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North East Medical Services (NEMS)

PACE ENROLLMENT SPECIALIST

Posted 26 Days Ago
Be an Early Applicant
In-Office
95122, San Jose, CA, USA
32-36 Hourly
Junior
In-Office
95122, San Jose, CA, USA
32-36 Hourly
Junior
The PACE Enrollment Specialist educates potential participants, caregivers, and referral sources about PACE services; conducts screenings and phone intakes; gathers medical, social, demographic, and eligibility information; schedules assessments; manages level-of-care enrollment processes; presents cases to the interdisciplinary team; provides center tours and community presentations; develops referral relationships; supports outreach campaigns; and documents enrollment activities in Epic.
The summary above was generated by AI

The Enrollment Specialist holds primary responsibility for orienting potential participants and community partners about NEMS Program of All-Inclusive Care for the Elderly (PACE) and intaking new enrollments for the program.  The Enrollment works independently to gather information, set appointments for assessments, and document skilled needs for the incoming cases. They will interact with referral sources, community organizations, family caregivers and participants, giving presentations and sharing information about NEMS PACE, providing tours through the PACE center, and gathering crucial information related to medical and social needs for new participants as the first step in the enrollment process.


ESSENTIAL JOB FUNCTIONS:

 

  • Serves as the first point of contact and liaison between the PACE Interdisciplinary Team and potential participants and referral sources.
  • Provides clear and concise information about PACE.
  • Gathers all necessary information and answers questions while providing education about available services.
  • Determines enrollment eligibility through screening, phone intake, and education. Determines potential service needs and assists with the enrollment process.
  • Identifies and documents medical and social indications of new PACE participant to establish care needs at initial enrollment.
  • Assists and oversees the enrollment of participants through the level of care (LOC) process.
  • Works as part of a team to educate referral sources and potential participants and their caregivers on the benefits of NEMS PACE.
  • Provides tours of the PACE Center to potential participants and family caregivers while expounding on and highlighting the services provided.
  • Presents all approved and enrolling cases to the Interdisciplinary Team.
  • Identifies, develops, and maintains relationships with potential PACE referral sources, including medical providers, community organizations, and others.
  • Develops and maintains relationships with potential PACE participants who call, email, and/or visit NEMS PACE to support enrollment goals.
  • Interacts professionally and respectfully with older adults, including those with cognitive decline and/or physical disabilities.
  • Identifies targeted areas for marketing campaigns and outreach education and builds relations with potential referral sources.
  • Collects all patient demographic information and required paperwork throughout the enrollment process within the designated timeframe.
  • Utilize Epic appropriately and efficiently and serve as content and workflow expert for resolving issues and proposing solutions in Epic.
  • Performs other job duties as required by manager/supervisor.

Qualifications

Required:

  • At least one year of experience in sales or community outreach
  • Current BLS and First Aid required

Preferred:

  • Bachelor’s degree, preferably in Healthcare, Social Sciences, Business, or a related field.
  • Minimum one year of experience working with a frail and/or older adult population.
  • Experience giving community presentations.
  • Minimum one year of experience working with older adults and their families in a healthcare or community agency setting preferred
  • Minimum one year of experience in health care

LANGUAGE:

 

  • Must be able to fluently speak, read and write English.
  • Fluency in Chinese (Cantonese and/or Mandarin) is required.
  • Fluency in other languages is an asset.

STATUS:


  • This is an FLSA non-exempt position.
  • This is not an OSHA high-risk position.
  • This is a Full Time position.

NEMS is proud to be an Equal Opportunity Employer welcoming diversity in our workforce. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

NEMS BENEFITS: Competitive benefits, including free medical, dental and vision insurance for employee, spouse and/or children; and company contribution to 401(k).

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