Enrollment Specialist Pace

1 week ago

Riverside, California, United States Neighborhood Healthcare Full time
Job Title: Enrollment Specialist Pace

About Us

Neighborhood Healthcare is a community health organization dedicated to providing high-quality care to seniors. Our PACE program is a managed medical plan that surrounds participants with a team of healthcare professionals to help them maintain good health and a good quality of life.

The Enrollment Specialist will coordinate and conduct new enrollments for participants into the Neighborhood Healthcare PACE program. This role will work collaboratively with the Marketing Department on marketing materials and strategies to attract potential participants to enroll in the program.

Responsibilities:

  • Conducts and completes program eligibility screenings, intakes, assessments, education, and enrollment assistance activities with potential participants and/or their families to determine eligibility for PACE
  • Coordinates communications of eligibility decisions, approvals, or disapprovals with participant or their family members
  • Participates in required meetings, such as the interdisciplinary, (IDT) management and other related meetings and activities to discuss participant enrollment and outreach progress and efforts
  • Works with Marketing Department on outreach and marketing activities to attract potential participants at events at sites and in the community
  • Collects and enters information related to referrals, intakes, enrollments, marketing, and outreach activities notes for weekly and monthly reports for PACE and Marketing
  • Provides tours of PACE center(s) to interested family members, potential participants, community partners, and providers
  • Facilitates referrals for participants for assistance from Neighborhood and other community resources
  • Provides responsive and high-quality services to patients, staff, and outsides agencies
  • Impacts patient and team experience by demonstrating courteous and helpful behavior and a commitment to accuracy
  • Provides input and feedback on PACE's internal and external outreach, education, and enrollment plans for engaging, assisting, enrolling, and retaining new and current participants
  • Conducts community outreach and education activities to patients and community members at clinic locations and other community locations about PACE and other related health coverage options

Additional Duties and Responsibilities:

  • Adjusts outreach and enrollment strategies to align with trending data analysis for better engagement rates with participants
  • Maintains effective interpersonal relationships with all levels of staff, other departments, agencies, providers, and the public
  • Performs outreach and enrollment activities according to Neighborhood and outside agencies policies & procedures

Education/Experience:

  • High school/GED required; bachelor's degree in health or human service preferred
  • One year community health, senior health, marketing, or health/services related enrollment experience required
  • One year Medi-Cal, Medicare, managed healthcare eligibility, or senior related sales experience preferred
  • Valid CA driver's license and proof of auto insurance required
  • Must take and pass the California Department of Health Care Services (DHCS) and Medi-Cal Marketing exam within 60 days of hire

Additional Qualifications (Knowledge, Skills and Abilities):

  • Excellent verbal and written communication skills, including superior composition, typing and proofreading skills
  • Ability to interpret a variety of instructions in written, oral, diagram, or schedule form
  • Knowledgeable about and experience with frail or elderly populations
  • Ability to successfully manage multiple tasks simultaneously
  • Excellent planning and organizational ability
  • Ability to work as part of a team as well as independently
  • Ability to work with highly confidential information in a professional and ethical manner

Physical Requirements:

  • Ability to lift/carry 15 lbs/weight
  • Ability to stand for long periods of time

Neighborhood Healthcare offers a generous benefit plan that includes: Partially company paid Medical, Dental, and Vision Plans. Two plus weeks of vacation, Nine Holidays including two Floating Holidays of your choice, Sick/Personal time, Volunteer Time Off (VTO), 403b Retirement plan (similar to a 401k), optional Health and Wellness events, and much more

Pay range: $31.20 per hour, depending on experience

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