Eligibility RN

InnovAge • Full-time • Pueblo, Colorado • 3w ago

This position is primarily responsible for supporting the Pueblo Center coverage area and other areas as the business needs.

TheEligibility RN is part of the In-Home Services team and partners with the local Enrollment team to determine if prospective participants meet the guidelines for enrolling in the PACE program.

Schedules and conducts home visits, to make level of care assessments to appropriately determine participant eligibility.
Completes respective documentation, in close collaboration with the InnovAge Primary Care Physician, and compiling supporting documentation for enrollment.
Participates and assists with outreach programs.
Serve as member of the Interdisciplinary Team (IDT), and coordinate appointments for prospects that require further assessments by other IDT members.
Participates in the case management of peer review of client records and provides consultation to case managers and other staff members regarding medical and nursing issues.
Maintain knowledge and expertise in eligibility, enrollment, and program specifications for the Federal and State health coverage programs Medicare and Medicaid, and specifically as those guidelines apply to the Program of All Inclusive Care for the Elderly (PACE).
As a member of the In Home Services team, assists in completing in home assessments, reassessments, supervisory visits, and routine RN care as scheduled and needed by department.

REQUIRED

Associate degree from accredited nursing school.
Current Registered Nurses License in state in which working.
Current First Aid and BLS certifications are required prior to hire. Acceptable vendors for certification are American Heart Association and Red Cross.
3+ years health care experience with emphasis in geriatrics
1+ year working with the frail or elderly.

PREFERRED

Bachelor’s in nursing.
Certification as a Gerontological Nurse
Prior experience working with State and Federal Regulators
Bi-lingual

InnovAge is dedicated to empowering seniors to live independently, allowing them to age in their own homes and communities safely. InnovAge offers an alternative to nursing homes through its Program of All-inclusive Care for the Elderly (PACE), which provides enrolled seniors with customized healthcare and social support at PACE Adult Day Health Centers. These centers are staffed by medical professionals who are committed to creating personalized care plans for each participant. At InnovAge, our team members are our greatest asset and have a significant impact on the lives of our participants every day. When you join InnovAge, you'll work alongside talented, respectful, and passionate colleagues within a patient-centered care model.

InnovAge is committed to equal opportunity and affirmative action, and we strive to create a diverse and inclusive workplace. We consider all qualified candidates for employment without discrimination based on race, color, religion, sex, sexual orientation, gender identity/expression, national origin, disability, protected veteran status, pregnancy, or any other protected status. Salaries are determined by various factors such as qualifications, experience, and location, and do not include potential bonuses or benefits. Our extensive benefits package includes medical/dental/vision insurance, short and long-term disability, life insurance and AD&D, supplemental life insurance, flexible spending accounts, 401(k) savings, paid time off, and company-paid holidays.

Applicants are considered until the position is filled.

$41.73 - $54.28

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