PACE Intake Specialist RN (Temp)

Primary Accountability

The Intake Specialist RN implements the operational plan to increase PACE program enrollment. Leads the enrollment initiatives and ensures the enrollment process is efficient and easily accessible for potential enrollees. Additionally, this position assists with community education through participation in community events and speaking engagements. Develop and implement strategies to achieve enrollment goals and develop and sustain referral relationships. The RN-PACE Intake Specialist will work with the Interdisciplinary Team from referral to evaluation status to make this a seamless and personal process for the participant. Performs other duties as needed.

Description of Primary Responsibilities:

1. Evaluate potential new enrollees, determine levels of care, and communicate with the appropriate team members. 
   1. Assessments are conducted in the home of the potential enrollee. 
   2. Coordinates level of care determinations with the DHCS personnel.
2. 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. 
   1. Builds and maintains strong relationships and referral patterns among vital medical professionals. 
   2. Develops and maintains extensive knowledge of inpatient and outpatient programs and procedures.
3. Responsible for proposing strategies and implementing an operational plan to increase program enrollment for PACE.
4. 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.
5. Maintains required statistical data to identify and track issues, trends, and opportunities.
6. Maintains current knowledge of Medicare/Medicaid and communicates this with professionals and potential enrollees.  
7. Assists potential enrollees with the Medi-Cal application process and follows the process to completion.
8. 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.
9. Performs other duties as assigned.

Description of Primary Attributes

Professional & Technical Knowledge:

1. A Bachelor's Degree in nursing is preferred. 
2. Active RN Licensure is required.
3. 3 years of nursing, one year with the frail or elderly population.
4. Knowledge of:
   1. Techniques of project management, quality, and research methods.
   2. 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.
   3. Principles and practices of health care, systems, and managed care principles and practices.
   4. Medicare and Medi-Cal benefits and regulations.

Technical Skills:

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

Licenses & Certifications: 

1. Preferably maintain an active Registered Nurse (RN) license from the state commission board. 
2. 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:

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

Physical Demands and Work Environment:

The physical demands and work env