Job Summary: Under the direction of the Enrollment Director, completes, documents, submits, monitors, and reports progress on assessments, and care plans, for potential St. Paul’s PACE enrollees.

Duties and Responsibilities:

• Completes medical, homecare, and lifestyle assessments (in-home and at the PACE clinic) for potential St. Paul’s PACE enrollees
• Reviews all medical records, and documents all medications, to ensure that potential enrollees meet the level of care requirements for PACE
• Documents all assessments in DHCS tool and EMR
• Manages submissions and notifications to DHCS and potential enrollees regarding their required level of care and eligibility for PACE
• Participates in weekly Enrollment Committee meetings to discuss assessment findings
• Completes preliminary home care and clinic care plans for the interdisciplinary team
• Presents information on health-related topics to the community
• Provides clinical support in PACE clinics, as needed
• Miscellaneous tasks given by the management team and/or colleagues

Qualifications and Requirements:

• Education: Graduate of a school of professional nursing. Current California Registered Nurses License, CPR certification required, BSN preferred. Shall be at least 18 years of age.
• Experience: A minimum of one year’s experience in working with the frail or elderly population required. Shall have either training or related experience in the job assigned.

Skills/Knowledge:

• Broad knowledge base of health care problems of the frail elderly.
• Knowledge of medical equipment and instruments.
• Knowledge of common safety hazards and precautions to establish a safe working environment.
• Skilled in preparing and maintaining records and writing reports and responding to correspondence.
• Skilled in developing and maintaining department quality assurance.
• Skilled in establishing and maintaining effective working relationships with participants, medical staff, staff members and family caregivers.
• Ability to accurately complete documentation and track.
• Ability to meet deadlines with minimal supervision.