The Eligibility RN conducts home visits and level of care assessments to determine if prospective participants meet PACE program enrollment guidelines. They collaborate with the Interdisciplinary Team and Primary Care Physicians to compile documentation and provide nursing consultation for case management.
Requirements summary
Requires an Associate degree in nursing, a current RN license, and BLS/First Aid certifications. Candidates must have 3+ years of healthcare experience with an emphasis on geriatrics, including at least one year working with the frail or elderly.
associate degreebachelor degreeCase ManagementPatient AssessmentGeriatric CareInterdisciplinary Team CollaborationPatient OutreachClinical ConsultationBilingual CommunicationNursing DocumentationMedicaid GuidelinesMedicare GuidelinesPACE Program KnowledgeLevel Of Care Assessments
Job description
The Eligibility RN is part of the In-Home Services team and partners with the local Enrollment team to determine if prospective participants meet the guidelines for enrolling in the PACE program.
Schedules and conducts home visits, to make level of care assessments to appropriately determine participant eligibility.
Completes respective documentation, in close collaboration with the InnovAge Primary Care Physician, and compiling supporting documentation for enrollment.
Participates and assists with outreach programs.
Serve as member of the Interdisciplinary Team (IDT), and coordinate appointments for prospects that require further assessments by other IDT members.
Participates in the case management of peer review of client records and provides consultation to case managers and other staff members regarding medical and nursing issues.
Maintain knowledge and expertise in eligibility, enrollment, and program specifications for the Federal and State health coverage programs Medicare and Medicaid, and specifically as those guidelines apply to the Program of All Inclusive Care for the Elderly (PACE).
As a member of the In Hom Services team, assists in completing in home assessments, reassessments, supervisory visits, and routine RN care as scheduled and needed by department.
REQUIRED Associate degree from accredited nursing school.
Current Registered Nurses License in state in which working.
Current First Aid and BLS certifications are required prior to hire.
Acceptable vendors for certifications are from either American Heart Association and/or American Red Cross.
3+ years health care experience with emphasis in geriatrics 1+ year working with the frail or elderly.
PREFERRED Bachelor’s in nursing.
Certification as a Gerontological Nurse Prior experience working with State and Federal Regulators Bi-lingual InnovAge is dedicated to empowering seniors to live independently, allowing them to age in their own homes and communities safely.
InnovAge offers an alternative to nursing homes through its Program of All-inclusive Care for the Elderly (PACE), which provides enrolled seniors with customized healthcare and social support at PACE Adult Day Health Centers.
These centers are staffed by medical professionals who are committed to creating personalized care plans for each participant.
Benefits
Dental Insurance
Life Insurance
Paid Time Off
Vision Insurance
Medical Insurance
Flexible Spending Accounts
Short-term Disability
Long-term Disability
AD&D
Supplemental Life Insurance
Company-paid Holidays
401(k) Savings
At InnovAge, our team members are our greatest asset and have a significant impact on the lives of our participants every day.
When you join InnovAge, you'll work alongside talented, respectful, and passionate colleagues within a patient-centered care model.
InnovAge is committed to equal opportunity and affirmative action, and we strive to create a diverse and inclusive workplace.
We consider all qualified candidates for employment without discrimination based on race, color, religion, sex, sexual orientation, gender identity/expression, national origin, disability, protected veteran status, pregnancy, or any other protected status.
Salaries are determined by various factors such as qualifications, experience, and location, and do not include potential bonuses or benefits.
Our extensive benefits package includes medical/dental/vision insurance, short and long-term disability, life insurance and AD&D, supplemental life insurance, flexible spending accounts, 401(k) savings, paid time off, and company-paid holidays.
Applicants are considered until the position is filled. $38.80 - $50.48 Compensation Disclaimer The pay may vary depending on job related factors, such as work location, experience, knowledge, skills, education, certifications, training and internal equity.
InnovAge offers a comprehensive benefits package, which includes medical, dental, vision, 401(k) plan with company match, short and long-term disability, life insurance, supplemental life insurance, ADD, flexible spending account, paid time off and company paid holidays.
Attention Florida Applicants This position requires a background screening through the Florida Care Provider Background Screening Clearinghouse.
For more information, please visit the Clearinghouse Education and Awareness website: https://info.flclearinghouse.com Agency Disclaimer InnovAge will not accept unsolicited resumes from search firms for this employment opportunity.
Regardless of past practices, all candidates/resumes submitted by search firms to InnovAge by any means without a valid written search agreement in place for that position will be deemed the property of InnovAge and no fee will be paid in the event such candidate is hired by InnovAge.
Fraud Disclaimer InnovAge is committed to maintaining a safe, transparent, and respectful hiring process for all candidates.
Please be aware that all legitimate email communication regarding InnovAge job opportunities will come exclusively from an email address ending in @innovage.com.
At no point in our hiring process will InnovAge: Request payment from candidates for equipment, background checks, onboarding, training, or any other employment‑related purpose Ask for financial information (such as bank account details) before a formal offer and onboarding process is completed through our official systems If you receive a message claiming to represent InnovAge that does not align with the above, it may be fraudulent.
We encourage you to exercise caution and refrain from engaging or sharing personal information.
If you believe you have been contacted by someone misrepresenting InnovAge, please report the activity to HRAnswers@innovage.com or apply directly through our official career site to ensure the opportunity is legitimate.
Your trust matters to us, and we appreciate your interest in joining InnovAge.
