Enrollment Specialist - PACE

Los Angeles Jewish Health; Los Angeles (CA); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Paid time off

9 paid holidays

403(b) retirement plan with company 12

Job summary

Los Angeles Jewish Health and its Brandman Centers for Senior Care (PACE) seek a Clinical Manager to lead outreach, enrollment, and administrative operations for senior care services. You will coordinate with marketing, IDT, and care teams to educate communities, enroll seniors, and ensure regulatory compliance.

The role requires a Bachelor’s degree in a related field, California licensing prerequisites, and strong communication and networking skills to support the PACE program across LA

Qualifications

• Bachelor’s degree or equivalent experience in a relevant field.
• DHCS Certification as a marketing representative within 30 days of hire.
• CPR (BLS) and first aid training, with verification.
• Valid California driver’s license.
• TB screening and health exam completion required.

Responsibilities

• Refine and implement an Outreach Strategy for BCSC PACE catchment areas.
• Coordinate outreach efforts with LAJH Marketing Department.
• Conduct community outreach events, presentations, and educational opportunities.
• Create and present educational materials to differentiate the BCSC PACE program.
• Maintain a CRM database of contacts and events.
• Convince seniors and families that BCSC PACE is the right health plan.
• Develop a pipeline of prospects to meet KPIs for census growth.
• Report enrollment prospects weekly to Marketing Director.
• Manage enrollment intake with Center Manager and IDT.
• Schedule visits and follow up on leads for prospective enrollees.
• Document enrollment information and ensure proper handoff to Medical Records.

Skills

Excellent communication skills

English/Korean language proficiency (p

Education

Bachelor’s Degree in Healthcare, Sociology, Business Administration, Marketing or related field

Job description

We truly value our employees and are committed to their success! We offer long-term employment opportunities with job stability, as well as support and encouragement for career growth and advancement. Our comprehensive benefits package includes Health, Dental, and Vision insurance, Paid Time Off, 9 Paid Holidays, a 403(b) Retirement Plan with company matching, and company-paid Life Insurance. Join our team and experience a workplace culture that fosters teamwork, growth, and support!

Los Angeles Jewish Health has been a trusted provider of senior healthcare for over 100 years, offering a wide range of services that prioritize excellence and Jewish values. We serve more than 4,000 seniors across our San Fernando Valley campuses, delivering personalized care tailored to each individual’s needs, from independent living to specialized healthcare programs.

The Brandman Centers for Senior Care (BCSC), a Program of All-inclusive Care for the Elderly (PACE), provides high-quality, comprehensive healthcare services. We are a program of Los Angeles Jewish Health, renowned for providing quality care to vulnerable seniors.

The responsibilities of the BCSC Clinical Manager include, but are not limited to:

Outreach Responsibilities

• Refine and implement an Outreach Strategy with specific calendared activity tied to specific objectives for the catchment areas served by BCSC PACE.
• Coordinate additional Outreach efforts with LAJH Marketing Department.
• Perform Community Outreach efforts and activities including presentations, educational opportunities, and other special events, which may occur beyond normal business hours.
• Create and present PowerPoint presentations to educate and differentiate about our BCSC PACE Program, and be able to speak “off the cuff” about the benefits to PACE and why it should be the preferred Health Plan for all qualified Seniors.
• Maintain a CRM database of Community Service Information, contacts, and events.
• The ES must be able to convince seniors and their families that BCSC PACE is the right thing for their health and social well-being and that “NOW-Not later” is the time to consider PACE as their Health Plan.
• The ES must develop and maintain a full pipeline of current, short term, and longer term prospects in order to meet their Key Performance Indicators and increase the census of BCSC PACE Participants.

Enrollment Responsibilities

• Report to BCSC Marketing Director weekly on current, short term and longer term prospective enrollees.
• Manage enrollment process and perform all intake functions in coordination with other BCSC marketing staff, working closely with the Center Manager, the Interdisciplinary Team, Home Care, LOC Nurse, Doctors, and Transportation department to assure appropriateness of prospective enrollees.
• Schedule prospective enrollee visits to describe and answer questions regarding PACE services.
• Immediately follow-up on all leads for prospective BCSC PACE Program interested parties and respective inquiries, and make every effort to reach all parties who inquire about our BCSC PACE Program.
• During the residence visits, confirm residence, transport and neighborhood safety factors. Report any indications of safety concerns or abuse according to BCSC policy and California law.
• Deliver appropriate prospective enrollee medical record information and releases, and in-person presentation to the Interdisciplinary Team (IDT) prior to assessment for each candidate.
• Work closely with Center Manager and IDT to ensure that potential enrollees are greeted and oriented to the PACE Center during visits.
• With the Center Manager and Social Worker, execute the enrollment conference ensuring that the applicant and/or his/her/their representative are fully apprised of all required enrollment information.
• When applicable, document the reasons an applicant does not qualify for PACE, discuss these with the applicant and family or caregiver and provide referral information about other community services.
• Once enrollments are finalized, inform BCSC administrative staff and ensure a copy of the Enrollment Agreement and Medicare and Medi-Cal cards are provided to Medical Records/HPS.
• Maintain current documentation on each applicant and participant who requests information about BCSC or seeks to enroll in BCSC.

Administrative Functions

• Keeps promotional, marketing, and administrative supplies and materials ready by inventorying stock.
• Coordinates provider and marketing mailings.
• Consistently meets or exceeds BCSC quality assessment and performance improvement targets.
• Ensure that all marketing and enrollment activities comply with state and federal regulatory requirements including but not limited to PACE.
• Assist with refinement of the Participant Enrollment Agreement Terms and Conditions, marketing materials, presentations, and policies and procedures.
• Comply with safety policies and procedures, identifying and immediately reporting any potential or actual unsafe acts or conditions to the Center Manager. Take necessary measures to ensure a safe environment for oneself, co-workers, contractors, participants, visitors and others.
• Effectively collaborate with staff peers and contractors to meet BCSC goals and further success.
• Comply with all policy and procedures of BCSC.
• Demonstrate proficiency in delivering age-specific care.

Education And Experience

• Degree and diplomas: Bachelor’s Degree in Healthcare, Sociology, Business Administration, Marketing or related field, or equivalent experience required.
• Certificates, Licenses: DHCS Certification as a marketing representative within 30 days of hire. Verification of completion of CPR (BLS) and first aid training. Must have a valid California driver’s license. TB screening and successful completion of a health examination by a health care provider is required for employment.
• Experience: Minimum of two years’ experience in sales-oriented health services marketing or public relations. Experience in increasing market share and/or rolling out new programs preferred. Must possess knowledge of how PACE fits in the continuum of care and compares to other service/benefits that are available in the community. Demonstration of strong community networking contacts.
• Skills/Aptitudes: Comprehensive understanding of the current healthcare environment for seniors, including managed care. Must possess cultural awareness and sensitivity and have strong belief in the PACE model, mission and philosophy. Excellent communication skills, both verbal and written. Must have demonstrated ability to deliver service to the elderly and fellow employees with compassion and in a responsive and courteous manner. English/Korean speaking preferred.

Join Los Angeles Jewish Health and make a meaningful impact in the lives of seniors in our community. Become part of our compassionate team, dedicated to providing exceptional care and support.