicant information is required
• Maintains monitoring of statuses of DHCS submissions and coordinates with enrollment team
• Conducts full medical and environmental in-home assessments on prospective enrollees
• Coordinates with home care team when reassessments are required for applicants
• Performs patient assessments to identify and address overt problems/needs; including priority setting, referrals and follow-ups, diagnostics review, medical record interpretation, and data collection to complete required forms for compliance
• Participates on the Interdisciplinary Team (IDT) to provide information for enrollment decisions and ongoing communication with referral sources, potential enrollees, and families during the intake process
• Creates initial care plans with participant during care planning stage with IDT
• Completes appropriate documentation related to participant assessments as required
• Organizes and submits reporting information to DHCS, such first submission, resubmission, or deferral status for applicants or prospective enrollees
• Monitors the statuses of DHCS submissions and coordinates with enrollment team
• Conducts clinical presentations, as required
• Provides responsive and high-quality services to patients, team members, and outside organizations
• Provides input and feedback on PACE’s internal and external outreach, education, and enrollment plan for engaging, assisting, enrolling, and retaining new and current enrollees

Qualifications

• Associate's degree in nursing required
• Bachelor's degree in nursing preferred
• CA RN license required
• Current Basic Life Support (BLS) certification though an American Heart Association (AHA)- Approved source is required upon hire and must be maintained as a condition of employment
• Current CPR and First Aid certification are required for all PACE employees in accordance with CMS and DHCS requirements
• Valid CA driver’s license or out of state driver’s license for active military personnel/spouses required
• Proof of auto insurance required
• Two years of clinical, outpatient, or general medicine experience preferred
• Bilingual (English/Spanish) preferred
• One year experience working with frail elderly populations is preferred

Additional Qualifications

• Excellent verbal and written communication skills, including superior composition, typing, and proofreading skills
• Knowledgeable about and experience with working in senior or elder care setting–PACE, Nursing Home, Hospice, ADHC preferred
• Ability to take and pass the State of California DHCS PACE and Medi-Cal Marketing Certification exam within 60 days of hire
• Ability to interact professionally and respectfully with geriatric individuals including those with cognitive decline and/or physical frailties
• Excellent planning and organizational ability
• Ability to work as part of a team as well as independently
• Ability to work with highly confidential information in a professional and ethical manner

Physical Requirements

• Ability to lift/carry 50lbs/weight
• Ability to stand for extended periods of time

Compliance (Safety & HIPAA)

• Follow all safety procedures as outlined in Neighborhood Healthcare’s Illness and Injury Prevention Plan (IIPP) and report any injuries and/or unsafe conditions immediately
• Maintain current knowledge of policies and procedures as they relate to safe work practices
• Use appropriate body mechanics to ensure an injury free environment
• Be familiar with location of nearest fire extinguisher and emergency exits
• Follow all infection control procedures including blood-borne pathogen protocols
• Maintain privacy of all patient, employee and volunteer information and access such information only on a need-to-know basis for business purposes

Benefits

• Partially company paid Medical, Dental, and Vision Plans
• Two plus weeks of vacation
• Nine Holidays including two Floating Holidays of your choosing
• Sick/Personal time
• Volunteer Time Off (VTO)
• 403b Retirement plan (similar to a 401k)
• optional Health and Wellness events
• and much more!

Pay Range

Pay range: $45.91 - $67.93 per hour, depending on experience.