PACE Intake Specialist RN

Job Description

Description of Primary Responsibilities:

• Evaluate potential new enrollees, determine levels of care, and communicate with the appropriate team members.
• Assessments are conducted in the home of the potential enrollee.
• Coordinates level of care determinations with the DHCS personnel.
• Responsible for collaboration with inpatient Case Management staff, outpatient departments, physicians, physician liaisons, community referral sources, and PACE staff in assessing, identifying, and navigating the intake process for potential participants.
• Builds and maintains strong relationships and referral patterns among vital medical professionals.
• Develops and maintains extensive knowledge of inpatient and outpatient programs and procedures.
• Responsible for proposing strategies and implementing an operational plan to increase program enrollment for PACE.
• Works closely with marketing staff and community events to ensure the proper audience is targeted and appropriate information about the PACE program is relayed. Coordinates educational events for potential referral sources and community service groups.
• Maintains required statistical data to identify and track issues, trends, and opportunities.
• Maintains current knowledge of Medicare/Medicaid and communicates this with professionals and potential enrollees.
• Assists potential enrollees with the Medi-Cal application process and follows the process to completion.
• Conduct nursing assessments and examinations to assess for eligibility while using motivational interviewing techniques, use of evidence-based tools, such as the frailty index for elders (FIFE), and identify participants who may meet the high-risk health and safety denial guidelines for the PACE program.
• Performs other duties as assigned.
  

Description Of Primary Attributes

Professional & Technical Knowledge:

• A bachelor's degree in nursing is preferred.
• Active RN Licensure is required.
• 3 years of nursing, one year with the frail or elderly population.
• Knowledge of:
• Techniques of project management, quality, and research methods.
• Culture and needs of the socially and ethnically diverse population Family Health Care Network FHCN (Family Health Care Network) PACE (Program All-inclusive Care for the Elderly) serves.
• Principles and practices of health care, systems, and managed care principles and practices.
• Medicare and Medi-Cal benefits and regulations.
  

Technical Skills

• Work independently and as an influential member of a team.
• Establish and maintain effective interpersonal relationships with all levels of staff, other programs, agencies, members, providers, and the public.
• Communicate verbally and in writing effectively with individuals from varying cultures and backgrounds. Prepare concise and clear reports.
• Identify pertinent policy issues; develop strategies, solutions, and procedures.
• Organize and track numerous and diverse activities, timelines, and issues.
• Motivate and lead various participants at all levels in the organization.
• Use computers effectively to process appropriate data and information and prepare reports.
• Effectively utilize computer and appropriate software and interact with FHCN PACE Information Systems as needed.
  
  

Licenses & Certifications

• Preferably maintain an active Registered Nurse (RN) license from the state commission board.
• Currently certified in cardiopulmonary resuscitation (CPR), if CPR is not current, will be granted 30 days from the date of hire to schedule for the next available CPR certification class provided by FHCN.
  
  

Communications Skills

• Job duties require compiling and analyzing information prepared in an effective written form, including correspondence, reports, articles, or other documentation.
• Duties require preparation and execution of presentations to large groups.
  
  

Physical Demands And Work Environment

The physical demands and work environment characteristics described here represent those that an employee must meet to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

• Physical Demands: The employee must move about the FHCN PACE center while performing the job duties and actively engage with the interdisciplinary team and participants. Employees sit for extended periods and work at the computer for prolonged periods. Employees must use their hands and fingers, especially for typing on the computer and mouse. Employees must be able to talk and listen, particularly for phone communications.
• Work Environment: Busy Adult Day Health Center (ADHC) and clinic environment serving the frail elderly with medium to loud noise levels and controlled office temperatures.
  
  

While performing this position's duties, the employee must regularly sit and use repetitive hand movements to type and grasp. The employee must frequently stand, walk, occasionally lift, and move up to 20 pounds.

Pay Scale

Min Salary Rate: $91,592.90

Max Salary Rate: $146,548.64