It’s inspiring to work with a company where people truly BELIEVE in what they’re doing!
When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!
Role:Functions as an integral part of an enrollment team to prioritize, organize, and adapt the PACE enrollment process to meet potential participants’ individualized needs and to ensure census goals are achieved. Works as a clinical liaison between prospective participants/caregivers, the PACE enrollment team, the PACE interdisciplinary Team (IDT) and referral sources/other community providers.
Qualifications:
• Associate’s or Bachelor’s degree in Nursing, or completion of a Nursing Diploma Program
• Licensed as a Registered Nurse in Florida
• Minimum one (1) year experience in a geriatric healthcare and/or adult mental health setting
• Advanced computer skills, including Microsoft Office, Customer Relationship Management, and Electronic Medical Records
• Ability to communicate effectively with and establish working relationships with various medical licensed personnel
• Ability to appropriately respond to complex clinical situation in a variety of settings
• Strong knowledge of medical/psychiatric diagnosis and treatments
• Experience working competently and comfortably with individuals from diverse socio-cultural backgrounds
• Ability to assess multiple perspectives and priorities and successfully facilitate within a goal oriented/solution focused
framework
• Skilled customer relations
Competencies:
- Satisfactorily complete competency requirements for this position.
Essential Job Function:
• Conducts initial appointments to describe PACE model to potential participants and their caregivers
• Ensures potential participants meet eligibility criteria in accordance with PACE enrollment regulation
• Uses a strength-based approach to evaluate current needs and health status of potential participants
• Proactively communicates with the IDT regarding current enrollment status and progress of prospective participants
• Participates in weekly Enrollment Team meetings to provide clinical insights, advice and additional support regarding
challenging referrals and other barriers, and conflicts that may arise
• Compiles and maintains accurate data on new referrals in the CRM and the EMR.
• Coordinates and assists Marketing and Outreach with outside events
Responsibilities of all employees:
- Represent the Company professionally at all times through care delivered and/or services provided to all clients.
- Comply with all State, Federal and local government regulations, maintaining a strong position against fraud and abuse.
- Comply with Company policies, procedures and standard practices.
- Observe the Company's health, safety and security practices.
- Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.
- Use resources in a fiscally responsible manner.
- Promote the Company through participation in community and professional organizations.
- Participate proactively in improving performance at the organizational, departmental and individual levels.
- Improve own professional knowledge and skill level.
- Advance electronic media skills.
- Support Company research and educational activities.
- Share expertise with co-workers both formally and informally.
- Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.
Job Responsibilities
• Visits prospective participants in their home settings to complete and submit the state required 3008
Form.
• Completes comprehensive needs/medical assessment intake, including an evaluation of current functional status,
caregiver status, current services and home safety
• Presents and discusses initial needs assessment intake with the PACE IDT
• Determines need for and facilitates additional assessments of prospective participants
• Collaborates with IDT to assess prospective participants’ ability to remain living safely in the community with PACE
services
• Communicates enrollment status and progress with prospective participant and other significant parties involved in
prospective participants’ care, caregivers, referral sources, homecare providers, case managers etc.
• Bridges communication between pertinent parties involved in prospective participants’ care and PACE IDT to facilitate
continuity of care/ smooth enrollment transitions
• Follows up on leads/prospects from the Sales Specialist(s) and various referral sources
• Processes documents, confirms eligibility, works with doctors' offices and families to successfully enroll the prospect
- Supports Sales Specialist(s) with application process of new referrals
• Supports Outside Sales with coordinating community outreach activities including presentations, exhibits, health fairs,
and one on one contact with community groups
• Maintains ongoing communication with Sales Specialist(s) to process referrals and provide relative updates
• Facilitates center tours when needed
• Maintains all documentation and eligibility standards of PACE program regulations
• Frequent local travel
• Performs other duties as required
This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.
