Job Description:
ESSENTIAL DUTIES AND RESPONSIBILITIES:
-Receives and generates referrals from agency staff and community sources.
-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, 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.
-Verify current program eligibility as stated in state and federal regulations.
-Responsible for completing only the enrollment sections of documentation that is not completed by either clinical or other interdisciplinary group members or operations.
-Participates in the participant/family enrollment meeting and is responsible for answering non-clinical questions regarding patient rights and other program regulations.
-Responsible for maintaining accurate documentation for all intake/enrollment of participants.
-Provides any additional (relevant) information to the Interdisciplinary Team that the prospective participant and/or the caregiver may have disclosed prior to enrollment in order to provide a more comprehensive initial evaluation.
-Responsible for filing documentation to coordinate the initial assessment of potential participants
-Participates in the participant/family enrollment meeting and is responsible for answering non-clinical questions regarding patient rights and other program regulations.
-Responsible for maintaining accurate documentation for all intake/enrollment of participants.
-Provides any additional (relevant) information to the Interdisciplinary Team that the prospective participant and/or the caregiver may have disclosed prior to enrollment in order to provide a more comprehensive initial evaluation.
-Responsible for filing documentation to coordinate the initial assessment of potential participants.
-Maintain an open line of communication with Program Management and update relevant information as it occurs.
-Adheres to all State, Federal, and Company regulations and policies pertaining to marketing activities for the PACE program.
-Provides excellent customer service at all times to internal and external customers.
-Recommends and upon approval, implements new/revised policies, procedures, and systems for the program that improve efficiency, effectiveness, and minimizes loss ratio.
-Performs all other duties as assigned by manager