Work Shift:

Day (United States of America)

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advance technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Position Overview:

Serves as the initial contact for prospective enrollees and their representatives to provide information about Capital Health PACE.Obtains demographic, medical, insurance, financial, and referral information to determine eligibility and interest. Refers individuals to other appropriate resources when necessary.Establishes and maintains positive relationships with prospects. Visits homes and other settings. Reviews enrollment documentation and ensures potential participants understand program services. Acts as liaison between prospects and staff as necessary for communication, scheduling, care plan development, and enrollment.Coordinates and continually monitors each component of enrollment process to ensure all deadlines are met and initiates changes as necessary. Schedules enrollment assessment process and maintains documentation in various computer programs for tracking and reporting purposes.Assists with Medicaid financial application process. Reviews Medicaid eligibility, provides administrative support, monitors approval timeframe, and performs other tasks to facilitate a smooth application and certification process.Communicates regularly with all Capital Health PACE members of the Interdisciplinary Team to share key information. Coordinates tasks and provides support for the enrollment process as needed.Establishes and maintains positive working relationships with referral sources to regularly discuss possible program candidates and ensure a clear understanding of PACE program as a vital community resource. Maintains similar relationships with Medicaid and other industry contacts.Assists with marketing activities as needed, including representing Capital Health PACE in community presentations, special events, health fairs, and trade shows.Performs other duties as assigned.MINIMUM REQUIREMENTSEducation:Associate's degree in related field. Bachelor's degree in healthcare or human services field preferred.Experience:One year of experience in case or care management, benefits administration, marketing, or sales experience in a healthcare.Other Credentials:Drivers LicenseKnowledge and Skills:Excellent organizational skills. Ability to perform multiple duties and functions related to daily operations and maintain excellent customer service skills. Ability to perform frequent detailed tasks and provide immediate service with frequent interruptions. Ability to change and be flexible with work priorities. Strong problem-solving skills.Special Training:Comprehensive to expert proficiency with Microsoft product suite (MS Word, Excel, Power Point). Basic knowledge and experience with email and calendaring system. Knowledge of systems necessary, experience preferred.Mental, Behavioral and Emotional Abilities:Possesses a high degree of personal accountability, responsibility, and independent decision-making abilities with the skills to interpret programs, goals, objectives, policies, and procedures of the organization.PHYSICAL DEMANDS AND WORK ENVIRONMENTFrequent physical demands include: Sitting , Standing , Walking , Climbing (e.g., stairs or ladders) , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl , Wrist position deviation , Pinching/fine motor activities , Keyboard use/repetitive motionOccasional physical demands include:Continuous physical demands include:Lifting Floor to Waist 10 lbs. Lifting Waist Level and Above 10 lbs.Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Accurate Color Discrimination, Accurate Depth Perception, Accurate HearingAnticipated Occupational Exposure Risks Include the following: Bloodborne Pathogens , Chemical , Airborne Communicable Disease , Extreme Temperatures , Radiation , Uneven Surfaces or Elevations , Extreme Noise Levels , Dust/Particulate Matter

IND123

Offers are contingent upon successful completion of our onboarding process and pre-employment physical.  Capital Health will require all applicants (including contractors, travelers and consultants) to have an annual flu vaccine prior to start date, with the exception of individuals with medical and religious exemptions.

"Company will never ask candidates for social security numbers or date of birth during application phase. If you are asked for this information online, you may be a target for identity theft."