PACE Enrollment Specialist

PACE ENROLLMENT Specialist

Join the Blue Ridge Independence at Home Team!  

Blue Ridge Independence at Home is a Program of All-Inclusive Care for the Elderly (PACE). 

Blue Ridge Independence at Home’s interdisciplinary team seamlessly blends expertise, compassion, and dedication to ensure that each individual receives the preventative, primary, acute, and long-term health and personal care services they need. From clinicians to therapists, personal care aides to care coordinators, every member of our team plays a crucial role in delivering unparalleled care. Together we prioritize the health, happiness, and independence of those we serve. 

PACE ENROLLMENT SPECIALIST – POSITION SUMMARY 

Under the supervision of the Enrollment Coordinator the PACE Enrollment Specialist obtains initial information relating to enrollments, coordinates intake process, and provides information and referrals to community agencies as appropriate.  The Enrollment Specialist promotes Blue Ridge Independence at Home (BRIH) to potential participants and community agencies and onboards participants into the BRIH program.

PACE ENROLLMENT SPECIALIST - SKILLS AND KNOWLEDGE: 

·        Working knowledge of physical, psychosocial, behavioral, and family needs of the elderly. 

·        Working knowledge of the Department of Social Services in our service area, social services delivery systems and aging network. 

·        Strong interpersonal skills for building relationships with potential participants throughout the enrollment process. 

·        Demonstrates advanced computer skills, with a solid ability to quickly learn and adapt to new software and technologies. 

·        Strong understanding of Medicaid requirements and nuances. 

·        Must be willing to visit participants at their place of residence. 

·        Able to assess potential participant’s financial status. 

·        General knowledge of financing mechanisms such as Medicaid, Medicare, Prospective Payment Systems and Health Maintenance Organization/ Managed Care providing risk-based capitated systems. 

PACE ENROLLMENT SPECIALIST – ESSENTIAL DUTIES & RESPONSIBILITIES

·        Gather necessary documentation and application requirements in working with participants for Medicaid approval. 

·        Ensures compliance with all State Medicaid Rules and Regulations that pertain to Medicaid, Straight Medicaid, LTC, Spousal Impoverishment and Trusts, Food Stamps, Old Age Pension (OAP) and other Medicaid programs for which participants may be eligible. 

·        Assists potential participants in managing their needs while undergoing intake and assessment process, including referrals to doctors and other community agencies. 

·        Acts as navigator for new participants for the first 45 days of a participants enrollment to ensure onboarding and information is provided to assist in the transition for participants. 

·        Participates in Interdisciplinary Team meetings when potential enrollees are assessed for enrollment into the program for purposes of providing and clarifying information obtained during the intake assessment. 

·        Provides alternative community resources to applicants who are not accepted into the program. 

·        Assists with financial eligibility process for participants. 

·        Acts as the point person who schedules the enrollment meeting with the potential enrollee’s. 

·        Is responsible for reviewing and assuring that the enrollee understands the enrollment agreement material presented. Is responsible for reviewing participant’s rights and responsibilities and assuring that the participant and/or authorized representative understand these rights. 

·        Reviews Medicaid eligibility, monitors time frame for re-certification and facilitates Medicaid applications for certification and re-certification. 

·        Performs related duties as required or requested. 

PACE ENROLLMENT SPECIALIST – QUALIFICATIONS/EXPERIENCE 

·        Must have a valid driver’s license, proof of insurance and have means of transportation. 

·        Must have medical clearance for communicable diseases and up-to-date immunizations before having direct participant contact. 

·        Must clear background check and drug test. 

·        Education: Associates and/or Bachelor’s degree preferred, but will accept 2( ) years of relevant work experience 

·        Experience:  Two (2) years of experience in marketing, with more emphasis on sales, and/or admissions role for a health care provider, or in an information and referral resource role within the senior networks. Shall have either training or related experience in the job assigned. 

·        A minimum of one-year (1) experience in working with the frail or elderly population. 

·        Hours: Typically, standard business hours (Monday – Friday 8:30 am to 4:30 pm), but occasional evening and weekend work may be required. 

·        Technology: Strong computer skills are required and candidate must demonstrate skills during the interview. Demonstration of technology skills will be required. 

PACE ENROLLMENT SPECIALIST – BENEFITS  

·        Health Insurance 

·        Dental Insurance 

·        Vision Insurance 

·        Retirement with Company Match 

·        Paid Time Off and Sick Leave

·        Thrift Shop Discount 

Blue Ridge Independence at Home is a non-profit, equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees and participants served.