Bilingual Care Coordinator, Senior

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 300,000 members in California, Arizona, Nevada, Texas and New Mexico. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 45 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 www.thescangroup.org, www.scanhealthplan.com, or follow us on LinkedIn, Facebook, and Twitter.

The Job

Contribute to the care and well-being of SCAN members, empowering them to age in place by collaboratively assessing, planning, coordinating, and monitoring their holistic needs. Focus on addressing members' care coordination needs, processing referrals and services, supporting navigation of the healthcare system, and responding to and resolving escalated issues with compassion and efficiency.

You Will

Perform general and specialized assessments/screenings to determine and provide appropriate interventions, referrals and authorization of services. Actively participate in special projects with an ability to balance competing priorities and/or serve as a SCAN liaison, including collaboration and coordination with DHCS counterparts for various specialized DHCS requirements and programs.

Act as a point of contact with members, providers, and medical groups for interpretation and administration of various benefits/programs, and to troubleshoot a wide range of complex psychosocial and escalated access issues for dually enrolled Medicare/Medi-Cal SCAN beneficiaries and other SCAN members.

Use advanced motivational interviewing techniques to understand and accurately address member goals and issues, and to de-escalate when needed to minimize conflict and avoid grievances from members and providers.

Provide short-term basic care management through coordination of care utilizing member benefits, collaboration with various internal and external teams to develop action plans, and a wide range of community resources, addressing and resolving access to care issues to support better health outcomes and a positive member experience.

Complete timely and accurate documentation, such as assessments/screenings, care plans, service plans, case notes, and service requests in multiple computer systems/programs and ensure corresponding documentation is submitted within established timeframes and following department desktop procedures.

Demonstrate strong organizational, analytical, critical thinking, and leadership skills to resolve issues and assist team members with members, providers, vendors, and other internal and external departments.

Coordinate care and/or services through collaboration with county offices and governmental agencies (e.g. Social Security Administration, Department of Public Social Services, LA County Department of Mental Health) as needed.

Exhibit professionalism and empathy in all interactions and able to de-escalate tense situations with members and provider partners.

Utilize and assist in the development of department desktop procedures, workflows, job aids and training material. Identify barriers to work processes and brings potential solutions/revisions to the attention of the supervisor/manager. Serve as a subject matter expert on processes within team and for other teams.

Adhere to all quality, compliance, and regulatory standards.

We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.

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

Other duties as assigned.

Your Qualifications

High School Diploma required. Some college preferred.

BILINGUAL- Must be bilingual in English/Spanish. (Test will be administered to assess proficiency.)

5+ years working in managed care, healthcare environment, or case management.

2+ years working with seniors and working remotely strongly preferred.

Technical expertise - Advanced technical skills for functional area

Problem Solving - Basic problem-solving skills

Communication - Good communication and interpersonal skills

Use advanced motivational interviewing techniques, including de-escalation, to understand and accurately address member concerns.

Ability to work in an environment where continuous coaching and feedback is the standard practice.

Ability to proactively seek out answers, work independently, and serve as a subject matter expert within team and to other teams to troubleshoot member issues.

Strong interpersonal skills, including excellent written and verbal communication skills.

Strong organizational skills. Strong critical thinking skills.

Ability to collaborate effectively within a multidisciplinary team, both within SCAN and with provider partners.

Ability to appropriately maintain confidentiality.

Strong knowledge of medical terminology and abbreviations.

Deep understanding of CMS and DHCS regulations, including Special Needs Plan requirements.

Deep understanding of local community resources for seniors.

What's in it for you?
* Base salary range: $25.38 to $36.33 per hour
* Work Mode - Remote
* An annual employee bonus program
* Robust Wellness Program
* Generous paid-time-off (PTO)
* Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday 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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