Enrollment RN

About this role

Habitat Health empowers older adults to experience more good days in their homes and communities. Through the Program of All-Inclusive Care for the Elderly (PACE), we provide comprehensive medical care along with support for daily needs such as meals, transportation, and in ‑ home assistance. We deliver coordinated clinical and social care in our centers and directly in participants’ homes, creating a fully integrated experience that brings peace of mind and a true sense of belonging. As we expand our scalable, affordable PACE model to meet the growing and complex needs of aging populations, our mission ‑ driven care teams continue to help participants live well on their own terms.

Habitat Health is supported by leading healthcare organizations and investors including New Enterprise Associates, Kaiser Permanente, and Town Hall Ventures. We are entering a period of significant growth and are looking for exceptional teammates to help us scale a better model of care for older adults. To learn more, visit www.habitathealth.com.

Estimated Start Date:

Role Scope : The Enrollment RN plays a key role in supporting Habitat Health's growth by serving as the clinical lead throughout the enrollment process. In partnership with the Outreach Specialist, Enrollment Specialist, and the Interdisciplinary Team (IDT), this role conducts clinical eligibility and home safety assessments, provides education to prospective participants and caregivers, and supports informed enrollment decisions. The Enrollment RN helps ensure a seamless transition into the PACE program while delivering a welcoming, participant-centered experience and maintaining compliance with applicable regulatory requirements.

Core Responsibilities & Expectations for the Role

• Partners closely with the Outreach Specialist, Enrollment Specialist, and Interdisciplinary Team (IDT) to support a coordinated, participant-centered enrollment experience.

• Conducts comprehensive nursing, home safety, and eligibility assessments in participants' homes and other care environments to support enrollment decisions.

• Completes Nursing Facility Level of Care (NFLOC) assessments and related documentation in accordance with DHCS requirements, ensuring timely submission and follow-up as needed.

• Participates in enrollment eligibility meetings by presenting clinical findings and collaborating with the IDT to support informed enrollment recommendations.

• Conduct home safety evaluations of the prospective participant’s home

• Builds trusted relationships with prospective participants and caregivers by providing education, addressing clinical questions, and delivering a welcoming and responsive enrollment experience.

• Maintains accurate clinical documentation and participant records within electronic health record (EHR) and related documentation systems in a timely and accurate manner.

• Maintains knowledge of PACE eligibility requirements, enrollment processes, and applicable federal and state regulatory requirements.

• Supports organizational growth by participating in outreach activities and community engagement initiatives as needed.

• Monitors assigned enrollment activities and contributes to continuous improvement by identifying opportunities to enhance participant experience, workflows, and operational effectiveness.

• Performs other related duties as assigned.

Required Qualifications:

• Associate's degree in Nursing from an accredited nursing program or equivalent nursing education required.

• Active, unrestricted Registered Nurse (RN) license in the applicable state.

• Minimum of one (1) year of nursing experience working with older adults, frail elderly populations, or individuals with complex medical needs.

• Demonstrated ability to conduct comprehensive clinical and home safety assessments while applying sound clinical judgment to support participant eligibility and enrollment decisions.

• Strong organizational skills with the ability to manage multiple priorities while maintaining attention to detail and ensuring timely follow-through.

• Strong communication and collaboration skills, with the ability to effectively engage prospective participants, caregivers, providers, and cross-functional teams to support a seamless enrollment experience.

• Demonstrated ability to work independently while collaborating across interdisciplinary teams to achieve shared outcomes.

• Experience using electronic health records (EHRs) and the ability to quickly learn enrollment management and clinical documentation systems.

• Proof of a valid driver's license, reliable personal transportation, and automobile insurance that meets applicable state requirements, with the ability to travel throughout the service area.

• Active CPR/BLS certification or the ability to obtain certification within 30 days of hire.

• Meets all applicable participant-facing health requirements, including TB screening and required immunizations.

• Aligns with our purpose and our values, and is excited about living those out in daily practice

• Ability to thrive in a fast-paced, evolving environment with comfort navigating ambiguity, adapting quickly, and contributing to continuous improvement

• Strong learning and growth mindset, including seeking feedback, engaging in healthy debate and using data and curiosity to inform decisions.

• Acts with integrity and ownership, considering the broader organizational impact, doing the right thing, and following through to deliver results.

Nice to have:

• Bachelor's degree in Nursing (BSN).

• Experience working within PACE, Medicare, Medicaid, managed care, or other value-based healthcare environments.

• Knowledge of PACE, CMS, and applicable federal and state regulatory requirements related to participant eligibility, enrollment, and care coordination.

• Experience conducting Nursing Facility Level of Care (NFLOC), home safety, or other clinical eligibility assessments.

• Bilingual: Spanish, Mandarin, or Cantonese.

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