Enrollment Services Associate Jobs in Rhode Island

Reporting to the Enrollment & Outreach Supervisor, the Enrollment Associate is responsible for community outreach and enrolling potential participants into the PACE program. Identify opportunities to generate referrals. Ultimate goal is to drive potential participants and/or caregivers to the PACE program. Must be organized, courteous and able to work independently and with a team. Must be able to work on multiple tasks at once, with focus and sharp attention to detail.

Duties/Responsibilities

• Conducts strategic outreach throughout RI to educate communities about PACE-RI services
• Conducts Initial Intake Assessment and confirms eligibility for the program.
• Works closely with the Enrollment Administrative Assistant and communicates all intakes that will be included on the agenda for Intake Review Team.
• Present key information to Intake Review Team on a weekly basis. Ensure that focus is on information clear & succinct to Interdisciplinary Team in determining how to keep the participant safe in the community.
• Work closely with the Enrollment RN to ensure that medical assessments are conducted
• Assist the potential participant in completing the Medicaid Application Collect all supporting documentation via tablet, upload to PACE Logic and deliver to the State.
• Collect any outstanding supporting documents required for Medicaid Application and submit to Enrollment Administrative Assistant.
• Actively participate in all scheduled Enrollment Strategies for Intakes completed by respective Enrollment Associate-in person. Identifies any incomplete areas and communicates with Enrollment Administrative Assistant to ensure follow up for a complete Enrollment Strategy prior to Enrollment Conference.
• Compile all Enrollment documents for the Enrollment Conference.
• Conducts the participant enrollment conference in collaboration with the Transitional Care Liaison. Address any non-clinical questions regarding participant rights, responsibilities, and program regulations. Obtain a signed Enrollment Agreement.
• Update PaceLogic and Maximizer daily to capture all enrollment and outreach efforts
• Manage weekly sales calls/distribution of promotional material, expand contacts and document efforts.
• Represent PACE at various community meetings, trade shows, health fairs and other events as assigned by the Chief of Growth and/or the Enrollment & Outreach Supervisor
• In partnership with the Enrollment & Outreach Supervisor, build relationships with referral sources, including but not limited to hospitals, rehabilitation facilities, elder housing resident coordinators, social workers and visiting nurses who refer clients to PACE.
• Always provide excellent customer service to internal and external customers.
• Provide back up during team members time off
• Provide backup for the Enrollment Administrative Assistant as needed.
• Recommend program improvements, for greater efficiency and effectiveness.
• Participate and / or lead PACE committees that directly support Enrollment activity, or other committees established to advance the organizational strategic plan.
• Travel throughout RI is required for community-based work.
• Occasional evening and weekend hours necessary.
• Performs other related duties as required and assigned.

Requirements

Required Skills & Abilities

• Ability to maintain confidentiality
• Ability to prioritize tasks
• Proficiency with MS Office Suite or similar software
• Dependable and punctual with ability to maintain consistent attendance
• Ability to read, write and comprehend English
• Ability to maintain sound judgement under stress and communicate effectively

Education Requirements

• High School Diploma or Equivalent, Required
• Bachelor's Degree, Preferred

Physical Requirements

• Must be able to tolerate prolonged periods sitting at a desk and working on a computer.
• Must be able to lift up to 10 pounds and at times up to 20 pounds.
• Must be able to navigate various departments of the organization's physical premises as well as related community care settings.
• Must be able to tolerate conditions typically associated within a medical office and/or home care setting including potential exposure to bloodborne pathogens and infectious diseases.

Experience

• 1 to 3 years of administrative support experience, Preferred
• 1 to 3 years of sales or case management experience, Preferred
• 1 to 3 years of Health Care Industry Experience, Preferred
• 1 year of experience working with a frail or elderly population, Preferred

License & Certification Requirements

• None

Position Requirements

• Driver's License & access to reliable transportation: community-based travel required

Management Responsibility: No

Time & Attendance Responsibility: No