Field Care Manager

About SCAN

SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, and Nevada. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit , , or follow us on LinkedIn, Facebook, and Twitter.

The Job

Enhance seniors, ability to manage their health and live independently by conducting initial home assessments and annual home reassessments to determine Nursing Facility Level of Care (NFLOC) status for Medi-Medi members, in conjunction with an RN. Satisfies requirements for SCAN state contract for NFLOC members and CMS requirements for Special Needs Plan (SNP) membership.

You Will

Perform initial and annual home assessments for Medi-Medi members referred to Independent Living Power (ILP) to determine eligibility Long-Term Services and Supports (LTSS).

Assist Registered Nurse in determining Nursing Facility Level of Care. Assesses for unmet LTSS needs, as well as need for complex case management referrals.

Provide short term care coordination/care management which includes coaching, education, navigation and referrals to community based resources.

Counsel patients to take an active role in both chronic disease and health prevention, utilizing self-management support and patient education.

Prepare Service Authorizations, arranges, coordinates, and monitors services for members per department guidelines.

Complete timely and accurate documentation in multiple computer systems to complete assessment and corresponding documentation: care plans, service plans, authorizations, and progress notes as necessary.

Evaluate and analyze assessment information to identify problems, goals and interventions to develop an individualized care plan based on SCAN's evidence-based clinical guidelines while exercising clinical knowledge. Mails care plans to members and physicians.

Follow SNP policy and procedures and ensures all appropriate assessments for this population are completed and acted upon within established timeframes.

Other duties as assigned.

Actively support the achievement of SCAN's Vision and Goals.

Strong interpersonal skills, including excellent written and verbal communication skills

Strong organizational skills

Ability to multitask

Ability to appropriately maintain confidentiality

Knowledge of NCQA standards, CMS and DHCS regulations.

Travel 50 % of the time in the assigned area (North San Diego County)- Must have a valid driver's license, automobile insurance and reliable transportation.

Your Qualifications

Bachelor's degree required.

3 years of experience in assessing the needs of older adults, preferably in a healthcare environment.

Home visits experience preferred.

Passionate about working with older adults.

Strong working knowledge of Medicare/Medicaid.

Strong knowledge of local community resources.

Working knowledge of medical terminology and abbreviations.

Proficient in MS Office.

BILINGUAL- Strongly preferred bilingual in English/Spanish and/or English/Chinese. (Test will be administered to assess proficiency.)

Travel 50 % of the time in the assigned area- Must have a valid driver's license, automobile insurance and reliable transportation.

What's in it for you?

• Base salary range: $25.39 to 40.63 / year
• An annual employee bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)
• Ten paid holidays per year, plus 1 additional floating holiday
• Excellent 401(k) Retirement Saving Plan with employer match and contribution
• Robust employee recognition program
• Tuition reimbursement
• An opportunity to become part of a team that makes a difference to our members and our community every day!

We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!

At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.

SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.

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