Director, Eligibility RN

InnovAge; Denver (CO); On-site; USD 136,000 - 178,000; Full time

Job summary

An established industry player is seeking a Director of Eligibility RN to lead eligibility assessments for their innovative PACE Program. This role involves collaboration with various teams, overseeing assessments, and ensuring compliance with regulations. The ideal candidate will have extensive healthcare experience, particularly with the elderly, and will thrive in a dynamic environment that values teamwork and effective communication. With a commitment to diversity and comprehensive benefits, this opportunity is perfect for a dedicated professional ready to make a significant impact in the field.

Benefits

Health Insurance

Disability Insurance

Life Insurance

401(k) Plan

Paid Time Off

Holidays

Flexible Spending Account

Qualifications

• 10+ years of healthcare experience with a focus on geriatrics.
• Current RN license and First Aid/BLS certifications required.

Responsibilities

• Coordinate eligibility assessments and collaborate with various teams.
• Manage home visits and clinic appointments for assessments.
• Lead and supervise staff while promoting team morale.

Skills

Healthcare Management

Analytical Judgment

Collaboration

Regulatory Knowledge (Medicare, Medicaid, PACE)

Education

Associates Degree in Nursing

Job description

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Responsibilities

Location Preference: Ideally in Denver, CO, but CA considered. The Director collaborates with Eligibility RNs, Business Development, and Enrollment teams to determine eligibility for the InnovAge PACE Program. Physical presence at an InnovAge facility or participant home is essential.

Essential Functions and Work Responsibilities

• Coordinate with Business Development and Enrollment to assess prospective PACE participants against guidelines.
• Oversee home visits and clinic appointments for eligibility assessments.
• Manage completion of eligibility assessments and documentation for state enrollment.
• Collaborate with sales, enrollment, and state departments on eligibility decisions.
• Support business development and outreach efforts.
• Participate in peer reviews and provide medical/nursing consultation.
• Maintain expertise in Medicare, Medicaid, and PACE regulations.
• Contribute to the implementation of PACE philosophy and goals.
• Resolve complex business issues using analytical judgment.
• Apply industry standards to drive performance.

Supervision

• Lead subordinate managers, supervise staff, and foster a positive work environment.
• Conduct performance reviews and ensure compliance with policies.
• Promote team morale and effective communication.

Travel Requirements

• Travel required, including overnight out-of-state travel.

Qualifications

Required:

• Associates degree from an accredited nursing school.
• Current RN license in the working state.
• First Aid and BLS certifications prior to hire.

Work Experience:

• 10+ years healthcare experience, with emphasis on geriatrics.
• 3+ years working with the frail or elderly.

Benefits

InnovAge offers comprehensive benefits including health insurance, disability, life insurance, flexible spending, 401(k), paid time off, and holidays. We are committed to diversity and equal opportunity employment.

Salary Range

$136,400 - $177,400