Job Description

Status: Exempt

Reports to: Manager of Outreach and Enrollment

Under the direction of the Manager of Outreach and Enrollment, the LIFE Program Specialist will be the primary contact for new enrollees interested in the LIFE Pittsburgh program. The Program Specialist is responsible for cultivating a positive relationship with each pre-enrollee, while also driving the enrollment process involving numerous internal and external stakeholders. The LIFE Program Specialist 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, 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 Program Specialist 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:

• Bachelor’s degree required in Human Services, Nursing, Social Work, Healthcare Management, Public Health, or related field
• Minimum of two (2) years in Human Services, Social Work, Nursing, or related healthcare field
• Experience with the elderly preferred

The position description is intended to describe the essential functions of the position and the general duties and responsibilities associated with the position. It is not intended to be comprehensive in nature. In addition, jobs evolve overtime and; therefore, the description may not reflect the precise nature of the position at a given point in time. Staff may be asked to perform essential and non-essential functions at any time with or without notice.