Registered Nurse for PACE Enrollment

2 weeks ago

Brighton, Colorado, United States Element Care Full time

GENERAL OVERVIEW

The role serves as a vital component of the enrollment team, focusing on the organization and customization of the PACE enrollment process to cater to the unique needs of potential participants, ensuring that census objectives are met. This position acts as a clinical intermediary between prospective participants/caregivers, the PACE enrollment team, the interdisciplinary team (IDT), and various referral sources and community providers. The position operates full-time from Monday to Friday, 8 AM to 4 PM, with no weekend or holiday obligations. A stipend is available for proficiency in Russian and preferred Chinese dialects.

KEY RESPONSIBILITIES

Enrollment Team Duties

  • Conduct initial consultations to explain the PACE model to potential participants and their caregivers.
  • Verify that potential participants fulfill eligibility requirements as per PACE enrollment regulations.
  • Employ a strengths-based methodology to assess the current needs and health status of potential participants.
  • Maintain proactive communication with the IDT regarding the enrollment status and progress of prospective participants.
  • Balance and prioritize the needs of prospective participants/caregivers with the concerns of the IDT.
  • Engage in weekly Enrollment Team meetings to offer clinical insights, guidance, and support concerning challenging referrals and other obstacles.
  • Ensure accurate data management of new referrals using CRM, EMR software, and relevant health gateways.
  • Assist Marketing and Outreach in coordinating external events.

Nurse Coordinator Duties

  • Conduct home visits for prospective participants to complete and submit the state-mandated Minimum Data Set- Home Care (MDS_HC).
  • Perform comprehensive assessments, including evaluations of functional status, caregiver dynamics, current services, and home safety.
  • Present and discuss initial assessment findings with the PACE IDT.
  • Identify the need for and facilitate additional assessments for prospective participants.
  • Collaborate with the IDT to evaluate the ability of prospective participants to safely remain in the community with PACE services.
  • Communicate enrollment progress and status with prospective participants and relevant parties involved in their care, including caregivers and case managers.
  • Facilitate communication among all parties involved in prospective participants' care and the PACE IDT to ensure continuity of care and smooth enrollment transitions.
  • Frequent local travel is required.
  • Perform additional duties as necessary.

JOB REQUIREMENTS

  • Associate's or Bachelor's degree in Nursing, or completion of a Nursing Diploma Program.
  • Registered Nurse license in the Commonwealth of Massachusetts.
  • At least one year of experience in geriatric healthcare or adult mental health settings.
  • Proficient in advanced computer skills, including Microsoft Office, CRM, and EMR software.
  • Ability to effectively communicate and build relationships with various medical professionals.
  • Capable of responding appropriately to complex clinical situations across diverse settings.
  • Strong understanding of medical and psychiatric diagnoses and treatments.
  • Experience working competently with individuals from diverse socio-cultural backgrounds.
  • Adept at assessing multiple perspectives and priorities within a goal-oriented and solution-focused framework.
  • Excellent customer relations skills.

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