RN / Intake Coordinator

Membership Oakland, California


Description

********$5K SIGNING BONUS OFFERED**********

The Center for Elders’ Independence
is a PACE (Program of All-Inclusive Care for the elderly) organization that uses an interdisciplinary team approach to care planning and care implementation for the purpose of providing high quality, affordable, integrated health care services to the elderly, including an Adult Day Health Center, and promoting autonomy, quality of life and the ability of individuals to live in their communities.


The RN/Intake Coordinator critically reviews nursing assessments, provider assessments and other medical records and histories of PACE participants and potential participants to identify skilled nursing needs and information pertinent to Level of Care (LOC) determinations. This position identifies and obtains additional information that may be pertinent but is not in submitted records, completes and submits "Level of Care" letters to the State of California. As part of the Member Services team, the RN/Intake Coordinator also participates in outreach activities and prospect assessments as needed and helps train staff in Medical understanding.

Duties and Responsibilities:

  • Meets with member services staff to review medical and ADL/IADL information to evaluate if a participant is potentially eligible for PACE. Infers skilled nursing needs from medications and known conditions of program applicants and uses the information to write initial level of care (ILOC) letters.
  • Reviews LOC initial and/or annual assessment documentation for completeness and accuracy and determines if additional documentation or clarification is necessary.
  • Works with various staff to obtain additional documentation or assessments if necessary to establish skilled level of care
  • Coordinates with medical staff to obtain a green light for enrollments
  • Serves as a liaison between CEl and the level of care nurses at California Department of Healthcare Services (DHCS)
  • Maintains ILOC process documentation in appropriate CEI database
  • Completes home visits and assessments, as needed.
  • Participates in outreach activities, including community health education, presentations, and developing relationships with stakeholders in targeted communities as needed.

Qualifications:

  • Current California RN license
  • Familiarity with Nursing home level of care eligibility (highly desired)
  • Ability to write persuasive language
  • Attention to detail and good follow through skills
  • Proficiency in Microsoft Word, Microsoft Excel, and Microsoft Outlook
  • Bi -lingual (highly desired)

 This is what our employees say about working at CEI:

“There is nothing more satisfying to me than watching the relief in participants’ and their families’ eyes when they hear that they will be receiving help with their medical and home care needs and no longer have to carry the responsibility alone.”

“The integrated team work at CEI is wonderful.”

“PACE considers the whole person, with the environment — it does not treat only the disease. I like the fact that we are a whole team to deal with each participant. It helps to think that another discipline might be able to persuade a participant to act more reasonably, to better his health.”




 

Center for Elders’ Independence is a PACE (Program of All- Inclusive Care for the Elderly) organization that uses an interdisciplinary team approach to care planning and care implementation for the purpose of providing high quality, affordable, integrated health care services to the elderly, including an Adult Day Health Center, and promoting autonomy, quality of life and the ability of individuals to live in their communities. Unlike other healthcare plans, CEI is not a "fee-for-service" plan. It is a a “capitation” healthcare plan. CEI is paid a set amount for each person enrolled in our program, whether or not that individual seeks care. We are a growing company that offers stability and continues to thrive.