RN Eligibility Specialist

4 weeks ago


Sacramento, California, United States InnovAge Full time
Job Summary:

The RN Eligibility Specialist will partner with the local Enrollment team to determine if prospective participants meet the guidelines for enrolling in the PACE program. This role requires strong communication and assessment skills to schedule and conduct home visits, making level of care assessments to determine participant eligibility. The successful candidate will work closely with the InnovAge Primary Care Physician to complete documentation and compile supporting documentation for enrollment.

Responsibilities:

Conduct home visits to assess participant eligibility
Collaborate with the Enrollment team to determine participant eligibility
Complete documentation and compile supporting documentation for enrollment
Participate in outreach programs to promote the PACE program
Serve as a member of the Interdisciplinary Team (IDT) and coordinate appointments for prospects that require further assessments
Participate in case management and peer review of client records

Requirements:

Associate degree from an accredited nursing school
Current Registered Nurses License in the state in which working
Current CPR certification or the ability to obtain CPR certification
3+ years of health care experience with an emphasis in geriatrics
1+ year of experience working with the frail or elderly
Require personal transportation, current state-issued driver's license, good driving record, and auto insurance as required by law

Preferred Qualifications:

Bachelors in nursing
Certification as a Gerontological Nurse
Prior experience working with State and Federal Regulators
Bi-lingual

About InnovAge:

InnovAge is dedicated to empowering seniors to live independently, allowing them to age in their own homes and communities safely. We offer an alternative to nursing homes through our Program of All-inclusive Care for the Elderly (PACE), which provides enrolled seniors with customized healthcare and social support at PACE Adult Day Health Centers. Our team members are our greatest asset and have a significant impact on the lives of our participants every day. We are committed to equal opportunity and affirmative action, and we strive to create a diverse and inclusive workplace.

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