Enrollment Specialist-PACE na Neighborhood Healthcare

Community health is about more than just vaccines and checkups. It’s about giving people the resources they need to live their best lives. At Neighborhood, this is our vision:  a community where everyone is healthy and happy. We’re with you every step of the way, with the care you need for each of life’s chapters. At Neighborhood, we are Better Together.

As a private, non-profit 501(C) (3) community health organization, we serve over 500,000 medical, dental, and behavioral health visits from more than 100,000 people annually. We do this in pursuit of our mission to improve the health and happiness of the communities we serve by providing quality care to all, regardless of situation or circumstance.

Since 1969,  our employees have been making this mission a reality.  Regardless of the role, our team focuses on being compassionate, having integrity, being professional, always collaborating, and consistently going above and beyond.  If this sounds like an organization you would like to be a part of, we would love to meet you.

The Enrollment Specialist will coordinate and conduct new enrollments for participants into Neighborhood Healthcare's PACE (Program of All Inclusive Care for the Elderly) program. The Enrollment Specialist will focus on completed prospect intakes and enrollment conferences resulting in PACE program enrollments. Additionally, this position will collaborate with the Outreach Specialists team to increase census within the program. Hybrid Schedule: Monday-Friday 8:00am-5:00pm.

In addition to a competitive hourly rate, this position offers both individual and team performance bonuses, providing excellent earning potential. 

Responsibilities

• Conducts and completes program eligibility screenings, intakes, assessments, education, and enrollment assistance activities with potential participants and/or their families to determine eligibility for PACE
• Coordinates communications of eligibility decisions, approvals, or disapprovals with participant or their family members
• Participates in required meetings, such as the interdisciplinary, (IDT) management and other related meetings and activities to discuss participant enrollment and outreach progress and efforts
• Works with Outreach Department on community based activities to attract potential participants at events at sites and in the community
• Collects and enters information related to referrals, intakes, enrollments, marketing, and outreach activities notes for weekly and monthly reports for PACE and Marketing
• Provides program tours, intakes, education, and enrollment assistance to determine participant needs and enrollment eligibility, including in their participants’ homes, as needed
• Facilitates referrals for participants for assistance from Neighborhood and other community resources
• Provides responsive and high-quality services to patients, staff, and outsides agencies
• Impacts patient and team experience by demonstrating courteous and helpful behavior and a commitment to accuracy
• Provides input and feedback on PACE’s internal and external outreach, education, and enrollment plans for engaging, assisting, enrolling, and retaining new and current participants
• Conducts community outreach and education activities to patients and community members at clinic locations and other community locations about PACE and other related health coverage options
• Adjusts outreach and enrollment strategies to align with trending data analysis for better engagement rates with participants 
• Maintains effective interpersonal relationships with all levels of staff, other departments, agencies, providers, and the public
• Performs outreach and enrollment activities according to Neighborhood and outside agencies policies & procedures 

Qualifications

Education/Experience

• High school/GED required; bachelor’s degree in health or human service preferred
• One year of community health, senior health, marketing, or health/services related enrollment experience required
• One year of Medi-Cal, Medicare, managed healthcare eligibility, or senior related sales experience preferred
• Valid CA driver’s license and proof of auto insurance required
• Must take and pass the California Department of Health Care Services (DHCS) and Medi-Cal Marketing exam within 60 days of hire
• Bilingual(Spanish) highly preferred 

Additional Qualifications (Knowledge, Skills and Abilities)

• Excellent verbal and written communication skills, including superior composition, typing and proofreading skills
• Ability to interpret a variety of instructions in written, oral, diagram, or schedule form
• Knowledgeable about and experience with frail or elderly populations
• Skilled in applying sales and marketing strategies to effectively engage and enroll individuals from diverse social and ethnic groups, while building trust and generating referrals
• Experienced in using systems and processes to accurately track, measure, and analyze sales activity to drive enrollment goals
• Proficient in developing new contacts and cultivating strong referral networks to support sustained enrollment growth
• Adept at tailoring outreach and marketing approaches to connect with diverse communities and convert interest into successful program enrollments
• Ability to successfully manage multiple tasks simultaneously
• Excellent planning and organizational ability
• Ability to work as part of a team as well as independently
• Ability to work with highly confidential information in a professional and ethical manner

Physical Requirements

• Ability to lift/carry 15 lbs/weight
• Ability to stand for long periods of time

Neighborhood Healthcare offers a generous benefit plan that includes:  Partially company paid Medical, Dental, and Vision Plans. Two plus weeks of vacation, Nine Holidays including two Floating Holidays of your choosing, Sick/Personal time, Volunteer Time Off (VTO), 403b Retirement plan (similar to a 401k), optional Health and Wellness events, and much more! 

Pay range: $29.71 - $40.96 per hour, depending on experience.  In addition to a competitive hourly rate, this position offers both individual and team performance bonuses, providing excellent earning potential.

Compensation Disclosure: The posted salary range reflects the designated pay grade for this position. While this range represents the broader classification of the role, actual compensation will be based on several factors, including but not limited to the candidate’s overall knowledge, skills, and experience, market data and industry benchmarks, internal equity within the organization, Budgetary considerations and organizational needs. As a result, placement within the range is not guaranteed, and the full pay grade range may not be utilized.