Enrollment Registered Nurse

2 weeks ago

Victorville, California, United States HIGH DESERT PACE Full time
Job Summary

As a key member of the High Desert PACE team, the Enrollment Registered Nurse will work closely with the Marketing, Enrollment and Network Director to determine the eligibility of future participants for our program. This role requires strong communication and interpersonal skills, as well as the ability to work effectively within an interdisciplinary team setting.

Responsibilities
  • Conduct initial nursing assessments, including physical evaluation, functional assessment, and home safety evaluation, to determine if prospective participants meet PACE eligibility requirements.
  • Schedule and conduct home visits and/or center-based clinic appointments to make level of care assessments and determine eligibility.
  • Work closely with the Business Development and Enrollment Development Department to determine if prospective participants meet Title 22 Guidelines for Nursing Level of Care.
  • Collaborate with the interdisciplinary team (IDT) and outreach & enrollment (O&E) team to ensure seamless communication and coordination.
  • Protect privacy and maintain confidentiality of all company procedures and information about team members, participants, and families.
  • Complete eligibility referral documents and compile supporting documentation for application to the State for enrollment.
  • Work closely with the California Department of Health Care Services (DHCS) PACE Nurse Assessor to make eligibility decisions about prospective new PACE participants.
  • Manage semi-annual audits of participant's medical records conducted by the DHCS PACE Nurse Assessor.
  • Complete semi-annual level of care redetermination for all participants to be submitted to the DHCS PACE Nurse Assessor.
  • Support business development and census growth process by participating in the Business Development Department.
  • Participate in outreach programs and collaborate with the Interdisciplinary Team (IDT) to coordinate appointments for prospects that require further assessments.
  • Participate in case management of peer review of client records and provide consultation to case managers and other staff members regarding medical and nursing issues.
Requirements
  • Associate degree from an accredited nursing school required.
  • Current Registered Nurses License in the state in which working.
  • Current CPR certification or the ability to obtain CPR certification.
  • 3 years health care experience with emphasis in geriatrics.
  • 1 year working with the frail or elderly.
Skills and Abilities
  • Knowledge of physical, mental and social needs of frail older adults.
  • Effective skills in physical assessment and chronic disease management for frail older adults.
  • Effective listening and oral and written communication skills.
  • Demonstrated ability to work effectively within the interdisciplinary team setting.
  • Computer proficiency.
  • Able to manage changing priorities per participant needs.
  • Strong organizational skills.
  • Demonstrates necessary skills and knowledge as outlined in the position-specific Competency Assessment Profile.
Working Conditions

The working conditions and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Must be able to work required schedule.
  • Requires physical strength to perform essential functions of the job.
  • Occasional travel between sites, nursing/group homes and to members' homes required.
  • Requires use of personal vehicle.
  • Requires valid driver's license.
  • Requires proof of automobile insurance coverage at the following minimum amounts in order to be reimbursed for mileage.
  • May require use of personal cell phone for business purposes (may be eligible for stipend).

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