Enrollment Coordinator RN
4 weeks ago
Fallon Health is a company that cares. We prioritize our members--always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, we deliver equitable, high-quality coordinated care and are continually rated among the nation's top health plans for member experience, service, and clinical quality.
Responsibilities:- Clinical Eligibility Assessment: Participates in establishing monthly goals for enrollment, responds to individual inquiries regarding Summit ElderCare, reviews the enrollment process with potential members/families/referrers, determines individuals monthly premium and eligibility for Medicaid assistance, completes the MDS, estimates whether individual meets clinical criteria for enrollment, and enters MDS into the Virtual Gateway.
- Data Management and Reporting: Assures uniformity in data collection, prepares weekly reports regarding referrals and enrollments, maintains referral tracking system and contact file, participates in planning home visit requests, attends home visits and completes documentation in the electronic medical record, and prioritizes home visits according to forecast.
- Monitors Compliance: Keeps informed of general Medicaid eligibility guidelines and supplemental insurance issues as they affect SE enrollment as well as the Medicare CMS regulation for PACE.
- Education: Degree in Nursing, BSN preferred.
- Licenses/Certifications: RN, current license to practice in Massachusetts and Valid Drivers License and Clean Driving Record Required.
- Experience: 2 years experience working with the elderly, preferably in a community setting, knowledge of sales, customer service, outreach and marketing principles and practices preferred, knowledge of Medicaid eligibility requirements desirable, and case management experience desirable.
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Enrollment Coordinator RN
2 weeks ago
North Dartmouth, United States Fallon Health Full timeAbout Fallon HealthFallon Health is a company that cares. We prioritize our members--always-making sure they get the care they need and deserve. Our mission is to improve health and inspire hope.Job SummaryWe are seeking a skilled Enrollment Coordinator RN to join our team. As an Enrollment Coordinator RN, you will be responsible for assessing clinical...
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Enrollment Coordinator RN
2 weeks ago
North Dartmouth, United States Fallon Health Full timeAbout UsFallon Health is a company that cares. We prioritize our members' needs and ensure they receive the care they deserve. Founded in 1977 in Worcester, Massachusetts, we deliver equitable, high-quality coordinated care and are continually rated among the nation's top health plans for member experience, service, and clinical...
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Enrollment Coordinator RN
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North Dartmouth, United States Fallon Health Full timeOverview: About us: Fallon Health is a company that cares. We prioritize our members--always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, we deliver equitable, high-quality coordinated care and are continually rated among the nations top health plans for member experience, service, and clinical quality. ...
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North Dartmouth, United States Fallon Health Full timeAbout Fallon HealthFallon Health is a company that prioritizes its members' needs, delivering equitable and high-quality coordinated care. Founded in 1977 in Worcester, Massachusetts, we strive to be the leading provider of government-sponsored health insurance programs, including Medicare, Medicaid, and PACE.Job SummaryThis position requires an Outreach...
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Part-Time Faculty Position
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Program Coordinator
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South Dartmouth, Massachusetts, United States University of Massachusetts Full timeJob SummaryThe University of Massachusetts is seeking a highly motivated and organized Program Coordinator to support the development and implementation of a graduate certificate program in Ocean Observing, Modeling, and Management of Offshore Wind. The successful candidate will work closely with faculty and staff to promote the program, develop program...
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