RN Eligibility Specialist

3 weeks ago


Sacramento, California, United States InnovAge Full time
Job Title: RN Eligibility

At InnovAge, we are seeking a skilled and compassionate RN Eligibility to join our In-Home Services team. As a key member of our team, you will play a vital role in determining the eligibility of prospective participants for our Program of All-Inclusive Care for the Elderly (PACE) program.

Responsibilities:
  • Conduct home visits to assess the level of care needed by participants and determine their eligibility for the PACE program.
  • Collaborate with the InnovAge Primary Care Physician and other team members to complete documentation and compile supporting information for enrollment.
  • Participate in outreach programs and serve as a member of the Interdisciplinary Team (IDT) to coordinate appointments and assessments.
  • Provide consultation and guidance to case managers and other staff members on medical and nursing issues.
  • Maintain knowledge and expertise in eligibility, enrollment, and program specifications for Medicare and Medicaid, as well as the PACE program.
Requirements:
  • Associate degree from an accredited nursing school.
  • Current Registered Nurses License in the state where working.
  • Current CPR certification or the ability to obtain CPR certification.
  • 3+ years of healthcare experience with a focus on geriatrics.
  • 1+ year of experience working with the frail or elderly.
  • Personal transportation, a current state-issued driver's license, a good driving record, and auto insurance as required by law.
Preferred Qualifications:
  • Bachelor's degree in nursing.
  • Certification as a Gerontological Nurse.
  • Prior experience working with State and Federal Regulators.
  • Bi-lingual.

InnovAge is committed to empowering seniors to live independently and age in their own homes and communities safely. We offer an alternative to nursing homes through our PACE program, which provides enrolled seniors with customized healthcare and social support at our Adult Day Health Centers. Our team members are our greatest asset and have a significant impact on the lives of our participants every day. When you join InnovAge, you'll work alongside talented, respectful, and passionate colleagues within a patient-centered care model.

We are an equal opportunity employer and strive to create a diverse and inclusive workplace. We consider all qualified candidates for employment without discrimination based on race, color, religion, sex, sexual orientation, gender identity/expression, national origin, disability, protected veteran status, pregnancy, or any other protected status. Salaries are determined by various factors such as qualifications, experience, and location, and do not include potential bonuses or benefits. Our extensive benefits package includes medical/dental/vision insurance, short and long-term disability, life insurance and AD&D, supplemental life insurance, flexible spending accounts, 401(k) savings, paid time off, and company-paid holidays.

Applicants are considered until the position is filled.

Posted Salary Range: USD $47.90 - USD $52.90 /Hr.



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