Enrollment Coordinator RN Position

6 days ago


North Dartmouth, United States Fallon Health Full time
Job Summary:
Fallon Health is a healthcare provider that prioritizes its members' needs. We are seeking an Enrollment Coordinator RN to join our team. This role involves clinical eligibility assessment, data management, and monitoring compliance. The successful candidate will have a degree in Nursing, a current RN license in Massachusetts, and experience working with the elderly.

About Us:
Fallon Health was founded in 1977 and has since become one of the top health plans for member experience, service, and clinical quality. Our mission is to improve health and inspire hope. We prioritize diversity, equity, and inclusion in our workplace and strive to be a leading provider of government-sponsored health insurance programs.

Responsibilities:
The Enrollment Coordinator RN will participate in establishing monthly goals, respond to individual inquiries, review the enrollment process, determine individuals' premium and Medicaid eligibility, and complete MDS assessments. They will also communicate with the Interdisciplinary Team, provide ongoing communication with referral sources, and facilitate weekly enrollment meetings.

Data Management and Reporting:
The successful candidate will assure uniformity in data collection, prepare weekly reports, maintain referral tracking systems, and participate in planning home visits. They will also conduct clinical presentations as required and prioritize home visits according to forecast.

Monitors Compliance:
The Enrollment Coordinator RN will keep informed of general Medicaid eligibility guidelines and supplemental insurance issues as they affect SE enrollment and the Medicare CMS regulation for PACE. The salary for this position is estimated at $80,000-$90,000 per year, depending on location and experience.

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