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Enrollment RN

2 months ago

Los Angeles, United States SHR Solutions Full time
Job DescriptionJob Description

Join our client's team as an Enrollment Registered Nurse for the PACE Program in Los Angeles. This individual will help to bring the PACE (Program of All-Inclusive Care for the Elderly) program to serve frail elders and disabled older adults in underserved communities across Los Angeles. The Enrollment Registered Nurse is a key player of the Outreach Team as we find and assess prospective participants for our PACE program. This person acts as a liaison between the IDT (Interdisciplinary Team) and the Outreach Team to ensure a smooth enrollment process for the prospective participants.

Key Responsibilities

● Collaborate with Outreach Specialist and IDT to ensure successful enrollment

● Conduct home visits to evaluate the prospective participant for potential eligibility for nursing home level of care

● Conduct home safety evaluations of the prospective participants’ home

● Participate in Enrollment Eligibility meetings to review Level of Care recommendations

● Complete Nursing Facility Level of Care (NFLOC) assessments and submit to DHCS for review; update/revise the assessment as requested by DHCS

● Maintain accurate documentation and record all evaluations in CRM software

● Participate in all PACE Audits by DHCS and CMS

● Support the Center Director to develop participant retention strategies

● Maintain knowledge and expertise in eligibility, enrollment, and program specifications for the PACE Program

● Support business development and census growth by participating and assisting with outreach programs as needed

Schedule and Shift Details

● M-F, 8a-5p. Mostly in-field home appointments and occasional onsite work in Los Angeles clinic up to 5 days per month.

Travel

● 95% travel to patient homes

Benefits:

401k with Employer match Your choice of 6 medical plans, with premium coverage of up to 80% for employees and 75% for all dependents Dental, vision, health savings account, flexible spending accounts, short- and long-term disability coverages PTO starting at 20 days per year; plus 12 paid holidays per year, and 2 floating holidays per year Generous CME/CEU budget and time off, and professional development opportunities One-time stipend towards setting up your home office (for remote or hybrid roles) Family friendly policies, including paid new parent leave