LIFE Program Specialist

Description

About LIFE Pittsburgh

LIFE Pittsburgh, a growing nonprofit organization with approximately 400 employees, is a community-based alternative to nursing home care and assisted living. Through the LIFE Pittsburgh program, frail older adults can remain in their own home and receive a coordinated plan of care that enables them to maintain their independence and enjoy a safe and active life in the community. Our health teams of geriatric physicians and nurse practitioners, nurses, social workers, rehabilitation specialists and other health care professionals assess our Participants' needs and desires, plan and approve services with them and their family or caregiver, monitor for changes and provide timely interventions. Primary care and community services are provided through our Day Health Centers and through our in-home program according to an individual Participant's needs.

What We Offer

• Rich Benefits Package including Medical, Dental, and Vision
• 401(k) with Company Match, vested immediately
• Life Insurance
• Want to further your education? We offer Tuition Reimbursement!
• Paid Time Off – Grows every pay period and rolls over into new year!

Job Summary

Under the direction of the Manager of Outreach and Enrollment, the LIFE Program Specialist (LPS) will be the primary contact for new enrollees interested in the LIFE Pittsburgh program. The LPS is responsible for cultivating a positive relationship with each pre-enrollee, while also driving the enrollment process involving numerous internal and external stakeholders. The LPS will consistently demonstrate and reflect a commitment to the mission and core values of LIFE Pittsburgh to assist the elderly in maintaining their dignity and independence in the community.

Essential Functions

• Ensures all pre-enrollees and families in their caseload are well-informed of the LIFE Pittsburgh program – its benefits, the enrollment process, as well as the requirements for eligibility. This includes reviewing the major aspects of the enrollment agreement – explaining the partnership between the participant and the team, as well as informing them of their rights and responsibilities.
• Ensures participant and family expectations of the program are appropriate throughout the enrollment process.
• Performs the preliminary in-person evaluation for assigned pre-enrollee cases, with the expectation that each Assessment and Enrollment Specialist completes a minimum of 17 evaluations each month. This assumes an appropriate pipeline of incoming new cases to be dispersed across the enrollment group.
• Accurately completes the intake and assessment (I&A) form, providing the interdisciplinary team with critical information related to medical, social, and mental health history, as well as living conditions. As part of the I&A, the AES will also begin to gather financial information.
• Participates in internal meetings by providing accurate updates on each pre-enrollee status.
• Diligently follows up to ensure all required clinical and financial documentation is gathered and shared appropriately (internally and externally) for enrollment cases.
• Updates all necessary trackers with accurate and up-to-date information related to their cases.
• Collaborates with interdisciplinary team as needed during the assessment and care planning for pre-enrollees.
• Completes a minimum of 6 participant enrollments per month.
• Maintains positive and collaborative relationships with referral sources such as hospital social workers, nursing personnel, housing service coordinators and managers, social service coordinators, and community case workers to facilitate positive community and referral relationships.
• As needed, provides backup coverage to assist with answering phone and/or web inquiries. In doing so, captures all relevant information and updates the appropriate database(s).
• As needed, provides backup coverage for outreach and marketing activities.
• May perform additional essential and/or non-essential job functions as assigned by supervisor at any given time with or without notice.

Working Conditions:

• Hybrid office and home-based environment with regional and local travel. Environments will also include nursing facilities/hospitals or physician offices, participant homes, and day health center locations. The LPS will be provided with all necessary PPE for pre-enrollee home visits. Participant homes may be in low socioeconomic communities.

Requirements

Knowledge /Skills / Abilities

• Excellent written and verbal communication skills.
• Excellent organizational skills.
• Ability to multitask and effectively manage assigned caseload.
• Proficiency with Microsoft suite of products.
• Knowledge of the geriatric population and/or long term care is desirable.
• Knowledge of health insurance programs and state agencies is a plus.

Required Certification/License:

• Valid driver’s license and proof of insurance

Education/Experience:

• Minimum of two (2) years in Human Services, Social Work, Nursing, or related healthcare field
• Experience with the elderly preferred
• Consultative sales experience highly desired