Company: Volunteers of America
Posted on: April 3, 2021
Job Description We Are Inspired to Serve. Join us at PACE!
Making a difference in the lives of others - that's what working at
Volunteers of America is all about. Our employees have the
opportunity each and every day to make a difference in the lives of
older adults. From improving our residents' quality of life, to
creating peace of mind for them and their families, our team
members know that as a part of our community, they are changing
lives. FULL-TIME HOURS Standard work hours are a 8 am to 5 pm, 40
hours a week. WAGE: $42,518 - 46,200 Insurance Benefits offered:
Retirement Medical (30 hours or more a week) Benefits available
when hired to work 24 or more hours a week: Dental Vision Legal
Life Accident Critical Illness Short-Term Disabilities ID Theft
Loan Program OBJECTIVE: Under the supervision of the Center
Director obtains initial information relating to admissions,
coordinates intake process, and provides information and referrals
to community agencies as appropriate. Promotes the Senior CommUnity
Care (SCC) Program to potential participants and community
agencies. Onboards Participants into the SCC Program. Essential
- Gather necessary documentation and application requirements in
working with participants for Medicaid approval; Assists with
financial eligibility process for participants.
- Ensures compliance with all State Medicaid Rules and
Regulations that pertain to Medicaid, Straight Medicaid, LTC,
Spousal Impoverishment and Trusts, Food Stamps, Old Age Pension
(OAP) and other Medicaid programs for which participants may be
- Tracking private pay clients and instrumental in obtaining a
smooth transition to Medicaid eligibility.
- Guides participants through financial eligibility and
- Interpret program regulations and other pertinent material to
applicants, recipients, and the general public.
- Receives and provides information to referrals to the SCC
Program; refers individuals to other appropriate resources as
- Assesses potential participants in home, nursing homes,
hospitals or other settings.
- Maintains current, written assessment and intake records
inclusive of potential participant's expressed wishes and the
referral services provided, as appropriate.
- Assists potential participants in managing their needs while
undergoing intake and assessment process, including referrals to
doctors and other community agencies.
- Acts as Navigator for new participants for the first 45 days of
a participant's enrollment to ensure SCC Program onboarding and
information is provided to assist in the transition for
- 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
- Provides alternative community resources to applicants who are
not accepted into the program.
- Is responsible for reviewing participant's rights and
responsibilities and assuring that the participant and/or
authorized representative understand these rights.
- Reviews Medicaid eligibility, monitors time frame for
re-certification and facilitates Medicaid applications for
certification and re-certification.
- Collects data and prepares reports in accordance with Centers
for Medicare and Medicaid Services (CMS) requirements or program
- Assists in evaluating the intake and assessment process,
identifying problem areas accordingly and making changes as
- Contacts identified key referral sources regularly to discuss
possible program candidates.
- Maintain ongoing relationships with identified individuals and
agencies to ensure a clear understanding of the program as a vital
- Maintain a focus on meeting the needs of internal and external
customers; develop and maintain effective relationships with
others; relate well to people from varied backgrounds and in
different situations; show understanding, courtesy, tact, empathy,
concern, and politeness.
- Participants and supports the Quality Improvement
- Protects privacy and maintains confidentiality of all company
procedures, results and information about employees, participants
- 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.
- Must have medical clearance for communicable diseases and
up-to-date immunizations before having direct participant contact.
Must have a valid driver's license, clean driving record, proof of
insurance and have means of transportation.
- Education: Bachelor's Degree in humanities, health and human
services field with experience sales/customer service/social
- 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. Must have a minimum of one year of
experience in working with the frail or elderly population.
- Knowledge, Skills and Abilities:
- 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
- Effective written and verbal communication skills; Ability to
keep accurate and detailed records and data.
- Ability to learn, comprehend and stay current of Medicaid
- 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
- Good working knowledge of PACE philosophy and
- 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 in the
Electronic Health Record (EHR) and other electronic records. EOE
Keywords: Volunteers of America, Snowmass , Enrollment Specialist, Other , Montrose, Colorado
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