Registered Nurse for PACE Enrollment

2 weeks ago

Brighton, Colorado, United States Element Care Full time

GENERAL OVERVIEW

The role is a vital component of the enrollment team, focusing on organizing, prioritizing, and customizing the PACE enrollment process to cater to the unique needs of potential participants, ensuring that enrollment targets are met. This position serves as a clinical intermediary between prospective participants, their caregivers, the PACE enrollment team, the interdisciplinary team (IDT), and various community referral sources.

KEY RESPONSIBILITIES

Enrollment Team Duties

  • Conduct initial consultations to explain the PACE model to potential participants and their caregivers.
  • Verify that potential participants satisfy eligibility requirements as per PACE enrollment regulations.
  • Employ a strengths-based approach 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 the needs of prospective participants and caregivers with the concerns of the IDT.
  • Engage in weekly Enrollment Team meetings to offer clinical insights and support regarding challenging referrals and any arising conflicts.
  • Ensure accurate data management of new referrals using CRM, EMR software, and relevant health gateways.
  • Assist the Marketing and Outreach team with external events.

Nurse Coordinator Duties

  • Conduct home visits for prospective participants to complete and submit the state-required Minimum Data Set - Home Care (MDS_HC).
  • Perform comprehensive assessments, including evaluations of functional status, caregiver involvement, current services, and home safety.
  • Present initial assessments to the PACE IDT for discussion.
  • Identify the need for additional assessments and facilitate them as necessary.
  • Collaborate with the IDT to evaluate the ability of prospective participants to live safely in the community with PACE services.
  • Communicate enrollment status and progress to prospective participants and other relevant parties involved in their care.
  • Facilitate communication among all parties involved in prospective participants' care and the PACE IDT to ensure continuity of care.
  • Travel locally as required.
  • Perform additional duties as needed.

QUALIFICATIONS

  • 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 computer skills, including Microsoft Office, CRM, and EMR software.
  • Effective communication skills and ability to build relationships with medical professionals.
  • Capable of responding appropriately to complex clinical situations in various environments.
  • Strong understanding of medical and psychiatric diagnoses and treatments.
  • Experience working with individuals from diverse socio-cultural backgrounds.
  • Adept at assessing multiple perspectives and facilitating solutions within a goal-oriented framework.
  • Strong customer relations skills.

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