Enrollment Specialist PACE

2 weeks ago

Oceanside, United States Neighborhood Healthcare Full time

About Us
Community health is about more than just vaccines and checkups. It's about giving people the resources they need to live their best lives. At Neighborhood, this is our vision. A community where everyone is healthy and happy. We're with you every step of the way, with the care you need for each of life's chapters. At Neighborhood, we are Better Together.

Neighborhood Healthcare PACE is a managed medical plan built around surrounding participants with a team of physicians, nurses, social workers, therapists and care coordinators to help them maintain good health and a good quality of life. Our goal is to keep our seniors happy and healthy at home surrounded by their family and community.

As a private, non-profit 501(C) (3) community health organization, we serve over 500k medical, dental, and behavioral health visits from more than 90k people annually. With two PACE centers located in Riverside County, our PACE program is positioned to serve over 650 senior participants.

ROLE OVERVIEW and PURPOSE

The Enrollment Specialist will coordinate and conduct new enrollments for participants into the Neighborhood Healthcare (Neighborhood) PACE (Program of All Inclusive Care for the Elderly) program. This role will work collaborate with the Marketing Department on marketing materials and strategies to attract potential participants to enroll in the program.

RESPONSIBILITIES

  • Conducts and completes program eligibility screenings, intakes, assessments, education, and enrollment assistance activities with potential participants and/or their families to determine eligibility for PACE
  • Coordinates communications of eligibility decisions, approvals, or disapprovals with participant or their family members
  • Participates in required meetings, such as the interdisciplinary, (IDT) management and other related meetings and activities to discuss participant enrollment and outreach progress and efforts
  • Works with Marketing Department on outreach and marketing activities to attract potential participants at events at sites and in the community
  • Collects and enters information related to referrals, intakes, enrollments, marketing, and outreach activities notes for weekly and monthly reports for PACE and Marketing
  • Provides tours of PACE center(s) to interested family members, potential participants, community partners, and providers
  • Facilitates referrals for participants for assistance from Neighborhood and other community resources
  • Provides responsive and high-quality services to patients, staff, and outsides agencies
  • Impacts patient and team experience by demonstrating courteous and helpful behavior and a commitment to accuracy
  • Provides input and feedback on PACE's internal and external outreach, education, and enrollment plans for engaging, assisting, enrolling, and retaining new and current participants
  • Conducts community outreach and education activities to patients and community members at clinic locations and other community locations about PACE and other related health coverage options


Additional Duties and Responsibilities:
  • Adjusts outreach and enrollment strategies to align with trending data analysis for better engagement rates with participants
  • Maintains effective interpersonal relationships with all levels of staff, other departments, agencies, providers, and the public
  • Performs outreach and enrollment activities according to Neighborhood and outside agencies policies & procedures
EDUCATION/EXPERIENCE
  • High school/GED required; bachelor's degree in health or human service preferred
  • One year community health, senior health, marketing, or health/services related enrollment experience required
  • One year Medi-Cal, Medicare, managed healthcare eligibility, or senior related sales experience preferred
  • Valid CA driver's license and proof of auto insurance required
  • Must take and pass the California Department of Health Care Services (DHCS) and Medi-Cal Marketing exam within 60 days of hire


ADDITIONAL QUALIFICATIONS (Knowledge, Skills and Abilities)
  • Excellent verbal and written communication skills, including superior composition, typing and proofreading skills
  • Ability to interpret a variety of instructions in written, oral, diagram, or schedule form
  • Knowledgeable about and experience with frail or elderly populations
  • Ability to successfully manage multiple tasks simultaneously
  • 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 15 lbs/weight
  • Ability to stand for long periods of time


Neighborhood Healthcare offers a generous benefit plan that includes: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: $25.17 - $31.20 per hour, depending on experience.

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