Enrollment RN

Habitat Health was founded in 2023 to deliver fully integrated health and social care to older adults on Medicare or Medicaid who wish to remain living independently in their homes and communities. The company operates its model through the Program of All-Inclusive Care for the Elderly ("PACE") in collaboration with local community partners. For these older adults, Habitat Health has the opportunity to significantly improve clinical outcomes, extend lives and preserve families – whether of kin or of choice.

More than 2.2 million Americans could benefit from being enrolled in a PACE program, yet less than 5% of eligible Americans are enrolled today. Habitat Health has been designed to address challenges that have kept the PACE program subscale. The company will serve older adults in partnership with local care partners, beginning first in California with Kaiser Permanente, and then nationally.

The company is supported by Kaiser Permanente, Town Hall Ventures, and New Enterprise Associates. For more information, go to www.habitathealth.com.

At Habitat Health, we envision a world where older adults experience an independent and joyful aging journey in the comfort of their homes, enabled by access to comprehensive health care. To achieve this, we provide personalized, coordinated clinical and social care as well as health plan coverage through the Program of All-Inclusive Care for the Elderly (“PACE”) in collaboration with our leading healthcare partners, including Kaiser Permanente.

Habitat Health offers a fully integrated experience that brings more good days and a sense of belonging to participants and their caregivers. We build engaged, fulfilled care teams to deliver personalized care in our centers and in the home. And we support our partners with scalable solutions to meet the health care needs and costs of aging populations. 

Habitat Health is growing, and we’re looking for new team members who wish to join our mission of redefining aging in place. To learn more, visit https://www.habitathealth.com. 

Role Scope:

We are looking for a mission driven Registered Nurse to join our team to lead initial nursing and home safety assessments of prospective participants.  This individual will help to bring the PACE (Program of All-Inclusive Care for the Elderly) program to serve frail elders and disabled older adults in the Sacramento communities. The Eligibility Registered Nurse is a key player in introducing participants to and assessing them for our PACE program. As one of the first care team touchpoints, this RN will act as a liaison between the IDT (Interdisciplinary Team) and the Outreach Team to ensure a smooth enrollment process and continuity of care for prospective participants. This role will be one of the first care team touchpoints with potential PACE participants.

Core Responsibilities & Expectations for the Role

• Act as the primary face of Habitat Health for and develop meaningful relationships with prospective participants, providing information, guidance, and support throughout the process.
• Contribute to a center experience that Participants want to spend time in, a team culture that cares and creates joy, and an environment where all participants and team members belong.
• Continue to raise the bar.  Constructively seek and share feedback, and help us implement changes in order to improve clinical outcomes and experience for participants.

Exhibit and honor Habitat’s values.

• Collaborate with Outreach Specialist and IDT (e.g., Primary Care Physician, RN Care manager, Medical Social Worker, Home Care Coordinator, etc.) to ensure successful enrollment and smooth handoff of participant details (clinical and other)
• Deliver an experience to potential participants and their caregivers that is welcoming, caring, and highly responsive to their needs and concerns
• Conduct home visits to evaluate the prospective participant for potential eligibility for nursing home level of care
• Conduct home safety evaluations of the prospective participant’s home
• Participate in Enrollment Eligibility meetings to review Level of Care recommendations
• Complete Nursing Facility Level of Care (NFLOC) assessments and submit to DHCS for review; update/revise the assessment as requested by DHCS
• Maintain accurate documentation and record all evaluations in appropriate software
• Participate in all PACE Audits by DHCS and CMS
• Maintain knowledge and expertise in eligibility, enrollment, and program specification for the PACE Program
• Support business development and census growth by participating and assisting with outreach programs as needed
• Other duties as assigned

Required Qualifications: 

• Passion for delivering amazing, coordinated care to frail elders and disabled older adults
• Associates degree from accredited nursing school; BSN preferred
• Active and unrestricted RN License in the state of California
• Excellent organization, communications, written and verbal communication skills
• Excellent documentation skills for CRM/EHR systems
• A minimum of one year experience working with the frail or elderly.
• Proof of medical clearance for communicable diseases, including a TB test.
• Proof of all immunizations up to date.
• Proof of current CPR/BLS certification or able to obtain certification within 30 days of employment
• Proof of valid CA driver’s license, personal transportation, good driving record, and auto insurance as required by State law

Preferred Qualifications:

• Bilingual: Spanish/Mandarin/Cantonese preferred.
• Experience working with Medicare population
• Prior patient assessment experience in SNF or Nursing homes
• 2 years healthcare experience as a RN

Location:

• Sacramento, CA (Hybrid)

Compensation: 

We take into account an individual’s qualifications, skillset, and experience in determining final salary. This role is eligible for medical/dental/vision insurance, short and long-term disability, life insurance, flexible spending accounts, 401(k) savings, paid time off, and company-paid holidays. The expected base salary range for this position is $47.00-$57.69 performance-based bonus. The actual offer will be at the company’s sole discretion and determined by relevant business considerations, including the final candidate’s qualifications, years of experience, skillset, and geographic location.

COVID-19 Vaccination Policy

At Habitat Health, we aim to provide safe and high-quality care to our participants. To achieve this, please note we have a COVID-19 vaccination policy to keep both our team members and participants safe as an essential requirement of this role. Requests for reasonable accommodations due to an applicant’s disability or sincerely held religious beliefs will be considered and may be granted based upon review. We adhere to all federal, state, and local regulations by obtaining necessary proof of vaccination prior to employment.

Our Commitment to Diversity, Equity, and Inclusion:

Habitat Health is an Equal Opportunity employer and committed to creating a diverse and inclusive workplace. Habitat Health applicants are considered solely based on their qualifications, without regard to race, color, religion, creed, sex, gender (including pregnancy, childbirth, breastfeeding or related medical conditions), gender identity, gender expression, sexual orientation, marital status, military or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), or other status protected by applicable law.

Habitat Health is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Habitat Health will take steps to provide people with disabilities and sincerely held religious beliefs with reasonable accommodations in accordance with applicable law.  Accordingly, if you require a reasonable accommodation to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact us at careers@habitathealth.com.

E-Verify Participation Notice

This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.  If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the Form I-9. 

Beware of Scams and Fraud

Please ensure your application is being submitted through a Habitat Health sponsored site only. Our emails will come from @habitathealth.com email addresses. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission by selecting the ‘Rip-offs and Imposter Scams’ option: https://reportfraud.ftc.gov/#/.