Current jobs related to Enrollment Coordinator RN - North Dartmouth - Fallon Health

  • Enrollment Coordinator RN

    2 weeks ago

    North Dartmouth, United States Fallon Health Full time

    About 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...

  • Enrollment Coordinator RN

    4 weeks ago

    North Dartmouth, United States Fallon Health Full time

    Job Title: Enrollment Coordinator RNFallon 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...

  • Enrollment Coordinator RN

    2 weeks ago

    North Dartmouth, United States Fallon Health Full time

    About 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...

  • Enrollment Coordinator RN

    3 months ago

    North Dartmouth, United States Fallon Health Full time

    Overview: 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. ...

  • Fitness Program Coordinator

    6 days ago

    North Dartmouth, United States Healthtrax Fitness & Wellness Full time

    Job DescriptionWe are seeking a motivated and enthusiastic individual to join our team as a Fitness Program Coordinator. As a Group Exercise Instructor, you will be responsible for leading and teaching group fitness classes to our members.Our ideal candidate will have a passion for fitness and a strong desire to educate and motivate others. If you have a...

  • Healthcare Enrollment Specialist

    1 month ago

    North Platte, Nebraska, United States Great Plains Health Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Payer Enrollment Coordinator to join our team at Great Plains Health. The successful candidate will be responsible for coordinating the payer credentialing enrollment process for all CIN providers, maintaining payer credentialing files, and ensuring all data/documents are kept confidential.Key...

  • Senior Care Services Account Executive

    2 weeks ago

    North Dartmouth, United States Fallon Health Full time

    About Fallon HealthFallon Health is a company that prioritizes its members' needs, providing equitable and high-quality coordinated care. With a strong presence in Massachusetts, we strive to be the leading provider of government-sponsored health insurance programs, including Medicare, Medicaid, and PACE.Job SummaryWe are seeking a skilled Outreach Account...

  • Program Coordinator

    7 hours ago

    Dartmouth, United States University of Massachusetts Full time

    Program Coordinator - School for Marine Science and Technology (Grant Funded/Part-Time/Benefited) Job no: 525316 Work type: Staff Part Time Campus: UMass Dartmouth Department: SMAST Pay Grade: 12 Categories: Other Staff Positions, Admissions/Enrollment/Student Recruitment, Public Relations, Marketing, Communications, Advancement/Fundraising, Project...

  • Program Coordinator

    7 days ago

    South Dartmouth, Massachusetts, United States University of Massachusetts Full time

    Job Title: Program CoordinatorJob Summary:The University of Massachusetts Dartmouth School for Marine Science and Technology is seeking a 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 be responsible for program...

  • Senior Care Services Account Executive

    4 weeks ago

    North Dartmouth, United States Fallon Health Full time

    About 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...

  • Program Coordinator

    7 hours ago

    Dartmouth, United States UMass Dartmouth Full time

    OFFICIAL JOB TITLE: Program Coordinator (Part-time position) DIVISION: Academic Affairs DEPARTMENT: SMAST/Fisheries Oceanography BARGAINING UNIT STATUS: ESU CAT: 12 FLSA STATUS: Exempt REPORTS TO: Associate Professor/Fisheries Oceanography SUPERVISES: N/A SUMMARY PURPOSE OF POSITION: The University of Massachusetts Dartmouth School for Marine Science and...

  • Nurse Care Coordinator

    1 week ago

    Dartmouth, United States SouthCoast Health Full time

    Job Summary:Southcoast Health is seeking a dedicated RN-Staff Nurse to join our team. As a key member of our healthcare team, you will provide high-quality patient care and work collaboratively with other healthcare professionals to ensure the best possible outcomes for our patients.Responsibilities: Coordinate nursing care for patients, working closely with...

  • Site Coordinator

    1 month ago

    South Dartmouth, United States YMCA Southcoast Full time

    YMCA Southcoast JOB DESCRIPTION Job Title: Site Coordinator Position Summary: Responsible for the planning, development, and supervision of a comprehensive after school program. Site Coordinator's scheduled hours include but not limited to morning (7:45AM-9AM) and afterschool care (3PM-5:30PM). Essential Functions: • Direct and supervise staff of the...

  • Nurse Practitioner

    2 weeks ago

    North Dartmouth, United States Fallon Health Full time

    About the Role:As a Nurse Practitioner with Fallon Health, you will play a vital role in providing high-quality, patient-centered care to our elderly participants. You will work closely with our interdisciplinary team to establish realistic goals and develop individualized plans of care that focus on disease prevention, wellness, and management of chronic...

  • Geriatric Nurse Practitioner

    2 weeks ago

    North Dartmouth, United States Fallon Health Full time

    About the Role:Fallon Health is seeking a skilled Nurse Practitioner to join our team in providing high-quality, patient-centered care to our elderly clients. As a Nurse Practitioner in our Gerontology program, you will be responsible for managing a primary care panel of participants and providing continuity of care to PACE participants residing in the...

  • Part-Time Faculty Position

    2 weeks ago

    North Dartmouth, United States UMass Dartmouth Full time

    Part-Time Lecturer PositionsThe Department of Adult Nursing at the University of Massachusetts Dartmouth invites applications for part-time lecturer positions at the undergraduate and graduate level. These positions are available for clinical and didactic assignments, and we are seeking qualified individuals to join our team.Undergraduate Level...

  • Staff Nurse

    3 weeks ago

    North Dartmouth, United States Southcoast Health System Full time

    OverviewSouthcoast Health is a not-for-profit, charitable health system with multiple hospitals, clinics, and facilities throughout Southeastern Massachusetts and Rhode Island. We are committed to providing inclusive, ethical workplaces where our highly skilled caregivers offer world-class, comprehensive healthcare close to home.Job SummaryWe are searching...

  • RN - Home Health

    1 month ago

    North Dartmouth, United States Enhabit Home Health & Hospice Full time

    Overview Office Location: Lakeville Full-time schedules available to service our patients in Acushnet, New Bedford, Dartmouth and Fall River Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, Enhabit is...

  • Program Coordinator

    6 days ago

    South Dartmouth, Massachusetts, United States University of Massachusetts Full time

    Job 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...

  • Senior Care Services Account Executive

    2 weeks ago

    North Dartmouth, Dartmouth, MA , USA, United States Fallon Health Full time

    About Fallon HealthFallon Health is a company that prioritizes its members' needs, ensuring they receive the care they deserve. Founded in 1977 in Worcester, Massachusetts, we deliver high-quality, coordinated care and are consistently rated among the nation's top health plans for member experience, service, and clinical quality.Our MissionWe strive to be...

Enrollment Coordinator RN

2 months ago

North Dartmouth, United States Fallon Health Full time
About the Role

Fallon Health is seeking a highly skilled Enrollment Coordinator RN to join our team. As a key member of our organization, you will play a critical role in ensuring that our members receive the care they need and deserve.

Key Responsibilities
  • Clinical Eligibility Assessment
    • Participate in establishing monthly goals for enrollment and ensure that our members meet the necessary criteria.
    • Respond to individual inquiries regarding Summit ElderCare, including phone calls, web site inquiries, and home visits.
    • Review the enrollment process with potential members/families/referrers and determine their eligibility for Medicaid assistance.
    • Complete the MDS, estimate whether individual meets clinical criteria for enrollment, and enter MDS into the Virtual Gateway.
    • Communicate with the Interdisciplinary Team to provide information for enrollment decisions and provide ongoing communication with referral sources, potential enrollees/families during the intake process.
    • Coordinate and communicate necessary information about potential enrollees to the Summit Site Director on an ongoing basis.
    • Provide referrals to other programs for individuals not appropriate for SE and for those who choose not to enroll.
    • Facilitate weekly enrollment meetings and keep informed of NaviCare eligibility requirements.
    • Assist with completion of MDS assessments annually at assigned SE site.
  • Data Management and Reporting
    • Assure uniformity in data collection and prepare weekly reports regarding referrals and enrollments.
    • Maintain referral tracking system and contact file.
    • Participate in planning home visit requests and attend home visits, completing documentation in the electronic medical record.
    • Conduct clinical presentations as required.
  • Monitors Compliance
    • Keep informed of general Medicaid eligibility guidelines and supplemental insurance issues as they affect SE enrollment as well as the Medicare CMS regulation for PACE.