Enrollment Specialist
at Volunteers of America

Date Posted: 6/15/2019

Job Description

VOLUNTEERS OF AMERICA is hiring an Enrollment Specialist for the Senior PACE facility in Montrose, CO.

OBJECTIVE: 

Under the supervision of the Marketing Manager obtains initial information relating to admissions, coordinates intake process, and provides information and referrals to community agencies as appropriate.  Promotes the Senior CommUnity Care Program to potential participants and community agencies.

ESSENTIAL FUNCTIONS:

1.    Receives and provides information to referrals to the Senior CommUnity Care Program; refers individuals to other appropriate resources as indicated.

2.    Assesses potential participants in home, nursing homes, hospitals or other settings as part of the intake process.

3.    Maintains current, written assessment and intake records inclusive of potential participant’s expressed wishes and the referral services provided, as appropriate.

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

5.    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.

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

7.    Assists with financial eligibility process for participants.

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

9.    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.
10.    Reviews Medicaid eligibility, monitors time frame for re-certification and facilitates Medicaid applications for certification and re-certification.

11.    Collects data and prepares reports in accordance with Centers for Medicare and Medicaid Services (CMS) requirements or program requirements.

12.    Assists in evaluating the intake and assessment process, identifying problem areas accordingly and making changes as recommended.

13.    Contacts identified key referral sources regularly to discuss possible program candidates.

14.    Maintain ongoing relationships with identified individuals and agencies to ensure a clear understanding of the program as a vital community resource.

15.    Participants and supports the Quality Improvement Initiatives.

16.    Practices Universal Precautions and follows appropriate infection control procedures.

17.    Provides information and referrals as appropriate to community advocates or elder law attorney.

18.    Protects privacy and maintains confidentiality of all company procedures, results and information about employees, participants and families.

19.    Ability to be cognizant of their surroundings and make immediate assessment of potentially unsafe environments and act accordingly.

20.    Ability to keep accurate and detailed records and data.

21.    Performs related duties as required or requested.

Job Requirements

QUALIFICATIONS: 

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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

2.    Must have a valid driver’s license and have means of transportation within one hundred (100) miles or more daily.

3.    Must clear background check.

4.    Education:  Bachelor's Degree in humanities, health and human services field with experience sales/customer service/social work.

5.    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.

6.    Have a minimum of one year of experience in working with the frail or elderly population.
 
7.    Skills and Knowledge:
•    Ability to effectively present PACE philosophy and model to the community and to prospective participants.
•    Working knowledge of physical, psychosocial, behavioral, and family needs of the elderly.
•    Working knowledge of the Montrose and Delta counties communities’ health and social service delivery systems, and aging network.
•    Effective written and verbal communication skills.
•    Ability to learn, comprehend and stay current of Medicaid system.  
•    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.
•    Good working knowledge of PACE philosophy and eligibility/denial criteria.
•    Ability to work under pressure of monthly deadlines; to be able to remain focused while gathering last minute information, appointments, information for Medicaid, IDT and families in order to meet enrollment goals.
•    Ability to utilize computers and other electronic devices for tasks such as timekeeping, in-servicing and documentation.
•    Only acts within the scope of his or her authority to practice.  Must meet a standardized set of competencies for the specific position description established by Senior Community Care and approved by CMS before working independently.

To Apply: 

EOE M/F/Vets/Disabled

Job Snapshot

About Us

Volunteers of America

At Volunteers of America, we are more than a nonprofit organization. We are a ministry of service that includes nearly 16,000 employees and more than 55,000 volunteers with a shared vision of a world where all people live in safety with social, emotional and physical well-being, spiritual fulfillment, justice and hope.

The national office is located in Alexandria, Va., part of the greater Washington, DC area. The headquarters includes executive staff and major office departments that have national responsibilities and provide support to local offices and Volunteers of America housing and senior living and care communities: communications, fundraising; public policy, finance, chartering, housing, volunteer services, program services and other operations.

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