Eligibility RN

InnovAge Holding Corp.; Orlando (FL); On-site; USD 54,000 - 70,000; Full time

Benefits offered by this job

Medical/dental/vision insurance

401(k) with company match

Paid time off

Job summary

InnovAge Holding Corp. seeks an Eligibility RN to join its In-Home Services team in Florida. The RN will conduct home visits to assess level of care and determine participant eligibility for PACE enrollment, and collaborate with the Enrollment team and PCP to compile required documentation.

The role includes outreach, IDT coordination, and case management support while maintaining up-to-date knowledge of Medicare/Medicaid and PACE guidelines. Competitive benefits are offered.

Qualifications

• Associate degree from accredited nursing school.
• Current Registered Nurse license in the state of practice.
• Current First Aid and BLS certifications required prior to hire.
• 3+ years health care experience with emphasis in geriatrics.
• 1+ year working with the frail or elderly.

Responsibilities

• Schedules and conducts home visits to determine eligibility for PACE enrollment.
• Completes documentation with InnovAge Primary Care Physician and gathers supporting enrollment documents.
• Participates in outreach programs and coordinates with the Enrollment team.
• Acts as IDT member; coordinates appointments for further assessments.
• Provides case management consultation to staff on medical and nursing issues.
• Maintains knowledge of Medicare/Medicaid and PACE guidelines for eligibility/enrollment.
• Assists in in-home assessments, reassessments, supervisory visits, and routine RN care as scheduled.

Skills

Geriatrics

Home visits

Enrollment coordination

Case management

Education

Associate degree in nursing

Bachelor's in nursing

Job description

TheEligibility RNis 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 Hom 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 certifications are from either American Heart Association and/or American 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.

$38.80 - $50.48

Compensation Disclaimer

The pay may vary depending on job related factors, such as work location, experience, knowledge, skills, education, certifications, training and internal equity. InnovAge offers a comprehensive benefits package, which includes medical, dental, vision, 401(k) plan with company match, short and long-term disability, life insurance, supplemental life insurance, ADD, flexible spending account, paid time off and company paid holidays.

Attention Florida Applicants

This position requires a background screening through the Florida Care Provider Background Screening Clearinghouse. For more information, please visit the Clearinghouse Education and Awareness website: https://info.flclearinghouse.com