PACE – Intake Coordinator Position Available In Duval, Florida

PACE – Intake Coordinator 3.0 3.0 out of 5 stars Jacksonville, FL 32205 Jacksonville, FL 32205 PACE Partners of Northeast Florida, also known as PACE (Program for All-Inclusive Care for the Elderly), is a joint venture between Community Hospice & Palliative Care and Aging True. Care coordination for the program, the first of its kind in North Florida, is delivered at our beautiful day center known as The PACE Place. Working at PACE is a rewarding and fulfilling position where you will be part of a national network of programs, offering seniors and their families the care, nutrition, rehabilitation, transportation, and supportive services they need to remain healthy and living in their own home. Our clinic and adult day center are located on the Westside of Jacksonville, next door to the Acosta-Rua Center for Caring. When you join our team, you will receive the guidance you need to understand the demands and rewards of being a caregiver at PACE, helping to coordinate care and services for our participants. You will go home each night knowing that you made a difference by supporting our aging Jacksonville population. Under the supervision of the Health Plan Manager, the Intake Coordinator works with a prospective participant to determine eligibility by performing home safety checks, identifying care needs, and providing information on the program. The Intake Coordinator acts as a liaison between the prospective participant, prospective participant’s representative(s)/family, Enrollment Team and PACE Place IDT. The Intake Coordinator provides information and referrals to community agencies as appropriate, as well as promotes the PACE Partners in the community to prospective participants, community agencies and more.

Duties and Responsibilities:

Receives and processes referrals from agency team members, providers, facilities, and other community sources Accepts referrals and inputs appropriate information into EHR timely Assists with data collection and reporting to management as requested. Follows up with all potential participants and referrals regarding program enrollment. Responsible for explaining the PACE program, either by telephone, electronically, or in-person to interested persons including candidates for enrollment, caregivers, healthcare providers/partners or others in the community interested in the PACE program. Explains all provisions of the PACE program to potential participants and their family/caregiver prior to the signing of any authorization forms and/or assessments. Ensures that prospective participants understand that joining the PACE program is strictly voluntary and that they can disenroll at any time. Manages verification process for potential and current participants as stated in state and federal regulations. Obtain Medical records for potential new enrollees to ensure continuity of care. Provides information on benefits, coverage, exclusions, limitations and current contracted network to prospective participants/caregivers Assesses prospective PACE participants in homes, nursing homes, hospitals, or other settings as part of the intake process Communicates timelines and deadlines for assessments and prospective participant enrollment status within the marketing and enrollment department, with PACE program leadership and the IDT Participates in Interdisciplinary Team (IDT) meetings when potential enrollees are assessed for enrollment into the program for purposes of providing and clarifying information obtained during the enrollment process Collaborates with the Medicaid Specialist to review Medicaid eligibility. Facilitates the retrieval and submission of medical records, state forms, and other enrollment forms to the State of Florida and to the PACE program Completes the initial Level of Care (701B) assessment and submits to the Department of Elder Affairs Assists with community engagement and marketing activities as directed by the Health Plan Manager or Executive Director Collects data and prepares reports in accordance with the State PACE Administering agency and CMS requirements Assists in evaluating the intake and assessment process, identifying problem areas accordingly and making changes as recommended Completes enrollment sections of documentation that are not completed by either clinical or other interdisciplinary group members or operations. Communicates and documents participant and caregiver service requests and grievances as required by CMS regulations. Maintains ongoing relationship with identified individuals and agencies to ensure a clear understanding of PACE as a vital community resource Shares responsibility with other team members in the implementation of the PACE philosophy and achievement of program goals Participates in process and quality improvement initiatives Attends staff meetings and in-service training as required Follows all Policies and Procedures and Occupational Safety and Health Administration (OSHA) safety guidelines Protects privacy and maintains confidentiality of all company procedures, results and information about employees, participants, and families Practices Universal precautions and follows appropriate Infection Control procedures Maintains safe working environment Adheres to all State, Federal, and Company regulations and policies pertaining to marketing activities for the PACE program. Comply with all state and/or federal regulations to ensure all complaints regarding quality of care or service delivery are properly processed as a grievance. Always provides excellent customer service to internal and external customers. Participates in continuing education classes and any required staff and training meetings Maintains professional affiliations and any required certifications Performs other duties as required or requested

Qualifications and Requirements:

Education:

Associates Degree in Registered Nursing (RN) or bachelor’s degree in Social Work, preferred Education or training in geriatrics preferred

Experience:

2 years’ experience in PACE, home health, skilled nursing facility, community health, hospice, or related experience, preferred Have 1 year of experience working with a frail or elderly population OR, if the individual has less than 1 year of experience but meets all other job requirements, the candidate must receive appropriate training from the PACE organization on working with a frail or elderly population upon hiring. Meet a standardized set of competencies for the specific position description established by the PACE organization before working independently.

Skills and Knowledge:

Ability to effectively present the 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 community health and social service delivery systems and aging networks General knowledge of Medicare and Medicaid funding processes Good working knowledge of PACE philosophy and eligibility criteria Partners with the IDT to perform safety assessments on potential PACE enrollees Effectively identify needs and coordinate access to appropriate care and services in an effort to improve or maintain the patient’s functional status and independence Excellent written and verbal communication skills Computer proficiency in Microsoft Word, Excel, PowerPoint, and Outlook Strong organizational and time management skills with the ability to schedule appointments Able to work independently and function with minimal supervision We are an equal opportunity employer. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, disability, pregnancy, genetic information, gender, sexual orientation, veteran status, or any other status protected under federal, state, or local law.