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Eldercare Enrollment Coordinator

Job Description

Eldercare Enrollment Coordinator

As Mount Sinai grows, so does our legacy of caring.

Located in the heart of Miami Beach, overlooking the breathtaking intracoastal waterway, Mount Sinai Medical Center is dedicated to providing exceptional health care to our diverse community enhanced through innovation, technology, teaching, and research.

Mount Sinai is South Florida’s largest private independent not-for-profit hospital with 672 beds, and a tight-knit community of more than 4,000 employees.

We provide world-class care:

  • Named one of America’s 250 Best Hospitals for 2023, 2022, 2021 and 2020 by Healthgrades, positioning Mount Sinai among the top 5% of hospitals in the nation for overall clinical excellence
  • A pioneer in innovative medical research in areas such as cardiology, cancer, memory disorders and pulmonary diseases
  • The most cardiac surgery procedures performed in South Florida over the past 10 years
  • A new seven-story Surgical Tower with 154 all-private rooms and patient centered technology promotes an exceptional patient experience

Position Responsibilities:

  • Initiate and maintain contact with identified hospital  departments like care management, physicians, hospitalists, emergency room physicians, behavioral health, rehabilitation, memory care and other departments for direct to customer promotion of the Eldercare (PACE) program.
  • Responsible for identifying and building effective relationships with community referral sources, agencies, healthcare/human service professionals and other community groups.
  • Creates weekly plans that reflect appropriate daily sales calls/staff/patient interactions to educate and promote the Eldercare program
  • Communicates and assists the Enrollment and IDT to ensure timely enrollment, and patient and referral source satisfaction
  • Maintains accurate account list for all prospective referral sources and tracks all patient referrals through enrollment.
  • Attends Eldercare sales and enrollment meetings
  • Act as a liaison between participants and PACE Organization Enrollment Team as required to resolve problems, provide information on services, and maintain positive relations
  • Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Eldercare Compliance, Fraud Waste and Abuse Program, Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
  • Receives and provides information to individuals referred to the Eldercare program eligibility, services provided and fully explaining  that Eldercare is a health care or insurance plan.
  • Accepts referrals and inputs appropriate information into appropriate tracking methodology(s) and EHR timely.
  • Accurately enters appropriate service requests, incidents, grievances, etc. into EMR and reports information timely to supervisor and IDT.
  • Communicates timelines and deadlines for assessments and prospective participant enrollment status within the marketing and enrollment department, with PACE program leadership and the IDT.
  • Assists with financial eligibility process for potential PACE participants by reviewing Medicaid eligibility and facilitating Medicaid applications with necessary supporting documentation for approval.
  • Ensures necessary paperwork related to participant enrollment is received by AHCA and DOEA, and Eldercare medical records staff on or before the appointed cut-off date.
  • Collects data and prepares reports in accordance with the AHCA, DOEA, DCF and other agency and CMS requirements.
  • Participates in the quality improvement program

Qualifications:

  • BLS or CPR Certified. LPN preferred.
  • Graduated from an accredited school of nursing (LPN), social work (BSW) or Bachelors degree in health care or marketing related field is preferred. High School or graduation equivalent is required. Education in geriatrics is also preferred.
  • Two (2) years of sales or marketing experience preferred. Experience in a health care setting preferred. A combination of education and experience may be acceptable.  At least one year working with the frail or elderly.

Benefits:

We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs. Our robust employee benefits package includes:

  • Health benefits
  • Life insurance
  • Long-term disability coverage
  • Healthcare spending accounts
  • Retirement plan
  • Paid time off
  • Tuition reimbursement
  • Employee assistance program
  • Wellness program
  • On-site housing for selected positions and more!

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Company/Organization

Mount Sinai Medical Center

Workplace Type

On-site

Job Type

Full-time

Job Location