Overview
Enrollment Coordinator
PACE (Program of All-Inclusive Care for the Elderly)
Monday-Friday 8 : 00AM-5 : 00PM
Full Time + Benefits
Under the direction and supervision of the PACE Business Manager, coordinates the intake and enrollment processes for PACE.
Assists in promotion / marketing of PACE to community organizations.
Responsibilities
Program Management
- Oversees coordination of the intake and assessment processes.
- Assesses potential participants in home, nursing home, hospital or other settings as part of the intake process.
- Maintains current, written assessment and intake records inclusive of potential participants expressed wishes and the referral services provided, as appropriate.
- Collects data in accordance with PACE requirements; prepares reports as required by the programs.
- Assists in evaluating the intake and assessment process, identifying problem areas accordingly and making changes as recommended.
- Assists with Medicaid certification process in cooperation with Iowa Medicaid Enterprise and Iowa Department of Human Services.
- Adheres to PACE Participants Rights Policy at all times.
- Protects privacy and maintains confidentiality of participant employee, and sensitive agency information.
Relationship Building
- Contacts identified key referral sources regularly to discuss possible program candidates.
- Maintains ongoing relationships with identified individuals and agencies to ensure a clear understanding of PACE as a vital community resource.
- Provides information and referral as appropriate to inquiries.
- Provides alternative community resources to applicants not accepted into PACE
- Shares responsibility with other team members in the implementation of PACE philosophy and achievement of program goals.
Basic UPH Performance Criteria
- Demonstrates the UnityPoint Health Values and Standards of Behaviors as well as adheres to policies and procedures and safety guidelines.
- Demonstrates ability to meet business needs of department with regular, reliable attendance.
- Employee maintains current licenses and / or certifications required for the position.
- Practices and reflects knowledge of HIPAA, TJC, DNV, OSHA and other federal / state regulatory agencies guiding healthcare.
- Completes all annual education and competency requirements within the calendar year.
- Is knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse.
Brings any questions or concerns regarding compliance to the immediate attention of hospital administrative staff. Takes appropriate action on concerns reported by department staff related to compliance.
Qualifications
Education
Bachelor's Degree in Social Services or health related field OR a combination of education and experience
Experience
Minimum of two years direct service experience in a health care setting.
License(s) / Certification(s)
Valid Driver's License
Valid Auto Insurance
Maintain Mandatory reporter status
Knowledge / Skills / Abilities
A Working knowledge of PACE and State of Iowa health and Social Service delivery systems, and aging network. General knowledge of financing mechanisms, such as Medicare, Medicaid, Prospective Payment Systems, HMO Managed Care providing risk-based capitated systems.
Able to assess potential participant's financial status.
Why UnityPoint Health?
- Commitment to our Team - For the third consecutive year, w e're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare for our commitment to our team members .
- Culture - At UnityPoint Health, you matter. Come for a fulfilling career and experience a culture guided by uncompromising values and unwavering belief in doing what's right for the people we serve.
- Benefits - Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you're in.
- Diversity, Equity and Inclusion Commitment - We're committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation.
- Development - We believe equipping you with support and development opportunities is an essential part of delivering a
- remarkable employment experience.
- Community Involvement - Be an essential part of our core purpose-to improve the health of the people and communities we serve.
Visit https : / / dayinthelife.unitypoint.org / to hear more from our team members about why UnityPoint Health is a great place to work.
- Area of Interest : Behavioral Health Services;
- FTE / Hours per pay period : 1.0;
- Department : Administration- WL;
- Shift : M-F, 8-5;
- Job ID : 156435;